Deep experience in healthcare.
Healthcare is one of the sectors we know inside out, and where the pressure on cost is greatest. From acute trusts to private hospital groups, we help organisations across the UK gain visibility, cut cost and improve productivity, without compromising patient care.
See how you compare.
This is a taste of the picture a full benchmark gives you.
Trusted across the healthcare sector.
Just some of the healthcare organisations we've helped take cost out and lift productivity, without compromising care.
Where we focus, and why it matters.
The detail differs by setting. Our approach is built to flex to each part of the system.
NHS Acute Trusts
Elective recovery, theatre productivity and workforce, cost sit at the centre of trust financial sustainability.
- Elective backlog and 18-week RTT recovery
- Theatre utilisation and perioperative productivity
- Agency and locum staffing cost reduction
Community & Mental Health Trusts
Patient flow across community settings depends on discharge planning and workforce deployment working in step.
- Patient flow and delayed transfers of care (DTOC)
- Caseload and workforce deployment efficiency
- Sickness absence and staff retention
Integrated Care Systems
System-level sustainability means finding shared-service and cross-organisation efficiencies, not just single-site savings.
- Integrated Care Board financial sustainability
- Shared back-office and shared-service opportunities
- System-wide procurement leverage
Private Hospital Groups
Scale should mean supplier leverage. We help groups see true cost per procedure across sites, not just at group level.
- Cost-per-procedure visibility across sites
- Supplier consolidation and contract renegotiation
- Consultant and staffing cost efficiency
Primary Care Networks
Small practices carry outsized overhead alone. Shared cost models can free up funding for frontline care.
- Shared-cost and back-office models across practices
- Estates and overhead efficiency
- Workforce sharing across a network
Diagnostics & Elective Care Providers
Clearing the backlog is a throughput and supply-chain problem as much as a clinical one.
- Throughput and capacity planning
- Consumables and equipment supply-chain efficiency
- Procurement and GS1 compliance
Savings in as little as 21 days.
We help healthcare organisations become more profitable and operationally efficient. Using our Bottom-line Results Framework, we identify supply-chain cost savings and operational improvements in as little as twenty-one days, across private providers, NHS-linked organisations and not-for-profit bodies, from opportunity identification and benchmarking through to full implementation support.
Real engagements, measurable impact.
Select a case study to explore
A sustainable cost transformation
A thirty-six-month partnership with a private healthcare group, driving EBITDA growth and supporting the business through sale.
The engagement
Insider Pro worked alongside a private healthcare group over a thirty-six-month strategic partnership. We began with Benchmark, then ran a Transform programme embedded within the business to identify and realise sustainable cost efficiencies across a broad range of categories, from clinical services to IT and facilities, strengthening the quality of earnings and building a more defensible cost base ahead of sale.
Savings were realised through supplier renegotiation, contract restructuring, product rationalisation and VAT reviews. Alongside the transformation programme, Insider Pro also led the commercial carve-out of over one hundred shared vendor contracts and supply arrangements into three distinct entities under a Transitional Services Agreement (TSA).
Scoping and opportunity mapping.
A structured four-phase cost-reduction programme, culminating in the business sale.
An aggressive TSA timeline across third-party vendors, minimising stranded cost and opportunistic supplier practices.
Key outcomes
- 16% average run-rate saving delivered across live spend categories.
- Savings identified and realised across 25+ spend areas.
- First insights delivered within 21 days of engagement.
- Supply chain fully optimised across all categories.
- TSA separation completed in full, with every shared contract transitioned into one of three standalone entities, with zero disruption to service.
Savings by category
| Category | Saving |
|---|---|
| General Consumables | 47% |
| Waste Disposal | 32% |
| Translation Services | 30% |
| IT (Laptops, Desktops, WAN) | 27% |
| Office Supplies | 17% |
| Surgical Gowns | 16% |
| Ophthalmic Packs | 14% |
| Radiology Services | 14% |
| Prison Optician Services | 14% |
| Print Agency | 12% |
| Facilities Management | 11% |
| Occupational Health | 11% |
| Orthopaedic Packs | 9% |
| Hernia Supplies | 9% |
| Pharmaceuticals | 8% |
| Average (run-rate categories) | 16% |
Managing a complex business separation
Insider Pro Transact guiding a private healthcare group through a time-pressured TSA carve-out, as the single point of accountability for every supplier contract.
The challenge
The group operated as a single entity, with all supplier contracts managed centrally, and had to split into standalone businesses within a fixed TSA window. Around one hundred shared contracts across HR, IT, Finance and Operations each needed to be reviewed and either transferred in full, split between the entities, or renegotiated.
Every decision carried commercial and legal consequences, suppliers saw the transition as a chance to push through cost increases, and with no central audit log, the risk of disputes and post-separation value leakage was material.
