Provision of Medical Certification Services for NHS Pensions Ill Health Retirement Applications

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NHS Business Services Authority awarded a contract to Medigold Health Consultancy Ltd for the provision of medical services on behalf of NHS Pensions.

The supplier is required to medically certify applications from pension members for ill health retirement with an independent medical advisor, make decisions on initial applications for ill health retirement benefits and permanent injury benefits in line with NHS Pension Scheme Regulations and NHS Injury Benefit Regulations, provide medical advice and recommendations for temporary injury allowance claims, disputes under Internal Dispute Resolution procedures, Pensions Ombudsman investigations, and other cases such as incapacitated child and Severe Ill Health retirement applications.

The supplier must also ensure UK GDPR compliance, request further medical evidence if required, provide a digital solution for application tracking with verification and security checks, and re-assess approximately 6,000 McCloud cases following the McCloud judgement.

The contract was awarded for an initial four-year term ending on 22nd July 2028, with an option to extend for a further three years, at a value of £9,582,600.