Analysis · No. 3 · Sectors

Health and social care: one of the two busiest sectors in government.

We sorted everything government published, bought, discussed and was asked about since the July 2024 election into 39 sectors. Health and social care is the busiest.

Seam analysis by Matt Bevington (how to cite) · first published 3 October 2026 · Data from 5 July 2024 to the end of October 2026, drawn 3 November 2026 · How we did this

42,402records affecting health since July 2024
7.9%of all government activity, latest twelve months
1 of 39sectors, by activity
5×the typical sector’s share of “what it buys”

We read 456,455 records across 24 sources. We placed each record in the sectors its words are about, with the same scorer that runs search on Seam. We measure activity in five strands: what government publishes, what it buys, who it meets, what Parliament asks, and who checks it. The method is at the end of the page.

Where health ranks

Health and social care is the busiest of the 39 sectors, alongside education and skills and local government. It is strongest in “what it buys”, where it takes 8.6% of records, about 5 times the typical sector’s share, third of the 39 sectors.

The busiest sectors in government

Each sector’s share of activity in the latest twelve months (Nov 2025–Oct 2026), averaged across the five strands. It shows the top 12 of 39. The three busiest are darker, and Health and social care is darkest.

  • Health and social care
  • The other two busiest sectors
  • Other sectors
  • 1. Health and social care7.9%
  • 2. Education and skills8.1%
  • 3. Local government8.3%
  • 4. Energy and utilities6.1%
  • 5. Transport5.2%
  • 6. Digital and telecoms4.7%
  • 7. Justice and policing5.4%
  • 8. Life sciences5.3%
  • 9. Manufacturing3.9%
  • 10. Small business3.7%
  • 11. Housing3.9%
  • 12. Construction3.3%
0%5%10%

We order sectors by their average rank on three measures: the average strand share shown here, the middle (median) strand share, and the raw number of records. Ties go to the higher average share. The table shows all three.

Show the numbers
#SectorAverage shareRankMiddle strand shareRankRecordsRank
1Health and social care7.9%38.6%122,6131
2Education and skills8.1%27.9%222,3702
3Local government8.3%16.0%313,3887
4Energy and utilities6.1%45.5%415,1655
5Transport5.2%74.5%717,4944
6Digital and telecoms4.7%85.3%513,8656
7Justice and policing5.4%55.2%610,36610
8Life sciences5.3%63.4%1218,0793
9Manufacturing3.9%104.1%810,9188
10Small business3.7%113.5%1110,4419
11Housing3.9%93.5%108,24614
12Construction3.3%123.3%139,13311
13Financial services3.2%133.7%98,06615
14Environment2.9%152.9%148,25413
15Employment3.1%142.7%178,29912
16Children and families2.8%162.7%167,61316
17Charities2.5%172.9%156,54118
18Planning1.9%212.5%186,14019
19Defence2.3%181.4%267,56017
20Research and science1.8%231.8%204,49824
21Tax and accounting2.2%191.0%305,66120
22Farming and food1.8%242.2%194,40326
23Media, culture and sport1.7%251.5%245,53821
24govaffairs2.1%201.8%213,35532
25Foreign affairs and trade1.9%221.3%284,65123
26Aviation, maritime and ports1.6%271.6%224,16527
27Welfare1.7%261.0%295,41322
28Pensions1.5%281.5%254,13428
29Retail1.5%301.5%233,74330
30Water1.5%291.4%274,04229
31Facilities and estates1.1%320.8%344,42125
32Automotive1.0%330.9%313,41331
33Immigration1.1%310.9%323,28533
34Aviation0.8%340.8%331,94635
35Artificial intelligence0.8%350.7%352,09934
36Hospitality and tourism0.5%360.6%361,82736
37Insurance0.3%370.3%3799837
38Semiconductors and compute0.2%380.2%3866838
39Gambling0.1%390.1%3934939

Where health shows up

Share of each strand’s records that affect health and social care, latest twelve months, against the typical (median) sector.

  • Typical sector
  • Health and social care
  • What government publishesAnnouncements, policy papers, consultations, guidance, transparency releases, statistics, NHS England8.7%
  • What it buysContract notices and awards8.6%
  • Who it meetsMeetings ministers and senior officials hold with outside organisations4.9%
  • What Parliament asksWritten and oral questions, debates, select committee letters and evidence, Holyrood and the Senedd9.8%
  • Who checks itRegulators, the Information Commissioner, the public auditors, the RPC7.3%
0%6%12%

A record can touch more than one sector, so shares across sectors add up to more than 100%.