What we delivered
- Acted as the single point of accountability for all supplier activity across the full TSA period.
- Reviewed and categorised every shared contract with a clear disposition: transfer, split or renegotiate.
- Built a governance framework and audit log capturing every decision, financial implication and approval.
- Negotiated directly with suppliers using benchmarking and market data to resist unjustified cost increases.
- Provided ongoing commercial support as both organisations established independent operations.
Engagement at a glance
Complex carve-outs create real commercial risk. This is exactly where Transact, Insider Pro's deal and separation support, comes in: bringing structure, commercial rigour and an independent point of accountability precisely when governance tends to slip.
Standardising procedure packs across the estate
Closing wide site-by-site price variance in orthopaedic and ophthalmic packs for a private healthcare group, without compromising clinical need.
The engagement
Years of local supplier arrangements had left wide, site-by-site variance in the price of orthopaedic (hip and knee) and ophthalmic (cataract) procedure packs. Insider Pro ran both categories the same disciplined way, a Benchmark applied end to end: benchmark every site's pack, agree a single clinically-approved standard based on the best-value option already in use, strip unnecessary cost out of the supply chain, and secure clinical sign-off before rollout.
Packs benchmarked across six sites and consolidated onto the lowest-cost, clinically-approved standard, with the logistics distribution margin renegotiated down.
Phaco packs consolidated onto the best-value site pack, and a distributor adding roughly 15% per-pack margin removed from the chain, with orders routed through the group's existing logistics partner.
Key outcomes
- 9% reduction in annual orthopaedic pack spend.
- 19% reduction in annual ophthalmic pack spend.
- Price variance of up to 47% (knee) and 128% (phaco) closed onto a single standard pack per category.
- Unnecessary intermediary and logistics margin stripped out of both supply chains.
Impact at a glance
What made it work was the balance of commercial rigour and clinical ownership, with every recommendation tested against real clinical need and signed off by senior clinical leadership before rollout.
Consolidating waste across a national healthcare estate
A nationwide healthcare group with forty-five sites and twelve waste suppliers, brought down to three, with cost and recycling moving the right way in secure clinical settings.
The engagement
Insider Pro was engaged by a nationwide healthcare group running forty-five sites through a fragmented waste operation. Twelve suppliers meant inconsistent pricing and a heavy administrative burden, the recycling rate sat at thirty-five per cent against a healthcare benchmark of fifty per cent and above, and private-equity owners wanted overheads cut from eleven to eight per cent.
We began with an Insider Pro Benchmark: a detailed waste audit across the estate and a full supplier tender. It exposed premium "white glove" contracts charging one and a half to two and a half times the market rate for services that secure settings did not need, inconsistent bin formats that made every site onboarding harder, and general-waste data too unreliable to plan against.
A detailed waste audit and supplier tender across all forty-five sites, exposing where secure settings were paying well above market for services they did not need.
Clinical waste consolidated with a single national provider and general waste aligned to another, on standardised bin formats and pricing, replacing twelve suppliers with three.
Insider Pro phased the rollout across nine legacy contract notice periods, with monthly waste reporting and a consistent dry mixed recycling service built in to support ESG goals.
Key outcomes
- 23% annualised reduction in total waste-management spend.
- Clinical waste down 28% and general waste down 19%.
- Supplier base cut from 12 to 3, removing administrative burden.
- Standardised bin formats and pricing across the estate.
- Monthly waste reporting and consistent recycling introduced to support sustainability KPIs.
Impact at a glance
Insider Pro handled the transition supplier by supplier so high-security clinical sites never lost service, turning a fragmented, over-priced operation into a controlled one that keeps paying back.
Consolidating consumables across a healthcare estate
A multi-site healthcare provider with consumable spend fragmented across hundreds of product lines and several suppliers, standardised and re-priced by Insider Pro.
The engagement
Spend was spread across three hundred and twenty lines of consumables used to maintain health and safety standards and support patient experience in a healthcare environment. It was fragmented across SKUs and suppliers, bought from the incumbent at standard rates with no agreement in place, and ordered through a mix of online portals. Dispenser equipment varied site to site, some locations carried strict security protocols that complicated delivery, and branded and unbranded products were used interchangeably.
Insider Pro began with Benchmark to map the true picture of spend across every line and supplier, then engaged the wider market to establish competitive pricing and used it to lead the Transform negotiation with the incumbent.
A full view of spend across 320 consumable lines and the suppliers behind them, exposing where fragmentation was driving cost.
The market engaged for competitive pricing, then used to renegotiate the incumbent: better pricing on existing products, equivalent non-branded lines where clinically appropriate, and similar lines consolidated.
