Charlotte Moran
A critical analysis of policy initiatives, procurement guidance and legal frameworks from 2000 onwards that affect the relationship between NHS and Independent Sector Providers (ISPs). Databases used; OneSearch, PubMed, British Medical Association, Parliamentary Archives, National Audit Office, GOV.UK and The King’s Fund.
Papers, procurement policy and processes were reviewed to consider if the pattern/methodology of procurement, and mobilisation of services had changed from pre-COVID, to during-COVID. The impact on healthcare of these differing policies and processes were considered. Review of procurement processes and resultant contracts and their use has taken place.
From this research it has been concluded that under-utilisation of ISPs during the pandemic is due to numerous causes; e.g. only certain patients could be accommodated in the Independent Sector (IS), IS consultants were redirected into NHS care.
Finally, the plan for future procurement of services as set out in the new Health and Care Bill (HCB) were considered and conclusions drawn as to the subsequent affects to the relationship between the NHS and ISPs post-COVID.
This research shows that choice and competition agendas are changing. Relationships between NHS and ISPs are developing and the new HCB and proposed procurement regime is expected to continue this direction of travel.