Case archive

2013 case archive

Merger Cases

• Merger of NHS Milton Keynes' provider services arm and Central and North West London NHS Foundation Trust
  NHS Milton Keynes' provider services arm (Milton Keynes Community Health Services) is proposing to merge with Central and North West London NHS Foundation Trust

2012 case archive

Merger Cases

• Proposed merger of Northumbria Healthcare NHS Foundation Trust with North Cumbria University Hospitals NHS Trust
  Northumbria Healthcare NHS Foundation Trust and North Cumbria University Hospitals NHS Trust are proposing to merge.

• Proposed Merger of Epsom General Hospital with Ashford and St Peter's Hospitals NHS Foundation Trust
  Epsom General Hospital and Ashford and St Peter's Hospitals NHS Foundation Trust are proposing to merge.

• Proposed merger of Southern Health NHS Foundation Trust with Oxfordshire Learning Disability NHS Trust
  Southern Health NHS Foundation Trust and Oxfordshire Learning Disability NHS Trust are proposing to merge.

• Proposed merger of the Royal National Throat, Nose and Ear Hospital (of The Royal Free Hampstead NHS TRUST) with University College London Hospitals NHS Foundation Trust
  The Royal National Throat, Nose and Ear Hospital (of The Royal Free Hampstead NHS Trust) and University College London Hospitals NHS Foundation Trust are proposing to merge.

• Merger of Trafford Healthcare NHS Trust with Central Manchester University Hospitals NHS Foundation Trust
  Trafford Healthcare NHS Trust and Central Manchester University Hospitals NHS Foundation Trust are proposing to merge.

• Merger of Scarborough and North East Yorkshire Healthcare NHS Trust with York Teaching Hospital NHS Foundation Trust
  Scarborough and North East Yorkshire Healthcare NHS Trust and York Teaching Hospital NHS Foundation Trust are proposing to merge.

• Merger of Barts and The London NHS Trust, Newham University Hospital NHS Trust and Whipps Cross University Hospital NHS Trust
  Barts and The London NHS Trust, Newham University Hospital NHS Trust and Whipps Cross University Hospital NHS Trust are proposing to merge.

• Proposed merger of Great Western Ambulance Service NHS Trust with South Western Ambulance Service NHS Foundation Trust
  Great Western Ambulance Service NHS Trust and South Western Ambulance Service NHS Foundation Trust are proposing to merge.

• Merger of Ealing Hospital NHS Trust with North West London Hospitals NHS Trust
  Ealing Hospital NHS Trust and North West London Hospitals NHS Trust are proposing to merge.

• Proposed merger of Dartford and Gravesham NHS Trust with Medway NHS Foundation Trust
  Dartford and Gravesham NHS Trust and Medway NHS Foundation Trust are proposing to merge. Consistent with its merger guidelines, the CCP will examine the costs and benefits of the proposed merger of these acute trusts to patients and taxpayers, in order to ascertain whether the transaction is consistent with Principle 10 of the Principles and Rules for Cooperation and Competition.

Procurement Cases

• Nottingham University Hospitals NHS Trust procurement complaint
  Renal Services (UK) Limited has brought a procurement complaint to the CCP in relation to the procurement by Nottingham University Hospitals NHS Trust of a contract for dialysis services.

• Ashford and St Peter's Hospitals NHS Foundation Trust procurement complaint
  Regent's Park Heart Clinics Ltd has brought a procurement complaint to the CCP in relation to the procurement by Ashford and St Peter's Hospitals NHS Foundation Trust of invasive cardiology services.

Conduct Cases

• Peterborough PCT Conduct Complaint
  3Well Medical has asked the CCP to assess whether Peterborough PCT has acted inconsistently with the Principles and Rules for Cooperation and Competition. 3Well Medical has alleged that Peterborough PCT has failed to act consistently with Principles 1, 2 and 5 in relation to the possible reconfiguration of primary care services in the Peterborough area (including the possible closure of the Alma Road Primary Care Centre operated by 3Well Medical).

