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District Heating Network Performance, Operational Monitoring and Planned Maintenance Services Mid and South Essex NHS Foundation Trust is undertaking pre-market engagement in advance of a planned procurement for the provision of Performance, Operational Monitoring and Planned Preventative Maintenance Services for the Trust's District Heating Networks and LTHW dual fuel boilers for the Basildon and Broomfield Hospital sites; with the potential for additional services at the Southend site. The Trust has recently invested in significant decarbonisation infrastructure across its hospital estate, including district heating networks, energy centres, plate heat exchanger installations, thermal stores, pumps, boilers and specialist control systems. The Trust is seeking to engage with suitably qualified maintenance providers to better understand market capability, innovation opportunities and contract delivery models prior to commencing a formal procurement process. Indicative Scope The successful contractor may be responsible for: • Planned preventative maintenance (PPM) • Operational monitoring and performance management • Remote monitoring and alarm management • 24/7 reactive maintenance and emergency call-outs • BMS and controls maintenance • Water treatment monitoring and management • Boiler and heating plant maintenance • Pressurisation systems • Pumps and distribution networks • Plate heat exchangers • Thermal stores • Heat metering systems • Fuel oil infrastructure • Lifecycle planning and asset management • Energy performance optimisation and reporting • Coordination with specialist subcontractors and CHP maintenance providers where required. Estate The contract is expected to cover: Basildon Hospital • District Heating Energy Centre • Multiple remote plantrooms • CHP-supported district heating system • Multiple heating and domestic hot water PHE installations. Broomfield Hospital • District Heating Energy Centre • Multiple remote plantrooms • CHP-supported district heating system • Contingency remote boilers • Heating and hot water PHE installations. Southend Hospital • District Heating Energy Centre • Multiple remote plantrooms • CHP-supported district heating system • Integrated and remote network boilers • Heating and hot water PHE installations. Objectives of Engagement The Trust wishes to understand: • Market appetite for the opportunity. • Appropriate contract duration. • Options for performance-based maintenance arrangements. • Best practice approaches to remote monitoring and asset management. • Appropriate KPIs and performance measures. • Digital maintenance management solutions. • Innovations that could improve system efficiency and operational resilience. • Approaches to lifecycle planning and asset replacement forecasting. • Mobilisation requirements and anticipated timescales. Supplier Requirements Interested suppliers should ideally demonstrate experience in: • Large district heating networks. • Acute healthcare environments. • CHP and energy centre infrastructure. • Building management systems. • Water treatment and closed heating systems. • PPM and reactive maintenance services. • Energy performance optimisation. Next Steps Suppliers interested in participating in the engagement exercise are invited to register their interest. Further details regarding engagement sessions, site visits and questionnaires will be circulated in due course. Please note this engagement exercise is for information gathering purposes only and does not constitute a call for competition.

INTENDED APPROACH NOTICE for NHS Health Check service Provider Selection Regime - Most Suitable Provider Notice. This is a Provider Selection Regime (PSR) intended approach notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. In accordance with Regulation 10 of The Health Care Services (Provider Selection Regime) Regulations 2023, Milton Keynes City Council is seeking to award a contract under the Most Suitable Provider process as the Authority is able to identify the most suitable provider without running a competitive exercise, for the provision of NHS Health Checks - Community Outreach Offer for Milton Keynes City Council. Milton Keynes City Council intends to award a single contract to the most suitable provider. This notice will be published for a minimum of 14 days in accordance with the requirements of the Health Care Services (Provider Selection Regime) Regulation 2023. This is to enable providers to approach the Council and express their interest in being considered as the 'most suitable provider'. Expressions of Interest should be sent to [email protected] with the reference 2026-078 detailed in the subject by latest 25th August 2026. The NHS Health Check programme aims to prevent cardiovascular disease (CVD) and associated conditions through the early assessment, awareness, and management of individual behavioural and physiological risk factors. The programme is aimed at all adults in England aged between 40-74 who are not currently being treated for CVD. The delivery of NHS Health Checks is a statutory responsibility for all Local Authorities (LAs). All eligible individuals must be invited to attend an NHS Health Check once every five years.

The outreach model for this service will build on this foundation, targeting populations with historically lower engagement to improve uptake, earlier risk identification and equitable health outcomes across the county. This market engagement event will inform the development of a future NHS Health Checks outreach service for Hampshire that will work alongside the existing general practice-led programme. The ambition is to increase access to cardiovascular disease prevention and early identification of risk factors among residents who are least likely to be reached through traditional healthcare services. Focus will be given to underserved populations, including those with socioeconomic, ethnic and gender inequalities, Gypsy, Roma and Traveller (GRT) communities, carers, those experiencing homelessness, and people employed in routine and manual occupations. The service will be expected to deliver health checks in trusted community settings and workplaces, helping to reduce barriers to access and address persistent health inequalities across Hampshire.

An NHS Health Check is a free health assessment offered to help prevent serious cardiovascular conditions by spotting risks early. For the purpose of this local service, those eligible are between 40 and 74 years old without already diagnosed long term cardiovascular health conditions, and either registered with a Somerset GP or living in Somerset. The service may be offered to staff or patients meeting this criterion. The aim of this service is to reduce access barriers for those with severe mental illnesses by combining the NHS HC opportunity with other treatment access. This may be extended to other cohorts like those accessing bariatric services as the service develops. The service will need to be run to the standard protocol for NHS Health Checks service including measurement of pulse rate, blood pressure and POCT blood cholesterol. It will enable detection of risk factors for hypertension, diabetes, high cholesterol, kidney dysfunction, obesity and heart arrythmias which would be referred to the patient's GP to consider formal diagnosis. It will also include lifestyle support for alcohol use, smoking, healthy weight and physical exercise.