Centralisation of Procurement and Supply Chain Management in the English NHS: Some Governance and Compliance Challenges

20 Pages Posted: 26 Aug 2018

Date Written: August 9, 2018

Abstract

This paper provides a critical analysis of the new operating model for NHS procurement that is being implemented in 2018 (the ‘NOM’). The NOM is expected to generate significant savings through centralised procurement and strategic supply chain management, which can then be dedicated to frontline NHS healthcare services through newly devised ‘sustainability and transformation plans’ (STPs). The NOM rests on a complex network of contracts resulting in a layer of contractualised governance that creates opacity about its architecture and decision-making processes. The paper maps the changes that the NOM introduces in the operation and governance of the NHS supply chain and identifies key challenges in ensuring that the NOM is subjected to adequate oversight and accountability mechanisms, in particular from the perspective of public procurement and competition law. The paper advocates for the location of all NOM relationships to the NHS Business Services Authority, in particular to facilitate judicial review.

Keywords: NHS, Procurement, Centralisation, Supply Chain, Efficiency, Savings, Service Delivery, Governance

JEL Classification: H57, H75, I18, K23, K49

Suggested Citation

Sanchez-Graells, Albert, Centralisation of Procurement and Supply Chain Management in the English NHS: Some Governance and Compliance Challenges (August 9, 2018). Available at SSRN: https://ssrn.com/abstract=3232804 or http://dx.doi.org/10.2139/ssrn.3232804

Albert Sanchez-Graells (Contact Author)

University of Bristol - School of Law ( email )

Wills Memorial Building
Queen's Road Clifton
Bristol, BS8 1RJ
United Kingdom

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