While much of the procurement efficiency debate focuses on negotiating better supplier contracts the real obstacle lies elsewhere and that’s visibility, says Tony Armitage, Data Practice Manager at Digital Modus…
As part of the NHS 10-Year Plan, the government tasked organisations with delivering £1bn in procurement efficiencies — but identifying where those savings exist is one of the biggest enigmas facing healthcare organisations today.
NHS trusts collectively spend around £7.9bn each year on medical equipment and consumables, with an estimated £3.4bn of that expenditure taking place outside framework agreements (source). Research suggests that by improving procurement practices and making better use of the NHS Supply Chain, savings of £60m to £90m could be made annually (source). Yet organisations can’t save what they can’t see.
The visibility problem
Across the NHS, procurement data is fragmented across multiple systems. Requisitions, purchase orders, invoices, contracts and stock records often sit in separate platforms, making it difficult to build a cohesive view of expenditure. The result is unmonitored spend, duplicate invoicing, unnecessary delivery costs and missed opportunities to improve efficiency.
Poor data quality only compounds the problem. Procurement records fail to ‘daisy chain’ from requisition through to purchase order, invoice and payment, leaving gaps that make spending difficult to track accurately. At the same time, procurement teams are dealing with enormous volumes of information with some product catalogues containing more than 650,000 items and prices changing daily. Without the ability to connect and interpret data, uncovering historical trends and generating meaningful spend insights becomes nearly impossible.
The butterfly effect
Without a connected view of spend, organisations often purchase identical products at different prices, reorder stock that already exists elsewhere within the trust or miss opportunities to consolidate purchasing across departments. Suppliers may also introduce price increases that exceed agreed contractual limits, but with thousands of supplier relationships to oversee, these changes frequently go unnoticed.
When people think about procurement waste, they often picture poor purchasing decisions or unsuccessful supplier negotiations. In reality, the greatest inefficiencies stem from routine administrative processes.
One NHS trust, for example, processed more than 22,000 purchase orders over a two-year period for items costing less than £10. Although the products themselves were inexpensive, every order generated administration. In many cases, the cost of processing the transaction exceeded the value of the item itself.
Another overlooked area is tail spend – the thousands of lower-value suppliers that receive little scrutiny. Procurement teams naturally focus on their largest suppliers, but smaller supplier relationships often go unreviewed, allowing pricing inconsistencies, unnecessary purchases and contract non-compliance to go unnoticed.
Organisations do not lack procurement data. They have more data than ever before. The challenge is turning that information into actionable intelligence.
Building a connected view of spend
Creating meaningful procurement insight requires a single, trusted view.
Modern cloud-based data platforms make this achievable by aggregating information from multiple finance and supplier systems. Unlike traditional data warehouses, which produce reports based on information that is already weeks out of date, these platforms provide a live view of procurement activity.
That visibility enables organisations to identify unusual purchasing behaviour earlier, consolidate orders across multiple departments to reduce shipping costs and environmental impact, monitor supplier compliance and understand spending patterns before small issues become larger financial problems.
It also ensures different teams receive the insights they need. Ward managers require support in selecting the right products, procurement officers need governance guardrails to reduce unnecessary spending, while finance leaders need organisation-wide dashboards to monitor budgets and forecast future expenditure.
A connected view of procurement is therefore much more than a reporting tool. It provides the foundation for faster, better-informed operational decisions.
AI as the accelerator
Artificial intelligence has become one of the most talked-about technologies, but its greatest value within procurement lies in augmenting people.
AI can immediately unlock information trapped within unstructured documents that require hours of human review such as PDF supplier contracts, automatically extracting renewal dates, pricing clauses, expiry dates and delivery obligations. It can also identify anomalies in purchasing patterns, flag transactions that fall outside policy and even prevent non-compliant purchases before they happen, strengthening governance while reducing administrative effort.
Importantly, AI can also create a cycle of data improvement. Rather than simply analysing existing information, intelligent AI agents can identify missing links between purchase orders, invoices and contracts, suggest the correct associations and help procurement teams resolve data quality issues without lengthy manual investigation. As data quality improves, the insights generated become more accurate.
However, AI is only as effective as the data that feeds it. Reliable, connected data remains the foundation for intelligent automation.
One of the biggest misconceptions surrounding procurement transformation is that it requires organisations to replace existing technology. In reality, analytics and AI solutions can sit alongside existing finance, procurement and document management systems, integrating data from multiple sources without requiring a full-scale technology replacement.
This allows NHS trusts to connect and modernise incrementally, improving visibility and intelligence while continuing to use the systems and processes they already rely on.
Supporting frontline care
Procurement transformation should never be viewed purely as a cost-cutting exercise – although every pound saved through better visibility is funding that can be redirected towards frontline services, workforce investment or patient care. Equally important, better procurement intelligence helps organisations avoid false economies.
Selecting the cheapest product is not always the most cost-effective decision. Lower-quality consumables such as gloves may require more frequent replacement, which increases long-term cost. Better spend analytics enable organisations to assess value with feedback loops across the entire purchasing lifecycle rather than focusing solely on purchase price.
This shifts procurement from an administrative function to a strategic capability that supports clinical, operational and financial outcomes.
Looking beyond savings
NHS financial pressure makes procurement reform an operational necessity rather than an administrative exercise. Yet sustainable efficiencies will not come from technology alone.
They will come from giving organisations a complete, trusted view of how money is being spent.
Once that foundation is in place, automation becomes more effective, governance becomes stronger and AI can deliver the intelligence needed to support better decisions.
For more, see Digital Modus.
Photo by Ani Kolleshi / Unsplash
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