Show the numbers
StrandRecords in the strandHealth and social careTypical sectorMultiple
What government publishes33,7528.7%2.9%3.0×
What it buys98,2958.6%1.7%5.1×
Who it meets11,8704.9%1.6%3.1×
What Parliament asks102,8949.8%2.6%3.8×
Who checks it7,0187.3%1.5%4.9×

How it has changed

Since the government’s first year, health’s share of “what government publishes” has moved most upward (+1.4 points). Its share of “what it buys” has moved most downward (−6.2 points).

Then and now, strand by strand

Health and social care’s share of each strand in the government’s first year (Jul 2024–Jun 2025) and the latest twelve months (Nov 2025–Oct 2026).

  • First year
  • Latest twelve months: bigger share
  • smaller share
  • What government publishes+1.4 pts
  • What it buys−6.2 pts
  • Who it meets+0.8 pts
  • What Parliament asks−0.8 pts
  • Who checks it−0.5 pts
0%8%16%
Show the numbers
StrandFirst yearLatest 12 monthsChange, points
What government publishes7.3%8.7%+1.4
What it buys14.8%8.6%−6.2
Who it meets4.1%4.9%+0.8
What Parliament asks10.6%9.8%−0.8
Who checks it7.8%7.3%−0.5

Month by month, in each strand

Health and social care’s share of each strand, averaged over three months to reduce the effect of single busy weeks. Each panel has its own scale. Hover over the line to see each month.

  • Higher now than at the start
  • Lower

What government publishes

7.3% → 8.7%

Three months to September 2024: 7.8%Three months to October 2024: 7.7%Three months to November 2024: 7.2%Three months to December 2024: 7.6%Three months to January 2025: 7.3%Three months to February 2025: 7.0%Three months to March 2025: 6.2%Three months to April 2025: 6.5%Three months to May 2025: 7.5%Three months to June 2025: 7.7%Three months to July 2025: 8.1%Three months to August 2025: 7.4%Three months to September 2025: 7.2%Three months to October 2025: 7.0%Three months to November 2025: 7.5%Three months to December 2025: 8.3%Three months to January 2026: 9.3%Three months to February 2026: 9.5%Three months to March 2026: 9.1%Three months to April 2026: 8.4%Three months to May 2026: 7.9%Three months to June 2026: 7.6%Three months to July 2026: 7.5%Three months to August 2026: 8.1%Three months to September 2026: 8.7%Three months to October 2026: 10.1%Sep 24Oct 26

What it buys

14.8% → 8.6%

Three months to September 2024: 31.4%Three months to October 2024: 31.2%Three months to November 2024: 33.8%Three months to December 2024: 31.4%Three months to January 2025: 31.1%Three months to February 2025: 23.2%Three months to March 2025: 20.6%Three months to April 2025: 16.0%Three months to May 2025: 14.2%Three months to June 2025: 12.6%Three months to July 2025: 12.4%Three months to August 2025: 11.2%Three months to September 2025: 12.8%Three months to October 2025: 11.7%Three months to November 2025: 11.3%Three months to December 2025: 9.3%Three months to January 2026: 9.0%Three months to February 2026: 9.1%Three months to March 2026: 8.9%Three months to April 2026: 8.3%Three months to May 2026: 9.0%Three months to June 2026: 8.8%Three months to July 2026: 8.9%Three months to August 2026: 8.1%Three months to September 2026: 8.5%Three months to October 2026: 8.5%Sep 24Oct 26

Who it meets

4.1% → 4.9%

Three months to September 2024: 3.9%Three months to October 2024: 4.1%Three months to November 2024: 4.5%Three months to December 2024: 5.1%Three months to January 2025: 4.7%Three months to February 2025: 4.1%Three months to March 2025: 3.6%Three months to April 2025: 3.5%Three months to May 2025: 3.7%Three months to June 2025: 3.9%Three months to July 2025: 3.7%Three months to August 2025: 3.6%Three months to September 2025: 3.6%Three months to October 2025: 3.8%Three months to November 2025: 3.9%Three months to December 2025: 4.5%Three months to January 2026: 4.7%Three months to February 2026: 5.1%Three months to March 2026: 4.7%Three months to April 2026: 5.1%Three months to May 2026: 5.4%Three months to June 2026: 5.7%Sep 24Jun 26

