Accelerating NHS reform – Levelling the playing field to unlock social enterprises
This report addresses the structural barriers facing social enterprises delivering health and care services, sets out the interventions needed to embed provider pluralism, and makes the case for social enterprise as a central delivery partner in NHS reform. This report builds on our 2025 publication, Ahead of the Curve on Healthcare, which drew on independent data analysis by Baxendale and demonstrated that social enterprises are already delivering the shifts set out in the Government’s 10 Year Plan. Where that report showed that social enterprise models work, this report examines how the system is failing to support them - preventing them from scaling and, in many cases, actively undermining their ability to continue to operate successfully. It sets out targeted, non-legislative interventions to remove those barriers and unlock the contribution of social enterprises.