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Towards a framework for enhancing procurement and supply chain management practice in the NHS: lessons for managers and clinicians from a synthesis of the theoretical and empirical literature Joe Sanderson,1* Chris Lonsdale,1 Russell Mannion2 and Tatum Matharu1 1Birmingham Business School, University of Birmingham, Birmingham, UK 2Health Services Management Centre, University of Birmingham, Birmingham, UK *Corresponding author j.r.sanderson@bham.ac.uk Background: This review provides intelligence to NHS managers and clinicians involved in commissioning and procurement of non-pay goods and services. It does this in the light of ongoing pressure for the NHS to save money through a combination of cost cutting, productivity improvements and innovation in service delivery, and in the context of new commissioning structures developing as a result of the Health and Social Care Act 2012 (Great Britain. Health and Social Care Act 2012. Chapter 7. London: The Stationery Office; 2012). Objectives: We explore the main strands of the literature about procurement and supply chain management (PS consider the extent to which existing evidence on the experiences of NHS managers and clinicians involved in commissioning and procurement matches these theories; assess how the empirical evidence about different PS and map and evaluate different approaches to improving PS economics of contracting; networks and interorganisational relationships; and integrated supply chain management (SCM). Theories were clustered by their primary explanatory focus on a particular phase in the PS the impact of power on collaborative interorganisational relationships over time; and the scope to apply integrated SCM thinking and techniques to supply chains delivering physical goods to the NHS. Evidence on PS the impact of power on the scope for collaboration in health-care networks; and the scope to apply integrated SCM practices in NHS procurement organisations. Funding: The National Institute for Health Research Health Services and Delivery Research programme. ABSTRACT NIHR Journals Library www.journalslibrary.nihr.ac.uk vi

health services and delivery research

Towards a framework for enhancing procurement and supply chain management practice in the NHS: lessons for managers and clinicians from a synthesis of the theoretical and empirical literature