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The team does not and cannot offer clinical advice. If you have any urgent medical enquiries we urge you to contact your GP, or NHS Direct at www.nhsdirect.nhs.uk or by calling 0845 4647. In an emergency call 999
Step 7: Tendering and contracting your services
Once you’re clear what services you are going to need to commission and have set out the detail, you need to launch into the tendering and contracting stage of the process. This is where you set out in detail what it is you want and ask providers to tender for the work. This part of the process is led by experts in tendering. However, it is critical the clinical steering group is involved to ensure the specification reflects the process has been followed, and that it makes clinical and managerial sense.
The key outputs of this step are:
- The specification - This is the document produced to describe the services the commissioner wishes to procure from provider organisations.
- Incentive structure - These can be used to encourage new work or new quality standards to be achieved and can be written into contracts.
- Currencies and tariffs - Commissioners will wish to specify in contracts, and within PbR rules, what they will and will not pay for. For their part, providers will wish to ensure that the way they cost and charge for activity is consistent.
- Tendering and contracting process - The commissioners will use either internal or external experts to ensure the process conforms to legal requirements.