What Parliament asks

10.6% → 9.8%

Three months to September 2024: 10.0%Three months to October 2024: 9.9%Three months to November 2024: 10.1%Three months to December 2024: 10.3%Three months to January 2025: 10.0%Three months to February 2025: 10.1%Three months to March 2025: 10.7%Three months to April 2025: 10.7%Three months to May 2025: 10.8%Three months to June 2025: 10.8%Three months to July 2025: 11.1%Three months to August 2025: 11.5%Three months to September 2025: 11.5%Three months to October 2025: 11.7%Three months to November 2025: 11.2%Three months to December 2025: 11.0%Three months to January 2026: 10.1%Three months to February 2026: 9.6%Three months to March 2026: 9.4%Three months to April 2026: 9.6%Three months to May 2026: 9.9%Three months to June 2026: 10.2%Three months to July 2026: 10.3%Three months to August 2026: 9.7%Three months to September 2026: 9.5%Three months to October 2026: 9.2%Sep 24Oct 26

Who checks it

7.8% → 7.3%

Three months to September 2024: 6.5%Three months to October 2024: 6.9%Three months to November 2024: 8.0%Three months to December 2024: 8.8%Three months to January 2025: 8.8%Three months to February 2025: 8.0%Three months to March 2025: 7.8%Three months to April 2025: 7.7%Three months to May 2025: 7.6%Three months to June 2025: 8.1%Three months to July 2025: 8.1%Three months to August 2025: 7.7%Three months to September 2025: 7.6%Three months to October 2025: 8.3%Three months to November 2025: 8.8%Three months to December 2025: 8.2%Three months to January 2026: 7.3%Three months to February 2026: 6.7%Three months to March 2026: 7.4%Three months to April 2026: 7.1%Three months to May 2026: 7.2%Three months to June 2026: 5.7%Three months to July 2026: 6.1%Three months to August 2026: 6.5%Three months to September 2026: 8.5%Sep 24Sep 26

Meetings appear a quarter or more late, so that panel stops earlier than the rest.

How much activity affects health, month by month

Records affecting health and social care each month, July 2024 to October 2026, coloured by strand. Hover over a column for the detail.

  • What government publishes
  • What it buys
  • Who it meets
  • What Parliament asks
  • Who checks it
Records affecting Health and social care each month, July 2024 to October 2026, by strand05001,0001,5002,0002,5003,000July 2024: 651 records – what government publishes 103, what it buys 42, who it meets 63, what parliament asks 399, who checks it 44Jul 2024August 2024: 339 records – what government publishes 117, what it buys 63, who it meets 33, what parliament asks 88, who checks it 38September 2024: 528 records – what government publishes 127, what it buys 39, who it meets 61, what parliament asks 272, who checks it 29October 2024: 1,302 records – what government publishes 142, what it buys 54, who it meets 104, what parliament asks 946, who checks it 56November 2024: 1,086 records – what government publishes 145, what it buys 64, who it meets 84, what parliament asks 724, who checks it 69December 2024: 861 records – what government publishes 168, what it buys 65, who it meets 58, what parliament asks 520, who checks it 50January 2025: 1,137 records – what government publishes 112, what it buys 43, who it meets 64, what parliament asks 869, who checks it 492025February 2025: 1,161 records – what government publishes 100, what it buys 95, who it meets 47, what parliament asks 874, who checks it 45March 2025: 1,651 records – what government publishes 131, what it buys 371, who it meets 56, what parliament asks 1,046, who checks it 47April 2025: 1,454 records – what government publishes 117, what it buys 431, who it meets 59, what parliament asks 800, who checks it 47May 2025: 1,512 records – what government publishes 149, what it buys 407, who it meets 59, what parliament asks 852, who checks it 45June 2025: 1,698 records – what government publishes 139, what it buys 391, who it meets 74, what parliament asks 1,041, who checks it 53July 2025: 1,859 records – what government publishes 182, what it buys 651, who it meets 64, what parliament asks 898, who checks it 64August 2025: 904 records – what government publishes 97, what it buys 410, who it meets 25, what parliament asks 343, who checks it 29September 2025: 1,657 records – what government publishes 125, what it buys 805, who it meets 60, what parliament asks 620, who checks it 47October 2025: 1,989 records – what government publishes 128, what it buys 551, who it meets 71, what parliament asks 1,176, who checks it 63November 2025: 1,710 records – what government publishes 167, what it buys 385, who it meets 71, what parliament asks 1,039, who checks it 48December 2025: 1,514 records – what government publishes 197, what it buys 505, who it meets 70, what parliament asks 706, who checks it 36January 2026: 1,799 records – what government publishes 238, what it buys 513, who it meets 80, what parliament asks 925, who checks it 432026February 2026: 1,654 records – what government publishes 218, what it buys 493, who it meets 80, what parliament asks 822, who checks it 41March 2026: 2,072 records – what government publishes 271, what it buys 704, who it meets 79, what parliament asks 956, who checks it 62April 2026: 1,468 records – what government publishes 211, what it buys 452, who it meets 68, what parliament asks 702, who checks it 35May 2026: 1,579 records – what government publishes 215, what it buys 630, who it meets 58, what parliament asks 627, who checks it 49June 2026: 2,130 records – what government publishes 240, what it buys 522, who it meets 74, what parliament asks 1,268, who checks it 26July 2026: 1,760 records – what government publishes 302, what it buys 616, who it meets 0, what parliament asks 784, who checks it 58August 2026: 1,804 records – what government publishes 268, what it buys 1,030, who it meets 0, what parliament asks 468, who checks it 38September 2026: 2,599 records – what government publishes 285, what it buys 1,555, who it meets 0, what parliament asks 700, who checks it 59October 2026: 2,524 records – what government publishes 334, what it buys 1,076, who it meets 0, what parliament asks 1,094, who checks it 20