Insider Pro also provided dispenser equipment free on loan to standardise product lines across sites, with refined KPIs to hold service standards.
Key outcomes
- 28% reduction in consumables spend.
- Product lines consolidated and standardised across the estate.
- A move to equivalent non-branded products where clinically appropriate.
- Dispenser equipment provided free on loan to keep lines consistent across sites.
- Refined KPIs introduced to protect service standards.
Impact at a glance
Insider Pro used competitive market pricing as leverage rather than a switch for its own sake, holding continuity with the incumbent while resetting the commercials.
Securing a long-term pharmacy partner across a national estate
The engagement
A national healthcare provider asked Insider Pro to put pharmacy and medicines dispensing across its sites onto the right long-term footing. The service was split across several suppliers, each on different terms agreed in different years, so very similar sites were paying very different prices for the same thing. With the contracts coming up for renewal, the provider's priority was to appoint one strong supplier for the long term, chosen through a fair and open process, all without ever interrupting a service patients rely on.
We started where Insider Pro always starts, with Benchmark. A bottom-up comparison of dispensing charges and drug costs across the estate, built around a typical site mix, exposed how far the legacy terms had drifted apart and set out what good looked like. Insider Pro then ran the whole exercise as a Transform project: standardising requirements across every site, then running a full, structured competitive tender to appoint one primary partner for the next five years and beyond.
A bottom-up benchmark of dispensing charges and drug costs across the estate, built on a typical site mix, exposing wide price variation between sites sitting on different legacy terms.
A single, standardised set of requirements agreed across every site, then a full competitive tender to appoint one long-term partner: market engagement, pre-qualification, formal tender, scored evaluation with supplier presentations and financial due diligence, then Heads of Terms.
Insider Pro then managed the transition to the new supplier across every site, with employee transfer (TUPE) and operational implications handled so a service patients rely on was never interrupted.
Key outcomes
- A single long-term primary partner appointed through open competitive tender, with a strategic fit for five years and beyond.
- A fragmented supply base, with every site on different legacy terms, replaced by one standardised, estate-wide agreement.
- Forecast savings of around 18% across the estate, with sites on the oldest, highest-priced terms saving the most.
- A transparent, audit-ready selection process run end to end by Insider Pro, from market engagement to signed Heads of Terms.
- Employee transfer (TUPE) and operational implications assessed and built into the commercials, protecting continuity of a critical clinical service.
Impact at a glance
Pharmacy supply cannot be interrupted, so Insider Pro ran a rigorous, audit-ready tender built around continuity of care, giving the provider a defensible decision and one strong partner for the years ahead.
De-risking single-source print supply
A private healthcare group locked into one print supplier for eight years, opened up to the market and de-risked by Insider Pro.
The engagement
The group had a wide range of print requirements, from leaflets for door drops to custom lanyards for staff and paper procedure packs for rehabilitation. Three quarters of total spend was bespoke orders and a quarter was called off from a stock holding. A single incumbent had held the work for eight years, all bespoke orders ran through an in-house design team that carried significant workload and frequent re-work, and order data lacked the granularity to analyse properly. Seasonal demand from new site openings made stock forecasting difficult.
Insider Pro started with Benchmark to make sense of the order data, then ran a Transform programme to open the category to the market and shift the balance of spend onto stock.
The spend picture reconstructed from limited order data, with a clear route to migrate volume from bespoke lines onto stock items.
A competitive environment created with four capable suppliers through a market-sounding exercise, enabling supplier choice on price, quality and delivery, and consolidating lines.
Insider Pro also introduced an order-logging template so future orders could be analysed, relieving the in-house design team's bottleneck while still capturing the commercial benefit.
Key outcomes
- 12% reduction in print spend.
- The majority of items moved to stock, down from three quarters bespoke.
- Single-source risk removed with four competing suppliers in play.
- The in-house design-team bottleneck relieved.
- An order-logging template introduced for ongoing analysis.
Impact at a glance
The lasting win was resilience: Insider Pro left the group with real supplier choice and cleaner data, not just a lower price on the same fragile arrangement.
Restoring value in occupational health
A large employer operating in a clinical environment, with occupational health spend that had more than doubled and recruitment slowing, brought back under control by Insider Pro.
The engagement
The organisation employed more than six thousand people, with heavy agency requirements and many roles in clinical settings needing thorough pre-employment and ongoing health checks. Its occupational health provision was fully outsourced across forty-six separate services, and the incumbent supplier's service had deteriorated to the point where wait times had doubled recruitment timelines. Run-rate spend had climbed to more than double the previous year.
Insider Pro started with Benchmark, a forensic analysis of two hundred and ninety historic invoices spanning eight contract years. It exposed disorderly, inconsistent invoicing: years of VAT mischarging the client could not recover as input VAT, and a monthly retainer charged well above the contractual value.
