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National Audit of Care at the End of Life (NACEL)

Published 12 Aug 2026
12 Aug 2026


Reference: ocds-h6vhtk-06e297
The National Audit of Care at the End of Life will be for NHS-funded care in England, Wales and Jersey (inclusion other devolved nations/Crown dependencies is yet to be determined and will be detailed within the tender documentation). The initial contract is anticipated to be for a period of 3 years, at a maximum total budget of up to £ 1,085,457.00 excluding VAT and £1,302,548.40 including VAT. Bids exceeding this limit will be rejected. Due to the unknowns in advance of holding the premarket engagement session, it is currently expected that the extension value will be a 2 year pro rata of the core 3 year funding, estimated at £723,638 excluding VAT. The values stated may be subject to change and the final values will be given when the tender goes live. There is potential to include other Devolved Nations and/or Crown Dependencies, and aspirational measures (which will be defined in the service specification). The role of a national clinical audit is to stimulate healthcare quality improvement through the provision of high-quality information on the organisation, delivery and outcomes of healthcare, together with tools and support to enable healthcare providers and other audiences to make best use of this information. Outcomes are benchmarked against available national guidance and standards from established professional and patient sources. Every year, over 550,000 people die in England and Wales, almost half in hospital, and in most cases death can be anticipated. There is only one chance to get care right for a dying person and those people important to them. It is essential that this is high quality and delivered compassionately by caring and competent staff. Accordingly, the National Audit of Care at the End of Life is expected to: Develop a robust, high-quality audit designed around key quality metrics likely to best support local and national healthcare quality improvement Detect, describe and help reduce unwarranted clinical variation by systematically benchmarking performance, identifying outliers, and supporting services to understand variation in outcomes, processes and experience Achieve, articulate and maintain close alignment with relevant NICE national guidance and quality standards throughout the audit, as appropriate Enable healthcare quality improvement through the provision of timely, high-quality data that compares providers of healthcare, and comprises an integrated mixture of named Trust or Health board, Integrated Care System (ICS), commissioner, multidisciplinary team (MDT), possibly consultant or clinical team level and other levels of reporting Engage patients, carers and the public in a meaningful way, achieving a strong patient voice which informs and contributes to the design, functioning, outputs and direction of the audit Consider the value and feasibility of linking data at an individual patient level to other relevant national datasets either from the outset or in the future, and plan for these linkages from the inception of the contract Ensure robust methodological and statistical input at all stages of the audit Identify from the outset the full range of audiences for the reports and other audit outputs, and plan and tailor them accordingly Provide audit results in a timely, accessible and meaningful manner to support healthcare quality improvement, minimising the reporting delay and providing continual access to each unit for their own data Use strong and effective project and programme management to deliver audit outputs on time and within budget Develop and maintain strong engagement with local clinicians, networks, commissioners, patients and their families and carers and charity and community support groups to drive improvements in services The delivery of this audit is expected to include information that enables assessment of end-of-life care from multiple perspectives, including those from: Patients Bereaved people Staff The organisational context in which care is delivered The anticipated outputs are: Near real-time dynamic and interactive metric results Publication of an annual state of the nation report Quality improvement resources Resources for patients near the end of life, and those important to them The identification and notification of outliers For more information about this opportunity, please visit the eSourcing portal at: https://www.delta-esourcing.com/tenders/UK-UK-London:-Health-services./UH82AR3N86 To respond to this opportunity, please click here: https://www.delta-esourcing.com/respond/UH82AR3N86

Full CPV breakdown

  • 85100000 — Health services (primary)

Notice details

Buyer type
Other public body
Contract type
Services
Main category
Services
Above threshold
Yes
Legal basis
UKPGA 2023/54
Notice status
Planning
Language
EN
Published
12 Aug 2026 13:26
OCID
ocds-h6vhtk-06e297
Notice ID
ocds-h6vhtk-06e297

Everything the publisher included in this notice, organised by section.

Organisations

Name Healthcare Quality Improvement Partnership Ltd
Address › Street c/o Buzzacott LLP, 130 Wood Street
Address › Town / city London
Address › Postcode EC2V 6DL
Address › Country GB
Address › Country United Kingdom
Address › Region (NUTS) UKI31
Contact › Name Judith Huhges
Contact › Email procurement@hqip.org.uk
Contact › Telephone 0000000000
Role buyer
Classification › Description Public undertaking

Buyer

Name Healthcare Quality Improvement Partnership Ltd

Planning

Milestone › Type engagement
Milestone › Due 16 Sep 2026
Milestone › Status scheduled
Document › Document type Market engagement notice
Document › Description Preliminary market engagement notice on Find a Tender
Document › Link https://www.find-tender.service.gov.uk/Notice/076777-2026
Document › Published 12 Aug 2026

Tender

Title National Audit of Care at the End of Life (NACEL)
Item › CPV › Description Health services
Value › Value incl. VAT £1,302,548.40
Value › Currency GBP
Category services
Above threshold Yes
Lot › Contract period › Start 1 Oct 2027
Lot › Contract period › End 30 Sep 2030
Lot › Contract period › Can be extended to 30 Sep 2032
Lot › Can be renewed Yes
Lot › Status planning
Status planning
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