The busiest month was September 2026. Counts swing with the parliamentary calendar and with how sources publish (a council can post a hundred contract awards in a day). That is why the rest of this page uses shares.

Show the numbers
MonthWhat government publishesWhat it buysWho it meetsWhat Parliament asksWho checks itAll
July 2024103426339944651
August 202411763338838339
September 2024127396127229528
October 202414254104946561,302
November 20241456484724691,086
December 2024168655852050861
January 20251124364869491,137
February 20251009547874451,161
March 2025131371561,046471,651
April 202511743159800471,454
May 202514940759852451,512
June 2025139391741,041531,698
July 202518265164898641,859
August 2025974102534329904
September 202512580560620471,657
October 2025128551711,176631,989
November 2025167385711,039481,710
December 202519750570706361,514
January 202623851380925431,799
February 202621849380822411,654
March 202627170479956622,072
April 202621145268702351,468
May 202621563058627491,579
June 2026240522741,268262,130
July 20263026160784581,760
August 20262681,0300468381,804
September 20262851,5550700592,599
October 20263341,07601,094202,524

What it is about

The biggest themes are adult social care, NHS structure and reform and GPs, pharmacy and dentistry. Growing fastest: NHS digital, data and AI, hospitals and equipment and A&E, ambulances and urgent care. Fading: patient safety and complaints and NHS staff and pay. Parliament drives cancer and patient safety and complaints.

What health activity is about

Share of health and social care records touching each theme, first year (Jul 2024–Jun 2025) against the latest twelve months (Nov 2025–Oct 2026). Sorted by the latest share.

  • First year
  • Latest twelve months: bigger share
  • smaller share
  • Adult social care22.7%
  • NHS structure and reform16.7%
  • GPs, pharmacy and dentistry12.9%
  • Prevention and public health10.6%
  • Mental health9.7%
  • Medicines and devices6.2%
  • NHS staff and pay5.7%
  • Waiting lists and planned care3.6%
  • Cancer3.5%
  • A&E, ambulances and urgent care3.0%
  • NHS digital, data and AI3.0%
  • Hospitals and equipment2.5%
  • Patient safety and complaints2.1%
  • Maternity and neonatal1.7%
0%12%24%

A record can affect several themes, or none. 25% touch none of these, usually because the title says too little (“Lot 2”, “Provision of services”). The word lists are in the method box at the end of the page.

