Contract Overview

The HealthTrust Europe (HTE) framework agreement for Total Waste Management is simple to use and covers domestic, clinical, reusable sharps and confidential waste services. The appointed suppliers to each Lot within the framework have true supply capability, and the expertise to assist their customers through many aspects of the process. 
This framework agreement is for the provision of Domestic Waste Services, Clinical Waste Services, Reusable Sharps Waste Services, Confidential Waste Services, Total Waste Management Services. Each Lot provides a service from the point of collection through to the final disposal including, but not limited to, suitable storage solutions, segregation, recycling, and transportation 

Bespoke Services 

Protect public health 

Hybrid Award Option 

Cost effective 

Secure storage and disposal 

Domestic Waste Services 

Clinical Waste Services 

Reusable Sharps Waste Services 

Confidential Waste Services 

Total Waste Management Services 

Merseyside and Cheshire Clinical Waste Consortium

The Challenge 

A number of our Members within the North West region were participants in a previously negotiated agreement for clinical waste which was expiring in March 2013. As an active Member of HealthTrust Europe, Warrington and Halton Hospitals NHS Foundation Trust played an integral part in encouraging interest across the region for participation in a collaborative exercise to renew the current arrangement.

Brian Burge who represented the Trust confirmed the need to do this by saying

“The previous Clinical Waste Framework had expired and HTE agreed to facilitate access to their Framework Agreement for both member and non-member Trusts in the Cheshire and Merseyside area via a mini-competition. Warrington & Halton were happy to organise and host some of the meetings”.


The Process/Approach

Following an initial presentation to a collective group of Facilities and Procurement colleagues in late November 2012, a programme and timetable of activities was proposed and 13 neighbouring Trusts were divided into 2 specific Lots which were designated as Acute and Community sites, a decision which was based upon the forecasted market response to the procurement process.

Due to the Framework currently in place within the contract portfolio of HealthTrust Europe, timescales for the programme were significantly reduced and a Mini-Competition process was adopted by Harpreet Rupal, the lead responsible for this category.

Harpreet explained the benefits of this methodology by confirming

“The overall Framework acts a facility to complete a bespoke process which is compliant with EU Legislation but removing the timescales of a full exercise. Defined lists of providers who have been accepted onto the Framework were automatically included in the Mini-Competition, also saving them time and effort by adopting this process”.                                                                                               



Input from each of the Trusts was paramount to the development of the specification and other subsidiary documents for the tender process. Both Andy Johnson from The Royal Liverpool and Broadgreen University Hospitals NHS Trust and John Foley representing Liverpool Women’s NHS Foundation Trust and Alder Hey Children’s NHS Foundation Trust were integral to the continuity of the programme timetable and their extensive knowledge of this category proved invaluable throughout the period of award. In recognition of the number of participants and as an aid for effective communication, a bespoke page and ‘log in’ was established on the Salesforce platform managed by HealthTrust Europe to improve communication. Tracking of all developments within the programme were live and visible for multiple contribution which was acknowledged by John who confirmed the necessity of customer input as being integral to the programme “Some stakeholders could not attend and we wanted to ensure those not present could see latest versions of tender documents, plus the changing waste and procurement landscape had driven changes that needed to be encompassed”. Invariably whilst ensuring compliance with the legislation surrounding the award of this category, the collaborative membership was cognisant in these times of financial challenge within the NHS of cost improvement. In recognition of this a challenging savings target of 15% was established for the overall amalgamated expenditure, this was surpassed when the final contract award was made to SRCL with an average saving across all members being reported as a 31% reduction on current spend.


Member Testimonial

Andy Johnson representing The Royal Liverpool and Broadgreen University Hospitals NHS Trust summarised the overall benefit of participating in the process as

“Considering the varied service requirements of the Acute and PCT Trusts I found, with the help of HealthTrust Europe, the consortium’s collective collaboration was essential and also commendable that the tendering process was completed within the tight time frame. It was ideal that each Trust could benefit from the competitive waste market to make savings and an excellent opportunity for us to investigate the additional services being offered and source a company who could process our waste with the minimum environmental impact”. 

For more information, contact our Customer Care Team on 0845 887 5000 or email


Cheshire and Merseyside NHS Trusts (C&M) have held a consortium contract for clinical waste with HealthTrust Europe (HTE) for approximately 9 years. In 2017, HTE commenced discussions with the consortium members to embark on a mini-competition procurement process for the renewal of their clinical waste contract.

