So some interesting stuff coming out of @NHSEngland's board meeting today (well, interesting for those of us with a passion for procurement......). Seems like the beginning of a move by against outsourcing in the #nhs to accompany the #NHSLongTermPlan /1
"We are concerned that the comparative weight that current legislation gives to competition will act as a drag on efforts to improve collaboration between NHS bodies and provide integrated care" #NHS#reformhealthbit.ly/2Vqizyn /2
Then goes on to call for the removal of article 75 Health and Social Care Act (which gives the CMA a role in observing NHS transactions) and removing NHS commissioning from the Public Contracts Regulations - all in efforts to make #NHSLongTermPlan feasible /3
Finally, it recommends the introduction of a new "best value" test (no clarity on what), the promotion of integrated care systems (no surprise there), and changes to the national tarriff, from fixed to formula pricing. #nhs /4
None of this is particularly surprising but it still seems to be a big contrast to what is coming out of the @cabinetofficeuk in recent months. If ministers get behind it, this could be the biggest shake up within #NHS contracts for several years. /5
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First, read our report 'Valued Partnerships' which explains:
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First up is @Ameyplc who announced yesterday record losses, not least due to their contracting kerfuffle with Birmingham council. However, revenue is actually up and with a new purchaser on the horizon, things aren't looking too bad.
So whilst I was busy at my PhD graduation this weekend, @UKLabour (rudely 🙄) announced an "in-sourcing" policy, essentially amounting to an ideological ban on outsourcing for local authorities.
Here's why I'm unimpressed - a "Jim Halpert" gif thread
1st - I'm happy to support many of the proposals including a better "make or buy" decisions, greater transparency, and ensuring value-for-money. ID'ing services absolutely which aren't suited to outsourcing is crucial, as is training so contracting is done well! 👍@UKLabour
2nd - However, Labour should be ashamed at the report's sweeping generalisations.
Labour say "outsourcing is a broken business model" yet ignore the majority of outsourcing which works well, pointing only to failures. I could do the same with inhouse contracts
This marks 2nd time this month that a central govt dept has been forced to pay compensation for bad procurement (the last being the @transportgovuk paying @LeShuttle £33m as a result of the No Deal Ferry Fiasco) /2
@reformthinktank has worked extensively on the question of improving government outsourcing (👇), including improving the processes and methods for doing so, and yet we see the same mistakes being made time and again. /3
In other #procurement news, @BorisJohnson revealed that he views the £250bn of government procurement as a cash cow to fund his other policy promises through "savings" 💰
Here's why we @reformthinktank think this is awful procurement policy....
Second, with the renationalisation of some services going ahead, procurement spend will be higher as both transition costs and direct spend will increase (something I've written about before with @G4S and #probation)