Show the numbers
ThemeRecordsFirst yearLatest 12 monthsRelative change
Adult social care9,43821.2%22.7%+7%
NHS structure and reform6,45814.2%16.7%+18%
GPs, pharmacy and dentistry5,71214.0%12.9%−8%
Prevention and public health4,2469.5%10.6%+12%
Mental health4,1279.6%9.7%+1%
Medicines and devices2,4895.9%6.2%+5%
NHS staff and pay2,5696.4%5.7%−11%
Waiting lists and planned care1,5253.9%3.6%−8%
Cancer1,4633.6%3.5%−3%
A&E, ambulances and urgent care1,1092.5%3.0%+20%
NHS digital, data and AI1,0151.6%3.0%+88%
Hospitals and equipment9031.9%2.5%+32%
Patient safety and complaints9272.5%2.1%−16%
Maternity and neonatal6811.5%1.7%+13%

The themes, quarter by quarter

Share of health and social care records touching each theme in each quarter, in per cent. We set the shading row by row. The darkest cell is that theme’s busiest quarter. Hover over a cell for the detail.

  • Quietest quarter for the theme
  • Busiest quarter
Jul–Sep2024Oct–Dec2024Jan–Mar2025Apr–Jun2025Jul–Sep2025Oct–Dec2025Jan–Mar2026Apr–Jun2026Jul–Sep2026Oct2026
Adult social care28.825.419.817.124.421.321.720.623.427.6
NHS structure and reform10.39.513.918.912.612.613.816.219.920.7
GPs, pharmacy and dentistry16.811.413.815.114.611.412.514.214.610.9
Prevention and public health10.710.49.68.49.09.89.610.911.211.3
Mental health8.49.39.610.211.28.68.89.99.911.6
Medicines and devices6.76.05.45.94.95.45.56.17.15.6
NHS staff and pay8.97.95.45.46.75.96.25.65.55.2
Waiting lists and planned care3.33.64.63.82.84.93.53.72.53.2
Cancer3.64.43.53.22.45.04.42.72.43.4
A&E, ambulances and urgent care3.42.72.72.01.62.13.03.23.12.8
NHS digital, data and AI0.71.02.02.12.02.31.83.23.44.7
Hospitals and equipment2.01.72.21.71.61.42.61.92.64.3
Patient safety and complaints3.62.72.32.22.11.72.02.51.82.2
Maternity and neonatal1.81.81.51.21.41.61.81.91.61.7
Health and social care records in the quarter1,5183,2493,9494,6644,4205,2135,5255,1776,1632,524

The first quarter starts on 5 July 2024, the day after the general election. The last runs only to the end of October 2026. Read along a row, not down a column.

Where each theme comes from

Share of each theme’s records by strand, since July 2024. Sorted by how much comes from Parliament.

  • What government publishes
  • What it buys
  • Who it meets
  • What Parliament asks
  • Who checks it
  • Cancer9%17%72%
  • Patient safety and complaints15%67%10%
  • Maternity and neonatal24%61%
  • Waiting lists and planned care14%24%60%
  • Mental health32%54%
  • Hospitals and equipment40%52%
  • A&E, ambulances and urgent care24%18%52%
  • NHS digital, data and AI13%31%48%
  • Prevention and public health26%22%46%
  • GPs, pharmacy and dentistry44%45%
  • Medicines and devices24%12%45%17%
  • NHS staff and pay12%33%9%44%
  • NHS structure and reform42%43%
  • Adult social care26%27%41%

Themes near the top are what MPs and peers raise. Themes near the bottom are what government buys, publishes or is checked on.

Show the numbers
ThemeWhat government publishesWhat it buysWho it meetsWhat Parliament asksWho checks itRecords
Cancer9.0%16.7%0.9%71.6%1.8%1,463
Patient safety and complaints14.9%3.9%4.2%66.9%10.1%927
Maternity and neonatal24.4%5.7%4.4%61.1%4.4%681
Waiting lists and planned care14.4%23.9%0.5%59.7%1.4%1,525
Mental health8.6%32.3%3.9%54.1%1.1%4,127
Hospitals and equipment6.2%39.8%0.9%51.7%1.4%903
A&E, ambulances and urgent care24.1%18.1%0.8%51.5%5.5%1,109
NHS digital, data and AI12.9%31.0%3.0%48.3%4.8%1,015
Prevention and public health26.4%21.8%3.9%45.8%2.1%4,246
GPs, pharmacy and dentistry8.3%43.6%1.5%45.2%1.4%5,712
Medicines and devices23.8%12.3%2.7%44.6%16.6%2,489
NHS staff and pay11.9%32.6%9.4%44.2%1.9%2,569
NHS structure and reform6.6%41.6%3.2%42.7%5.9%6,458
Adult social care25.6%27.3%4.4%41.4%1.3%9,438

Who is involved

Department of Health and Social Care publishes most, Bristol City Council buys most, and NHS England is the organisation ministers and officials meet most often on health.