• North Yorkshire and York PCT and York Hospitals NHS Foundation Trust Conduct Complaint
  Assura East Riding LLP has asked the CCP to assess whether North Yorkshire and York PCT and York Hospitals NHS Foundation Trust have acted inconsistently with the Principles and Rules for Cooperation and Competition. Assura East Riding LLP has alleged that North Yorkshire and York PCT and York Hospitals NHS Foundation Trust have failed to act consistently with Principles 1, 2 and 5 in relation to the procurement of an orthopaedics, musculoskeletal clinical assessment, triage and treatment service at a loss-making price.

• South Staffordshire and Shropshire NHS Foundation Trust Conduct Complaint
  Midlands Psychology has asked the CCP to assess whether South Staffordshire and Shropshire NHS Foundation Trust has acted inconsistently with the Principles and Rules for Cooperation and Competition. Midlands Psychology has alleged that South Staffordshire and Shropshire NHS Foundation Trust's conduct following the award of a contract by South Staffordshire PCT to Midlands Psychology for the provision of Autistic Spectrum Disorder services has made it more difficult for Midlands Psychology to provide services to patients under the contract.

Community Service Mergers

• Cases under the Transforming Community Services Prioritisation Procedure
  The CCP has agreed with the Department of Health and Monitor that it will not provide formal advice and recommendations on certain Transforming Community Services mergers

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2011 case archive

Merger Cases

• Merger of Nuffield Orthopaedic Centre NHS Trust and Oxford Radcliffe Hospitals NHS Trust
  Nuffield Orthopaedic Centre NHS Trust and Oxford Radcliffe Hospitals NHS Trust are proposing to merge.

• Merger of Basingstoke & North Hampshire NHS Foundation Trust and Winchester & Eastleigh Healthcare NHS Trust
  Basingstoke & North Hampshire NHS Foundation Trust and Winchester & Eastleigh Healthcare NHS Trust are proposing to merge.

• Merger of part of the NHS Sefton Provider Services Arm with Liverpool Community Health NHS Trust
  It is proposed that the Nine GP practices which currently operate within the NHS Sefton provider services arm merge with Liverpool Community Health NHS Trust, which operates ten GP practices.

• Merger of Norfolk and Waveney Mental Health NHS Foundation Trust and Suffolk Mental Health Partnership NHS Trust
  Norfolk and Waveney Mental Health NHS Foundation Trust and Suffolk Mental Health Partnership NHS Trust are proposing to merge.

• Merger of Outer North East London Community Services and North East London NHS Foundation Trust
  Outer North East London Community Services (ONEL) and North East London NHS Foundation Trust (NELFT) are proposing to merge.

• Merger of part of the NHS Warwickshire Provider Services Arm with George Eliot NHS Trust
  Three GP practices currently operate within the NHS Warwickshire provider health services arm and are proposing to merge with George Eliot NHS Trust.

• Merger of the provider services arms of South Birmingham PCT, Heart of Birmingham teaching PCT and Birmingham East and North PCT
  South Birmingham PCT provider services arm (South Birmingham Community Health), Heart of Birmingham PCT provider services arm (HOBt Community Services) and Birmingham East and North PCT provider services arm (BEN Community Health Services) are proposing to merge. South Birmingham Community Health will act as host to the community services presently provided by HOBt Community Services and BEN Community Health Services.

Procurement Cases

• King's College Hospital Foundation Trust Procurement appeal
  TDL Pathology Limited has brought a procurement appeal to the CCP in relation to procurement by King's College Hospital Foundation Trust for the establishment of a strategic partnership for the provision of pathology services.

Conduct Cases

• NHS Wiltshire Conduct Complaint
  Circle Health Limited has asked the CCP to assess whether NHS Wiltshire has acted inconsistently with the Principles and Rules for Cooperation and Competition, by imposing restrictions on providers providing or seeking to provide elective care under an ‘any willing provider' model of care.

