DAP C - Tier II Community Urology and Gynaecology services - 27-28

The community dermatology service is currently delivered by Mayflower Healthcare Alliance (MHA). This contract was passed to Essex ICB from NHS Hertfordshire and West Essex ICB as part of the ICB reorganisations in April 2026. It provides community-based dermatology services for the local population. Mayflower Healthcare Alliance has an established role in delivering dermatology care, supporting timely access to specialist assessment and treatment outside of the acute setting. This contract focuses on the delivery of community dermatology services, helping to manage patient demand closer to home and reducing pressures on secondary care providers where clinically appropriate. The service forms part of the wider dermatology pathway and works collaboratively with acute providers to ensure patients requiring specialist or hospital-based interventions are referred appropriately. The commissioning responsibility for this contract transferred to Essex ICB as part of the ICB reorganisation in April 2026. The contract is indicative and based on the 26/27 activity and for the purposes of clarity the value will be subject to the national inflator/deflator calculations. The relevant authority determined that Direct Award Process C applies because Mayflower Healthcare Alliance is the existing provider, the existing contract is due to end, the proposed contracting arrangements are not changing considerably, and the provider is satisfying the existing contract and is likely to satisfy the proposed contract to a sufficient standard.