Analysis of 290 historic invoices across eight years to validate and quantify the suspected mischarging.
Years of overcharged VAT reclaimed and the retainer overcharge settled on a forward-looking basis, keeping the transition to a new provider clean.
The occupational health services re-tendered, identifying supply partners that improved recruitment times and wider service delivery at no additional cost.
Key outcomes
- Run-rate spend, which had risen to over 200% of the prior year, brought back under control.
- Recruitment wait times, which had doubled, cut back by around half.
- All 46 outsourced services re-tendered and improved at no additional cost.
- Years of VAT and retainer overcharging identified and recovered.
Impact at a glance
By starting with a forensic Benchmark of the invoicing rather than the headline price, Insider Pro recovered value the client did not know it was owed, then fixed the service at the same time.
Rescoping a 250-site network
A 250-site wide-area network where the proposed upgrade far outran what the sites actually needed, rescoped to the real requirement by Insider Pro.
The engagement
Reviewed at the request of the board and CFO, the estate ran to two hundred and fifty sites, most with fairly standard bandwidth needs and typically fewer than twenty people on each, alongside under ten major sites and two head-office locations. The incumbent vendor had proposed numerous hard upgrades at genuinely competitive pricing, but there was a considerable mismatch between the service proposed and the service required across the vast majority of sites.
Insider Pro began with Benchmark, testing the proposed design against the actual requirement site by site, then ran the Transform work to rescope the network to what the business really needed.
The proposed upgrade tested against real site requirements across all 250 locations, revealing a mismatch affecting 90% of sites.
A lower-cost network solution identified, with routers and equipment right-sized per site type and services scaled to the expected need for the next five years, plus growth headroom.
Insider Pro also agreed churn provisions for flexible on and offboarding of sites, and designed the architecture to accommodate the group's forthcoming digital transformation.
Key outcomes
- 50% saving delivered by rescoping the network to actual need.
- Service right-sized across 250 sites, correcting a mismatch that affected 90% of them.
- Capacity scaled with five years of growth headroom.
- Churn provisions agreed for flexible on and offboarding.
- Architecture future-proofed for digital transformation.
Impact at a glance
Competitive pricing hid an over-specified design. Insider Pro's Benchmark asked what each site actually needed first, and the saving followed from matching the service to the requirement.
Cutting furniture and fittings spend across a care estate
A 150-site residential care group with all of its furniture, fixtures and fittings spend committed to a single supplier, opened up to the market and re-priced by Insider Pro.
The engagement
A 150-site group of residential care homes had placed all of its furniture, fixtures and fittings (FF&E) spend with one incumbent supplier, across a programme of seven new-build homes plus ongoing business-as-usual replacement. Insider Pro began with Benchmark, which revealed the group was paying more than 25% above market rates.
The incumbent was embedded deep in the FM and operations teams and had become the default for every requirement. Spend had already been committed to it for five of the seven new homes due in the next twelve months, and bespoke fabrics, specified to match existing homes, limited the realistic supplier options.
A market benchmark of the group's FF&E spend, which showed it was paying more than 25% above the going rate.
Negotiated a 15% reduction with the incumbent across the five homes where spend and specifications were already committed, and had it match market pricing on the remaining two, with improved contractual and commercial terms.
Insider Pro also established a credible alternative supplier, able to take a share of spend or provide a full turnkey solution, and gave the group visibility of supplier and product costs to drive better decisions on future programmes.
Key outcomes
- 15% reduction negotiated on committed FF&E spend with the incumbent.
- Benchmarking exposed pricing more than 25% above market.
- Remaining homes moved to market pricing, with better commercial terms.
- A credible alternative supplier established, de-risking single-source reliance.
- Full visibility of supplier and product costs for future programmes.
Per-home FF&E spend
By starting with a Benchmark rather than a tender, Insider Pro reset the price with the supplier already embedded across the estate, and left the group with the cost visibility and a second supplier to keep it honest.
Trusted by organisations across every sector.
From household names to specialist providers, these are just some of the companies we work with.
What our healthcare customers say.
The team have driven and realised savings across a wide range of supplies and suppliers, bringing the right amount of challenge alongside considered support and expert advice. In delivering savings, they have kept the service quality requirements of our business at the forefront. Engagement has been open, based on extensive analysis of complex data to benchmark best value. We look forward to continuing to work with the team in the future.
The team have worked collaboratively with our stakeholders over a number of years. We found them to be straightforward to work with and had the best interests of Care UK at heart. Their project methodology gave pace to tackling some necessary changes, some good cash returns and their commercial input was valuable. We would work with them again and found the projects to be a good experience all round.