• NHS Western Cheshire conduct complaint
  InterHealth Care Services (UK) Limited has asked the CCP to assess whether NHS Western Cheshire has acted inconsistently with the Principles and Rules for Cooperation and Competition in its commissioning of the Cheshire and Merseyside NHS Treatment Centre.

• East Midlands Conduct Complaint
  Nottingham Care Association, Derbyshire Care Home Association and Lincolnshire Care Association have asked the CCP to assess whether each of the PCTs: Nottingham City; Nottinghamshire County; Derby City; Derbyshire County; and Lincolnshire; have acted inconsistently with the Principles and Rules for Cooperation and Competition.

• North Lancashire Conduct Complaint
  Lancashire Care Association has asked the CCP to assess whether North Lancashire (as lead commissioner for 24 Primary Care Trusts in the North West Strategic Health Authority) has acted inconsistently with the Principles and Rules for Cooperation and Competition.

• North West Non-Emergency Patient Transport Services conduct complaint
  Medical Services (a division of Lewis Day Transport plc) has asked the CCP to assess whether NHS Blackpool (on behalf of the PCTs of the North West Strategic Health Authority) has acted inconsistently with the Principles and Rules for Cooperation and Competition in its purchasing of non-emergency patient transport services contracts from North West Ambulance Service NHS Trust.

Study

• Operation of 'any willing provider' for the provision of routine elective care under 'free choice'
  The CCP has been asked by the Department of Health and Monitor to conduct a study into the operation of the 'any willing provider' model of choice in acute elective NHS-funded healthcare services in the context of the Principles and Rules for Cooperation and Competition (Principles and Rules).

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2010 case archive

Merger Cases

• Merger of East Sussex Community Health Services with South Downs Health NHS trust
  The provider services arm for East Sussex Downs and Weald PCT and Hastings and Rother PCT (East Sussex Community Health Services) is proposing to merge with South Downs Health NHS Trust.

• Merger of Wandsworth PCT's provider services arm and St George’s Healthcare NHS Trust
  Wandsworth PCT provider services arm (Community Services Wandsworth) and St George's Healthcare NHS Trust are proposing to merge. St George's Healthcare will act as host to the community services presently provided by Community Services Wandsworth.

• Merger of South-West Essex’s provider services arm and North East London NHS Foundation Trust
  South-West Essex PCT provider services arm (Community Health Services) and North East London NHS Foundation Trust (NELFT) are proposing to merge. NELFT will act as host to the community services presently provided by Community Health Services.

• Merger of Buckinghamshire PCT's provider services arm with Buckinghamshire Hospitals NHS Trust
  Buckinghamshire PCT is proposing to transfer its provider services arm (Community Health Buckinghamshire) to Buckinghamshire Hospitals NHS Trust.

• Merger of Croydon PCT's provider services arm and Mayday Healthcare NHS Trust
  Croydon PCT is proposing to transfer its provider services arm (Croydon Community Health Services) to Mayday Healthcare NHS Trust.

• Merger of NHS Lewisham's provider services arm with Lewisham Hospital NHS Trust
  NHS Lewisham is proposing to transfer its provider services arm (Lewisham PCT Community Health Services) to Lewisham Hospital NHS Trust.

• East London NHS Foundation Trust is proposing to acquire Newham PCT's provider services arm.
  The CCP will examine the costs and benefits of the proposed merger under its merger guidelines to assess whether it could be expected to have an adverse effect on patients or taxpayers.

• Merger of South-East Essex's provider services arm and Mid-Essex's provider services arm
  South-East Essex PCT and Mid-Essex PCT are proposing to merge their provider arms. South-East Essex will act as the host NHS Trust.

• Merger of Ealing PCT's provider services arm, Harrow PCT's provider services arm and Ealing Hospital NHS Trust
  Ealing PCT's provider services arm, Harrow PCT's provider services arm and Ealing Hospital NHS Trust are proposing to merge to form an Integrated Care Organisation.

