Clinical insourcing remains vital for reducing elective backlogs and improving access, but it must now be delivered with stronger governance, clearer accountability, and full compliance.
When done well, insourcing supports sustainable recovery. When done poorly, it creates regulatory, financial, and clinical risk. The future requires robust frameworks, strong clinical governance, and alignment with national policy.
NHSE now expects insourcing providers to operate to full NHS standards, accepting clinical responsibility, and complying with NHS Payment rules. Insourcing is no longer a short‑term workaround but a regulated model integrated into trust governance.

Why Compliance Matters
With increasing scrutiny, trusts must ensure that insourcing arrangements are:
- Fully NHSE‑compliant
- Transparent on pricing and workforce
- Clear on accountability and indemnity
- Procured through defensible, approved routes
The Value of PSR‑Aligned Procurement
Under the new Provider Selection Regime (PSR), decisions must be transparent, proportionate, and auditable.
Our Clinical Insourcing Framework is the only one explicitly aligned to deliver PSR‑compliant procurement, ensuring:
- Provider selection meets PSR principles
- Decisions stand up to audit and regulatory review
- Procurement is both fast and robust
Built for Assurance and Delivery
The framework ensures all providers:
- Take full clinical responsibility
- Maintain strong governance and quality assurance
- Hold their own indemnity
- Follow NHS Payment rules
Trusts gain safe, fast additional capacity with reduced risk.
Insourcing will remain essential for elective recovery. With a compliant, PSR-aligned framework, trusts can deploy it confidently, ensuring safe, transparent, sustainable care.
If you’d like to explore how the framework can support your organisation, contact us today at 0845 887 5000 or via email at customercare@htepg.com.