Intended for healthcare professionals

Letters NHS contracts to private sector

NHS can perform well against the private sector without compromising its core values

BMJ 2015; 350 doi: (Published 14 January 2015) Cite this as: BMJ 2015;350:h146
  1. Annie Bartlett, reader1
  1. 1St George’s, University of London, London SW17 0RE, UK
  1. abartlet{at}

The analysis of NHS contracts awarded since April 2013 raises two questions.1 Firstly, how can the NHS succeed in commercial tenders? This is where it really loses out to the private sector. Secondly, how useful, in terms of the overall health economy, is commercial tendering?

I have been involved with commercial tenders in offender care. This has entailed NHS foundation trusts competing with other NHS providers, large private sector …

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