• Merger of Portsmouth's provider services arm and Southampton City's provider services arm
  NHS Portsmouth and NHS Southampton City are proposing to merge their provider arms. NHS Southampton City will act as the host PCT.

• Merger of Bexley Care Trust with Oxleas NHS Foundation Trust and South London Healthcare Trust
  Bexley Care Trust is proposing to transfer its adult community health services and universal children's community health services to Oxleas NHS Foundation Trust and transfer its specialist children's community health services with South London Healthcare NHS Trust.*

• Transfer of services from Derby City Provider Services to Derby Hospitals NHS Foundation Trust
  NHS Derby City is in the process of transferring the majority of the community services provided by Derby City Provider Services (DCPS) to Derby Hospitals NHS Foundation Trust (DHFT). The CCP will examine the costs and benefits of the proposed merger under its merger guidelines to assess whether it could be expected to have an adverse effect on patients or taxpayers.

Conduct Cases

• North West Specialist Commissioning Team conduct complaint
  Hanover Healthcare (the trading name of Revona LLP) has asked the CCP to assess whether the North West Specialist Commissioning Team (NWSCT) has acted inconsistently with the Principles and Rules for Cooperation and Competition.

• NHS Great Yarmouth & Waveney conduct complaint
  ACEVO and NHS Partners Network have asked the CCP to assess whether Great Yarmouth & Waveney Primary Care Trust (PCT) has acted inconsistently with the Principles and Rules of Cooperation and Competition by preventing non-NHS providers from participating in a recent tender.

Procurement Disputes

• Birmingham East and North Procurement appeal
  The Smile Centre has brought a procurement appeal to the CCP in relation to procurement by Birmingham East and North for the provision of dental services.

• NHS North of Tyne procurement appeal
  Dr Ross Hobson t/a Windmill Dental Suite has brought a procurement appeal to the CCP in relation to a procurement by NHS North of Tyne for the provision of NHS Primary Care Specialist Orthodontic Services.

Fast-track Cases

• Merger of NHS Worcestershire's provider services arm and Worcestershire Community and Mental Health NHS Trust
  NHS Worcestershire's provider services arm (Worcestershire Primary Care Trust Provider Services) is proposing to merge with Worcestershire Community and Mental Health NHS Trust.

• Merger of NHS Bolton's provider services arm and Royal Bolton Hospital NHS Foundation Trust
  NHS Bolton's provider services arm (Bolton Provider Services) is proposing to merge with Royal Bolton Hospital NHS Foundation Trust.

• Mergers of NHS Rotherham's provider services arm and (i) Rotherham NHS Foundation Trust; and (ii) Rotherham, Doncaster and South Humber Mental Health NHS Foundation Trust
  NHS Rotherham's provider services arm (Rotherham Provider Services) is proposing to merge with (i) Rotherham NHS Foundation Trust; and (ii) Rotherham, Doncaster and South Humber Mental Health NHS Foundation Trust.

• Mergers of NHS Bradford and Airedale's provider services arm and (i) Airedale NHS Foundation Trust; (ii) Bradford Teaching Hospitals NHS Foundation Trust; and (iii) Bradford District Care Trust
  NHS Bradford and Airedale's provider services arm (Bradford and Airedale Community Health Services) is proposing to merge with (i) Airedale NHS Foundation Trust; (ii) Bradford Teaching Hospitals NHS Foundation Trust; and (iii) Bradford District Care Trust.

• Merger of NHS Cumbria's provider services arm and Cumbria Partnership NHS Foundation Trust
  NHS Cumbria's provider services arm (Cumbria Provider Services) is proposing to merge with Cumbria Partnership NHS Foundation Trust.

• Mergers of NHS Wolverhampton's provider services arm and (i) Royal Wolverhampton Hospitals NHS Trust; and (ii) Sandwell Mental Health and Social Care NHS Foundation Trust
  NHS Wolverhampton's provider services arm (Wolverhampton Provider Services) is proposing to merge with (i) Royal Wolverhampton Hospitals NHS Trust; and (ii) Sandwell Mental Health and Social Care NHS Foundation Trust.

