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United Kingdom

Provider Selection Regime (England): procurement routes, selection criteria, exclusions, conflicts, debarment, frameworks and notices under the Health Care Services (Provider Selection Regime) Regulations 2023 and the Procurement Act 2023

Practice notes
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This Practice Note

This Practice Note is the second in a trio addressing health care procurement under the Provider Selection Regime (PSR), brought into effect by the Health Care Services (Provider Selection Regime) Regulations 2023 (PSR Regs 2023), SI 2023/1348, operative from 1 January 2024. It sets out the procurement routes available to relevant authorities responsible for planning, purchasing and delivering health and care services, namely the:

  • direct award route—divided into three types of direct award
  • most suitable provider route
  • competitive route

It also summarises the mandatory procedural obligations that apply to every procurement. Further, it highlights additional factors for relevant authorities when awarding contracts using any approach other than direct award processes A and B, namely the:

  • Basic selection criteria
  • Key criteria
  • Exclusions
  • Conflicts of interest

Statutory guidance on the PSR Regs 2023 requires relevant authorities to undertake reasonable and proportionate due diligence on providers. Authorities are expected to consider whether intended providers have the legal and financial capacity, alongside the technical and professional competence, to deliver the contract. For further reading on the ambition of...

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Web page updated on 22/05/2026

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