We recommend that alongside the proposals to remove competition regulation, the Department establishes a framework that formally monitors and makes public annually: f) the proportion of contracts which change from year to year and the companies that were awarded contracts or had contracts renewed in each year; g) the proportion of contracts awarded to small and medium-sized enterprises; h) value for money of those contracts; and i) the patient experience. That framework should also ensure that innovation and diversity of provision from voluntary sector, social enterprise, and NHS organisations is encouraged and supported.