1. EXPLORATION OF THE STANDARDS OF
HEALTHCARE CONTRACT MANAGEMENT IN
THE DEFENCE MEDICAL SERVICES (DMS)
By Richard Gadd

2. The purpose of this 15 minute
presentation is to provide you a brief
overview of my research and findings in
order to demonstrate my level of
understanding.

3. SCOPE
• Problem identification.
• Aim and Objectives.
• Literature Review.
• Methodology.
• Analysis.
• Summary and Recommendations.
• Key References.
• Questions.

4. PROBLEM IDENTIFICATION
• Care Quality Commission Review of Compliance.
• Strategic risk assessment.
• Defence Internal Audit Assessments.
• Establishment of Strategic Commissioning Team.
• Unvalidated master contract list.
• Inadequate control framework.
• Poor understanding of responsibilities.
• Poor scrutiny by senior management.

5. AIM
To explore the standards of healthcare contract
management in the DMS in order to suggest improvements.
OBJECTIVES
• Propose requirements for effective healthcare contract
governance.
• Develop closer affinity with existing DOs, demonstrating
commitment to their future learning and development.
• Propose new Terms of Reference for DMS CMs.
• Raise awareness of best practices and propose a
sustainable mechanism for identifying future lessons from
military healthcare contract management.

6. LITERATURE REVIEW
• Definitions.
• Governance.
• Roles and Responsibilities.
• Training and Development.

7. METHODOLOGY
• Philosophy.
• Methodology.
• Subjects studied.
• Methods.
• Rationale.
• Limitations.
• Ethics.

8. ANALYSIS - Governance
Service
Provider
Contract
Manager
Regional
HQ
Service
Provider
Commercial
Contract
Manager
Contract
Manager
Service
Provider
Deputy
Contract
Manager
Contract
Manager
Business
Areas
Unknown and
Unaccountable
Deputies
Collaborative
Relationships
Formal, Reactive
Relationships

9. ANALYSIS – Roles and Responsibilities

10. ANALYSIS – Learning and Development
Actual Learning
Pathway
No Measuring
Performance
No Evident Learning
from Experience
Minimal
Improvement

11. SUMMARY AND RECOMMENDATIONS
• Aims and objectives.
• Revised strategic risk.
• Professionalise standards of contract management.
• Improved Management Information System.
• Link payment to performance.
• More effective governance and assurance.
• Continuous learning and improvement.
• Accountability and transparency.
• Commitment of senior executives.

12. KEY REFERENCES
• Saunders, Lewis and Thornhill, (2009), Research Methods
for Business Students.
• Greenberg, Mc-Kone-Sweet and Wilson, (2011), The New
Entrepreneurial Leader.
• Bryman and Bell, (2015), Business Research Methods.
• Joint Service Publication 950, (2016).
• HM Treasury, (2015), Managing Public Money.
• National Audit Office, (2014), Transforming Government’s
Contract Management.

13. QUESTIONS