FOI 2025/1267

Q1. Does Greater Manchester ICB hold contracts for NHS elective-care activity with the following hospitals? (YES/NO for each)

• Spire Hartswood Hospital
• Nuffield Health Hospital
• Circle Health Hospital
• Ramsay Health

Q2. For every hospital answered YES, list the specialties covered by the contract and please supply:

• the service specification including Schedules 2, 4, 6 and any other relevant schedules;
• and / or other terms and conditions including Schedules 4 and 6 of the NHS Standard (redacted only where genuinely commercially sensitive or otherwise exempt).

Q3. For each contract, state whether the specialty list is exhaustive or indicative. Quote any contractual clauses that indicate flexibility in specialty provision, including but not limited to wording such as “specialties to be provided but not limited to …”.

Q4. Does Greater Manchester ICB currently hold any elective-care contracts located in other ICB areas with hospitals from the following groups?

• Circle Health Group
• Spire Healthcare
• Nuffield Health
• Ramsay Health Care

1. Yes, Circle Health Hospital and Ramsay Health
2. In line with NHS Greater Manchester’s 2025/26 contract negotiation and planning, each provider’s service specification, quality requirements and reporting requirements are under review.
3. The speciality list is indicative in each of the contracts. In line with NHS Greater Manchester’s 2025/26 contract negotiation and planning, each provider’s service specification, quality requirements and reporting requirements are under review.
4. Yes, in relation to Circle Health Hospital and Ramsay Health, NHS GM is listed as an Associate Commissioner to contracts held with Lancashire and South Cumbria ICB and Cheshire and Merseyside ICB