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NHS Ditches Cheapest Price for Better Patient Care
17 Jun
Summary
- NHS England now prioritizes value-based procurement over lowest upfront cost.
- New model considers patient outcomes, staff impact, and system costs.
- Pilot shows reduced product use, better patient confidence, and lower care costs.

NHS England has implemented a significant overhaul of its medical equipment procurement strategy, moving towards a value-based procurement (VBP) model. This new approach shifts the focus from solely the lowest upfront price to a more holistic consideration of lifetime value. Factors such as patient outcomes, patient experience, workforce impact, and broader system costs are now integral to purchasing decisions.
A pilot scheme focused on continence products yielded promising results. It reported reductions in product consumption and leakages, alongside significant improvements in staff satisfaction and patient confidence. Crucially, these enhancements were achieved while also lowering the overall cost of care.
Advocates for VBP argue that this method will ensure patients receive products better suited to their individual needs. This, in turn, can help mitigate complications like urinary tract infections and skin damage, thereby supporting patient mobility, overall well-being, and reducing avoidable hospital admissions. The initiative is particularly timely as the NHS navigates increasing demand and persistent financial pressures.