Procurement
Data, collaboration, and measurement infrastructure l Have we engaged a multi-disciplinary team from the outset?
l Do we have baseline data to measure current performance and articulate the current total cost of care?
l Can we access the data needed to measure value impact over time?
l Are suppliers able to provide evidence and support for outcome measurement if required?
l Are we fostering collaborative partnerships rather than transactional relationships?
Financial and contracting readiness l Are financial incentives aligned to support long-term value delivery, rather than just short-term cost reduction?
l Have budget holders agreed in advance how costs and benefits will be shared across the pathway/system?
l Have we explored the need to move beyond fixed-price agreements to a gain-share or risk-share model?
Organisational culture and capability l Is there senior leadership commitment to VBP principles?
l Are procurement KPIs aligned with value delivery (not just cost reduction)?
l Do procurement teams have training and skills in value-based assessment (e.g., interpreting clinical evidence, analysing health economics, evaluating productivity metrics, and assessing sustainability data beyond initial price)?
6. Pagh A. MedTech Pricing: Why Value-Based Procurement Still Struggles to Scale [Internet]. 2025. Available from: https://nhta. com/medtech-pricing-why-value-based- procurement-still-struggles-to-scale/
7. Public Policy Projects. Operationalising value- based procurement [Internet]. 2025. Available from:
https://publicpolicyprojects.com/ wp-content/uploads/2025/07/PPPIR_WC25- Operationalising-value-based-procurement.pdf
8. Mangan B. NHS Supply Chain Value Based Procurement Project Report and Findings. NHS Supply Chain; 2021.
9. Hill Dickinson & Luach Consulting Group. Delivering on the promise of value-based procurement in the English NHS [Internet]. 2024. Available from:
https://irp.cdn-
website.com/28282eca/files/uploaded/ Accelerating_the_adoption_of_VBP_-_Report_ and_recommendations_2024.pdf
10. NHS Supply Chain. Value Based Procurement How we are working with the NHS to shift from cash releasing savings to value based procurement. 2025 [cited 2025 Dec 3]. Value Based Procurement How we are working with the NHS to shift from cash releasing savings to value based procurement. Available from:
https://www.supplychain.nhs.uk/ programmes/value-based-procurement/
11. BHTA. Value-based procurement in the NHS: What medtech suppliers need to know. 2025 [cited 2025 Dec 3]. Value-based procurement in the NHS: What medtech suppliers need to know. Available from:
https://www.bhta.com/value- based-procurement-in-the-nhs-what-medtech- suppliers-need-to-know/
CSJ
References 1. Watt T, Raymond A, Rachet-Jacquet L, Head A, Kypridemon C, Kelly E, et al. Health in 2040: projected patterns of illness in England [Internet]. 2023. Available from:
https://www.health.org.uk/ reports-and-analysis/reports/health-in-2040- projected-patterns-of-illness-in-england
2. ABHI. Embracing innovation can improve care and ease NHS pressures [Internet]. 2024. Available from:
https://www.abpi.org.uk/media/ news/2024/april/embracing-innovation-can- improve-care-and-ease-nhs-pressures/
3. ABHI. Supporting Value-Based Decision Making. ABHI Value and Access [Internet]. 2021. Available from:
https://www.abhi.org.uk/media/3180/ supporting-value-based-decision-making.pdf
4. Department of Health and Social Care. Fit for the Future: 10 Year Health Plan for England.
Gov.uk; 2025.
5. NHSSC. DHSC_VBP Pilot Overview_Frameworks. 2025.
12. Charlesworth A, Raymond A. Affording the NHS: estimating demand pressures and the options for addressing the challenge of fiscal sustainability. Oxford Review of Economic Policy. 2025 June 6;41(1):195–212.
13. Woolnough S. Challenge and change: what does 2024 hold for the health and care system? [Internet]. The Kings Find; 2024. Available from:
https://www.kingsfund.org.uk/insight-and- analysis/blogs/challenge-change-what-does- 2024-hold-for-the-health-and-care-system
14. Harker R, Stiebahl S, Danechi S. NHS key statistics: England [Internet]. 2025. Available from:
https://commonslibrary.parliament.uk/ research-briefings/cbp-7281/
15. National Audit Office. NHS Supply Chain and efficiencies in procurement [Internet]. 2024. Available from:
https://www.nao.org.uk/wp- content/uploads/2024/01/nhs-supply-chain- and-efficiencies-in-procurement-report.pdf
16. Ligentia. NHS supply chains in a disrupted world [Internet]. 2025. Available from: https://
ligentia.com/wp-content/uploads/2023/02/ NHS-supply-chains-in-a-disrupted-world.pdf
17. Darzi A. Independent Investigation of the NHS in England. DHSC [Internet]. 2024. Available from:
https://assets.publishing.service.
gov.uk/media/66f42ae630536cb92748271f/ Lord-Darzi-Independent-Investigation-of-the- National-Health-Service-in-England-Updated- 25-September.pdf
18. AXREM. Evaluating Value-Based Procurement: Principles, Practices, and Impact: An evidence- based exploration of how procurement strategies can enhance healthcare value. 2025.
19. HealthTech Alliance. Unlocking innovation: recommendations for transforming NHS health tech procurement. 2025.
20. Global Counsel. Unleashing innovation in the NHS: barriers and opportunities for the adoption and uptake of Healthcare technologies [Internet]. 2024. Available from: https://
www.global-counsel.com/insights/report/ unleashing-innovation-nhs-barriers-and- opportunities-adoption-and-uptake-healthcare
21. NHSSC. Value Based Procurement. 2024. 22. Market Enagements: Value-Based Procurement Methodology Supplier Session. 2025.
About the author
Amelia Deacon is the Strategic Value Lead in B. Braun’s Value and Access Team, specialising in Value-Based Healthcare and Procurement. Having recently completed an MSc in Advanced Health and Care Management (Value-Based) at Swansea University, Amelia drives initiatives to accelerate innovation adoption within the NHS. Her work focuses on collaborating with B. Braun therapy areas to deliver solution-
focused products and services, and partnering with NHS stakeholders to understand challenges and co-create holistic solutions. Rather than fitting individual products into pathways, Amelia’s role aims to provide tailored solutions based on the NHS’s specific context and needs.
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