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Outsourcing non-clinical services in NHS organisations in England

Outsourcing of non-core activities has been a clear trend within corporate life for over 30 years. If implemented successfully, it can lead to positive organisational performance benefits. NHS England has gone through a process of change to a new public governance model, an approach that should have encouraged NHS managers to consider the opportunities that outsourcing could offer. Instead, there appears to have been a cultural resistance towards outsourcing. The only exceptions appear to be estate management and maintenance functions. This article discusses the culture among senior managers in NHS England that leads some to reject outsourcing services.