Embedding Sustainable Procurement in a major Healthcare Institution

Scope

Sustainable Procurement

Industry

Public Healthcare

A major Spanish public healthcare institution set out to reduce the environmental impact of its purchasing activity while preserving the discipline, transparency, and fairness required in a highly regulated public-sector environment. The assignment was to embed responsible procurement into policy, process, and day-to-day decision-making, while preserving the transparency, equity, and compliance standards expected in a complex public-sector environment.

Business Challenge

  • The client identified that 71% of its 370,000 tonnes of CO₂ emissions were linked to approximately €282 million in annual third-party spend.
  • The institution sought to become a recognised leader in environmentally responsible healthcare procurement.
  • A capability gap was encountered highlighting that the 38-person procurement team had deep expertise in sourcing and compliance but lacked the frameworks, tools and training to embed sustainability at scale.
  • Any new approach had to align fully with public procurement obligations, governance standards, and operational controls.

Approach

  • Established the right baseline through a materiality assessment and an emissions recalculation to identify the highest-impact procurement levers and define a practical action roadmap.
  • Assessed procurement, operations, and stakeholder capabilities against recognised sustainable procurement principles, including ISO 20400.
  • Redesigned policy and process to embed responsible procurement requirements into sourcing, supplier management, and governance workflows.
  • Introduced digital enablement through the implementation of a supplier sustainability rating platform (EcoVadis) to strengthen visibility, measurement, and supplier accountability.
  • Built internal capability via targeted workshops, practical tools, coaching, and category-level support to translate ambition into execution.

Outcomes

  • Established a fully integrated Sustainable Procurement framework aligned with the client’s public-sector operating model.
  • The approach aligned to GRI standards, ISO 14000, ISO 26000, OHSAS 18001, SA 8000, ISO 20400 for enhancement of policies and processes.
  • Positioned procurement to support an 50% Scope 3 carbon reduction ambition by 2030 through category-level action and supplier engagement.
  • Strengthened supplier transparency through structured sustainability measurement and more rigorous performance tracking.
  • Equipped the procurement team with fit-for-purpose templates, governance, and capabilities to sustain the transformation over time.

This collaboration demonstrated that bold environmental ambition and public-sector rigor can advance hand in hand within a complex healthcare institution, while digital tools, structured processes, and cross-functional collaboration enable procurement to deliver measurable value and sustained performance.