• Mergers of NHS Central Lancashire and NHS Blackburn with Darwen's provider services arms and Lancashire Care NHS Foundation Trust
  NHS Central Lancashire's provider services arm (Central Lancashire Provider Arm) and NHS Blackburn with Darwen's provider services arm (Blackburn with Darwen Provider Services Unit) are proposing to merge with Lancashire Care NHS Foundation Trust.

• Mergers of NHS Manchester's provider services arm and
  (i) Central Manchester NHS Foundation Trust;
  (ii) Pennine Acute Hospitals NHS Trust;
  (iii) University Hospital South Manchester NHS Foundation Trust; and
  (iv) Manchester Mental Health and Social Care Trust.
  NHS Manchester's provider services arm (Manchester Community Services) is proposing to merge with (i) Central Manchester NHS Foundation Trust; (ii) Pennine Acute Hospitals NHS Trust; (iii) University Hospital South Manchester NHS Foundation Trust; and (iv) Manchester Mental Health and Social Care Trust.

• The merger of the community services provider arms of NHS Bury (i); NHS Heywood, Middleton and Rochdale (ii); and NHS Oldham (iii) with Pennine Care NHS Foundation Trust.
  The community services provider arms of NHS Bury (Community Services Bury); NHS Heywood, Middleton and Rochdale (HMR Community Healthcare); and NHS Oldham (Oldham Community Health Services) are each proposing to merge with Pennine Care NHS Foundation Trust.

• Merger of NHS Oxfordshire's provider services arm and Oxfordshire and Buckinghamshire Mental Health NHS Foundation Trust
  NHS Oxfordshire's provider services arm (Community Health Oxfordshire) is proposing to merge with Oxfordshire and Buckinghamshire Mental Health NHS Foundation Trust.

• Merger of NHS Herefordshire's provider services arm and Hereford Hospitals NHS Trust
  NHS Herefordshire's provider services arm (Herefordshire Provider Services) is proposing to merge with Hereford Hospitals NHS Trust.

• Mergers of NHS Dudley's provider services arm and (1) Dudley Group of Hospitals NHS Foundation Trust; (2) South Birmingham Community Health; and (3) Sandwell Mental Health and Social Care NHS Foundation Trust
  NHS Dudley's provider services arm (Dudley Community Services) is proposing to merge with (i) Dudley Group of Hospitals NHS Foundation Trust (in relation to Adult Community Services); (ii) South Birmingham Community Health (in relation to Community Dental Services); and (iii) Sandwell Mental Health and Social Care NHS Foundation Trust (in relation to Children and Family Services and Learning Disabilities Services).

• Merger of NHS Barnet's provider services arm and Central London Community Healthcare NHS Trust
  NHS Barnet's provider services arm (Barnet Community Services) is proposing to merge with Central London Community Healthcare NHS Trust.

• Merger of NHS Islington and NHS Haringey's provider services arm and The Whittington Hospital NHS Trust
  NHS Islington and NHS Haringey's provider services arm (Haringey & Islington Provider Services Alliance) is proposing to merge with The Whittington Hospital NHS Trust.

• Merger of NHS Salford's provider services arm and Salford Royal NHS Foundation Trust
  NHS Salford's provider services arm (Salford Community Health) is proposing to merge with Salford Royal NHS Foundation Trust.

• Merger of NHS Oxfordshire's provider services arm and Oxfordshire and Buckinghamshire Mental Health NHS Foundation Trust
  NHS Oxfordshire's provider services arm (Community Health Oxfordshire) is proposing to merge with Oxfordshire and Buckinghamshire Mental Health NHS Foundation Trust.

• Merger of NHS City & Hackney's provider services arm with Homerton University Hospital NHS Foundation Trust
  NHS City & Hackney's provider services arm (City & Hackney Community Health Services) is proposing to merge with Homerton University Hospital NHS Foundation Trust.