HTE project managed and ran the procurement process over 10 months. Initially the requirement was for a sole supplier to provide clinical waste services to 13 NHS Authorities in the region for Acute, Mental Health Specialist and Community healthcare. Due to new hospitals being built in the region there was an additional requirement for Authorities to join the contract at varying times when services were needed. The awarded contract secured a further 3 years of supply at a cost neutral position for each member. The members retained the same pricing for an 8-year term and Key Performance Indicators were introduced which were fully aligned with all member requirements.


In recent years there has been an increase in the volume of clinical waste being produced. During the last 18 to 24 months, unforeseen issues in the supplier market, coupled with the effects of Brexit and the pandemic have resulted in:

  • An increase in waste (in particular incinerated waste)
  • A lack of infrastructure investment
  • Intense competition for drivers due to decreased availability
  • Missed collections leading to the build-up of waste at hospital sites

To address these challenges, the Chief Executives of the Trusts within the Cluster required a market review of the contract, so invited HTE to submit a proposal.


HTE recommended introducing a new contract offering 2 separate solutions – Lot 1 for Acute Trusts and Lot 2 for Mental Health and Community Trusts. This allowed the service requirements of each group to be catered for and removed the restrictions of the current framework agreement in relation to award structure and awarded suppliers. All suitable potential suppliers in the market, including new entrants, could then bid for the two contracts. We recognised that, whilst each Authority had specific, individual requirements, there is a strong open relationship between them all, and a requirement to be treated as one organisation.

HTE advertised the opportunity to potential suppliers through a Prior Interest Notification (PIN) as part of the pre-market engagement exercise prior to releasing a tender. This provided visibility of the requirements and timescales to suppliers, enabling them to make informed recommendations and propose possible solutions prior to final requirements being set. This approach ensured the consortium received proposals from the most suitable suppliers and reduced clarification requests during the process. HTE and stakeholders from the Cluster presented to several suppliers who had expressed interest, inviting their feedback on the tender structure.


Following a Pre-Market Engagement meeting with suppliers, HTE representatives engaged in regular dialogue with the nominated stakeholder group for the Cluster. Tender documentation was drafted and provided to stakeholders for review, ensuring it represented their requirements. As part of our commitment to driving better services through Corporate Social Responsibility (CSR) and SME strategies, the C&M Social Value requirements were adopted within the tender requirements.

HTE managed the tender process and evaluated the commercial elements of the bids. The Trust Members evaluated the technical elements and moderation sessions were held to conclude the scoring. The awarded suppliers from this process are Stericycle for Lot 1 and Sharpsmart for Lot 2. Implementation will take place during Q2, 2022. HTE will support the Trusts and awarded suppliers to ensure a smooth transition to the new contract. This includes the agreement of new KPIs, onboarding the new supplier (Sharpsmart) and refreshing the service offering provided by the incumbent supplier (Stericycle) to align with the new contract.

Hybrid Award Option The Hybrid award option ensures that a customer can run a shorter competition to find out which Supplier can provide the most cost-effective solution for them. Stage 1 – The location matrix will be used to assess whether the Supplier can provide services to the location of the customer.  

Stage 2 – The Supplier with be provided with the bespoke customer requirements to ensure all areas of service can be covered by competing Suppliers and any amendments to the weighting criteria will be made accessible to the Suppliers.  

Stage 3 – Site audits will take place – this is to allow the competing Suppliers to assess the logistics of the collection and disposal of waste and provide a cost that will be fully reflective of the services they will provide.  

Stage 4 – Using the Trust specific requirements Suppliers will complete a price offer schedule. Price will be assessed along with the quality requirements of the customer. HealthTrust Europe will assist the customer throughout ensuring all documentation is complete and compliant.  

This award option provides customers with a quicker route to market with the process taking up to 2 – 3 weeks depending on the complexity of requirements. 

Mini Competition  

The customer may run a mini competition to award business from the framework. Customers shall identify those suppliers from the framework agreement whose services most closely match their requirement and invite them to the selection process. Please note that there is no obligation to invite all the suppliers under the framework agreement providing all those capable are invited. 

Suppliers will be requested to submit responses to the questions set by the customer. These questions must not reiterate what was already requested from the suppliers at the SQ and ITT stages of the OJEU tender process but must establish a bespoke service offering for the individual customer. Any price rates submitted may not exceed the maximum rates under the framework agreement.  

Following the mini competition process, the customer and the successful supplier(s) shall enter into a contract which will be made and formalised via a call-off contract. This will contain all information regarding the scope of services required, costs, contract start and end dates and performance and reporting criteria. These elements combined with the framework agreement itself (containing the legal terms and conditions and the relevant appendices) will constitute the complete contract.  

Depending on the complexity of the requirement, the mini competition process can take around 8-12 weeks to complete.