Early Market Engagement on Health and Work Outcomes-Based Contracting
Description: In line with the Government's 10 Year Health Plan for England, the Department of Health and Social Care (DHSC), working with NHS England, is exploring outcomes-based approaches that enable new partnerships to address health-related economic inactivity and support sustained employment for people with health conditions. This early market engagement seeks to gather views from potential investors and service providers on the feasibility, attractiveness, and design of proposed Health and Growth outcomes-based contracts, ahead of any potential future formal market activity.
Summary: The Department of Health & Social Care, in collaboration with NHS England, is initiating an early market engagement process for the development of Health and Growth outcomes-based contracts. This effort is in line with the UK Government’s 10 Year Health Plan for England, which aims to address health-related economic inactivity by supporting sustained employment for individuals with health conditions. The engagement process, currently in the planning stage, seeks to explore models for outcomes-driven, "pay by impact" contracts. It is set to start on 23rd March 2026, with relevant feedback due by 12th April 2026. Operating predominantly within the health and social work services industry, this initiative is rooted in London but extends across the United Kingdom.