The Government should make adherence to the GBSF mandatory for the public sector in England. We are supportive of proposals that the balanced scorecard should also be mandatory across the public sector, particularly for the NHS in England, but we have concerns that this may have adverse impacts on smaller suppliers who may not be able to afford the accreditation and certification required. Defra must gather evidence from Government departments and their suppliers on the effectiveness and impact of the balanced scorecard since 2014 and review whether to make the balanced scorecard mandatory. At the very least, the balanced scorecard needs to be better promoted by the Government.