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.

Proven Impact in Demanding Environments

"OPTIMA helped us translate sustainability ambition into operational reality without compromising public procurement rigor. Today, sustainability criteria are embedded in over 80% of tenders, and we have a clear path toward our Scope 3 reduction target."
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Director of Procurement, Public Healthcare Institution