• Merger of NHS Warwickshire's provider services arm with South Warwickshire NHS Foundation Trust
  NHS Warwickshire's provider services arm (Warwickshire Community Health) is proposing to merge with South Warwickshire NHS Foundation Trust.

• Merger of NHS Greenwich's provider services arm with Oxleas NHS Foundation Trust
  NHS Greenwich's provider services arm (Greenwich Community Health Services) is proposing to merge with Oxleas NHS Foundation Trust.

• Merger of NHS Berkshire West and NHS Berkshire East's provider services arms with Berkshire Healthcare NHS Foundation Trust
  NHS Berkshire West's provider services arm (NHS Berkshire West Community Health) and NHS Berkshire East's provider services arm (Berkshire East Community Health Services) are proposing to merge with Berkshire Healthcare NHS Foundation Trust.

• Merger of NHS Ealing, NHS Harrow and NHS Brent's provider services arms with Ealing Hospital NHS Trust
  NHS Ealing and NHS Harrow’s provider services arm (Ealing and Harrow Community Services) and NHS Brent's provider services arm (Brent Community Services) are proposing to merge with Ealing Hospital NHS Trust.

• Merger of NHS Hillingdon's provider services arm and Central and North West London NHS Foundation Trust
  NHS Hillingdon's provider services arm (Hillingdon Community Health) is proposing to merge with Central and North West London NHS Foundation Trust.

• Merger of NHS Enfield's provider services arm with Barnet, Enfield and Haringey Mental Health NHS Trust
  NHS Enfield's provider services arm (Enfield Community Health Services) is proposing to merge with Barnet, Enfield and Haringey Mental Health NHS Trust.

• Merger of NHS Lambeth's and NHS Southwark's provider services arms and Guy's and St Thomas's NHS Foundation Trust
  NHS Lambeth's provider services arm (Lambeth Community Health) and NHS Southwark's provider services arm (Southwark Provider Services) are proposing to merge with Guy's and St Thomas's NHS Foundation Trust (Guy's and St Thomas's).

2009 Case Archive

Merger Cases

• Merger of West Sussex Provider Services and South Downs Health NHS Trust
  West Sussex Health is proposing to merge its provider arm with South Downs Health NHS Trust, which will act as the host NHS Trust.

• Acquisition of Bedfordshire and Luton Partnership NHS Trust
  The Cooperation and Competition Panel (CCP) has decided that the proposed acquisition of Bedfordshire and Luton Partnership NHS Trust (BLPT) by one of four shortlisted bidders meets the CCP's acceptance criteria for a merger reference. As a result, the CCP is accepting this case with its investigation starting from the date of this notice.

• Merger of NHS Richmond and Twickenham and NHS Hounslow provider services arms
  NHS Richmond and Twickenham and NHS Hounslow are proposing to merge their provider services arms, through a business transfer of NHS Hounslow's provider services to NHS Richmond, which will act as the host primary care trust.

• Proposed integrated care pilot scheme between City Hospitals Sunderland NHS Foundation Trust and Church View Medical Practice
  City Hospitals Sunderland Foundation Trust is planning to enter into a pilot integrated care scheme with a local primary care provider, Church View Medical Practice.

• Transfer of NHS Barking & Dagenham community health services business to North East London Foundation Trust
  NHS Barking & Dagenham is planning to transfer its community health services business to North East London Foundation Trust for a two-year period prior to the retendering of its community health services contracts.

Conduct Cases

• Churchill Medical Centre and Kingston Primary Care Trust
  Churchill Medical Centre has complained to the CCP that Kingston Primary Care Trust (PCT) has breached the Principles and Rules of Cooperation and Competition by preventing it from opening a new branch surgery at 164 Tudor Drive, Kingston.

Study

• NHS consultants' non-contracted hours
  The CCP is conducting a study into restrictions placed on NHS Consultants' use of their non-contracted hours and is currently requesting submissions from interested parties.