Clinical Insourcing: From Tactical Fix to System Led Solution

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.

clinical insourcing

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.

To explore how the Clinical Insourcing Framework can support your organisation, please visit: Clinical Insourcing Framework

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.