The NHS must reduce spending on support functions to April 2022 levels within a tight timeframe. Facing unprecedented cost pressures, NHS leaders are under pressure to act decisively to modernise back-office operations and reinvest savings in frontline care.
Trustmarque is a UK-based, proven, and trusted IT partner for the NHS, supporting over 60% of healthcare organisations across all four UK nations. To assist NHS Trusts and their associated bodies, Trustmarque has created the NHS Smart Spend Initiative to help the NHS release rapid savings, increase capacity to care, and enable Trusts to transform at speed.
Contact our team to find the best solution for your needs
It can be overwhelming—and slow—for NHS organisations to assess which technologies are essential, which can be streamlined, and which innovations will drive the most value.
That’s why we created the NHS Smart Spend Initiative.
“We’ve developed this initiative because we understand the urgency and complexity of the NHS’s cost-saving mandate. Our goal is to support Trusts optimise spend—quickly and strategically—so they can meet new efficiency targets without compromising care."
Calum McLeod, Head of Healthcare at Trustmarque.
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Trustmarque has done the hard work of analysing, testing, and validating a range of services and solutions that deliver rapid, tangible results.
We’ve:
Backed by our own in-house developed tools, deep sector expertise, and delivery frameworks, we help NHS organisations cut through the noise and unlock the biggest savings in the shortest time.
These services directly tackle wasted technology spend, replace costly technologies with better value solutions, reduce licensing costs, and help you negotiate smarter renewals.
Gain visibility and control over your Microsoft 365 and Azure usage to eliminate waste, reduce licensing costs, and negotiate smarter renewals.
Replace Citrix or VMware with Azure Virtual Desktop or Windows 365 to cut licensing and infrastructure costs while simplifying management.
Lower your security monitoring costs by switching to Microsoft Sentinel—fully cloud-native, integrated with NHS tools, and priced for flexibility.
Reduce energy, hardware, and support costs by consolidating infrastructure, retiring legacy systems, and preparing for cloud transitions.
These services are designed to relieve pressure on stretched HR and clinical teams. From AI-powered HR assistants to digital referral management and identity optimisation, each solution helps reduce manual workload, improve staff experience, and deliver measurable cost savings at speed.
Automate up to 70% of HR queries with a conversational AI tool that reduces admin burden and improves staff experience.
Streamline logins and reduce password-related support with Imprivata—secure, fast access for clinicians across all devices and locations.
Use Novari eRequest to replace manual triage with a digital platform that improves visibility, reduces wait times, and cuts admin overhead.
Standardise reporting across Trusts to reduce duplication, improve governance, and support integrated care strategies.
Deploy Ambient AI to automate clinical note-taking and reduce documentation time, freeing up doctors to focus on patient care and helping Trusts cut the growing cost of clinical admin.
These services support long-term cost reduction through smarter infrastructure decisions. Whether nhs.net tenant, planning for Windows 10 end-of-life, or strengthening cyber resilience, these initiatives deliver sustainable savings and enable broader NHS transformation
Consolidate multiple NHS environments into one shared tenant to reduce licensing duplication, streamline IT, and enable shared services.
Avoid rising ESU costs by upgrading to Windows 11 now. Reduce risk, improve performance, and align with NHS digital goals.
Identify gaps, reduce risk, and avoid unnecessary spend with expert-led assessments tailored to NHS frameworks and priorities.
Lay the foundation for future-ready care environments with smart hospital solutions that improve efficiency and safety.