Who is doing the health activity

The ten bodies with the most records in each strand since July 2024. Hover over a bar for the full name and count.

Who publishes most · 150 bodies

  • Department of Health and Social Care850
  • UK Health Security Agency777
  • NHS England740
  • Medicines and Healthcare products Regulator…452
  • Office for Health Improvement and Dispariti…178
  • NHS Digital148
  • Foreign, Commonwealth & Development Office109
  • Office for National Statistics105
  • Department for Work and Pensions97
  • Department for Environment, Food & Rural Af…89

Who buys most · 985 buyers

  • Bristol City Council896
  • NHS England790
  • NHS South Yorkshire ICB655
  • NHS Wales Shared Services Partnership-Procu…443
  • NHS North East and North Cumbria ICB261
  • NHS Cheshire and Merseyside ICB252
  • NHS Coventry and Warwickshire ICB251
  • NHS Lincolnshire ICB245
  • NHS Cambridgeshire and Peterborough ICB197
  • Department of Health & Social Care163

Who ministers and officials meet most · 898 organisations

  • NHS England60
  • Skills for Care37
  • Association of Directors of Public Health29
  • NHS Confederation23
  • Royal College of Nursing17
  • Nursing and Midwifery Council14
  • British Medical Association - Resident Doct…13
  • The Outstanding Society13
  • London School of Hygiene & Tropical Medicine13
  • NHS Providers12

Which departments answer the questions

  • Department of Health and Social Care16,204
  • Department for Work and Pensions690
  • Department for Education591
  • Home Office306
  • Department for Environment, Food and Rural…282
  • Foreign, Commonwealth and Development Office193
  • Ministry of Housing, Communities and Local…192
  • Treasury180

Contracts went to 9,072 different suppliers. The ten busiest won 2% of them. The meetings chart counts each organisation named on a return once per meeting.

What Parliament asks

Liberal Democrat members ask about 1.5 times their usual share of health questions (27.0% against 18.4%). Written questions here take a median 9 days to answer, against 8 across government.

Who asks about health

Share of written and oral questions on health and social care asked by each party, against its share of all questions, since July 2024.

  • All questions
  • Health and social care: more than its usual share
  • less
  • Labour34%
  • Conservative28%
  • Liberal Democrat27%
  • Reform UK3%
  • Independent4%
  • Crossbench1%
  • Green1%
  • DUP3%
0%20%40%

Based on 18,921 questions where the asking member’s party is recorded. Peers sit in the Lords. “Crossbench” members belong to no party.

Show the numbers
PartyHealth and social careAll questions
Labour33.5%29.0%
Conservative27.5%39.9%
Liberal Democrat27.0%18.4%
Reform UK2.6%2.5%
Independent3.8%3.7%
Crossbench0.9%1.1%
Green1.0%1.1%
DUP3.2%2.7%

Where the money goes

12,963 contract notices and awards since July 2024. The typical (median) one is worth £173k, against £120k across all of government.

Contracts, quarter by quarter

Health and social care contract notices and awards each quarter. The figure above each column is its share of all contracts that quarter.

Health and social care contract notices and awards each quarter01,0002,0003,0004,000Jul-Sep 2024: 144 contracts, 31.7% of all contracts32%Jul–Sep2024Oct-Dec 2024: 183 contracts, 29.6% of all contracts30%Oct–Dec2024Jan-Mar 2025: 509 contracts, 16.7% of all contracts17%Jan–Mar2025Apr-Jun 2025: 1,229 contracts, 12.5% of all contracts12%Apr–Jun2025Jul-Sep 2025: 1,866 contracts, 12.9% of all contracts13%Jul–Sep2025Oct-Dec 2025: 1,441 contracts, 9.3% of all contracts9%Oct–Dec2025Jan-Mar 2026: 1,710 contracts, 8.9% of all contracts9%Jan–Mar2026Apr-Jun 2026: 1,604 contracts, 8.7% of all contracts9%Apr–Jun2026Jul-Sep 2026: 3,201 contracts, 8.6% of all contracts9%Jul–Sep2026Oct 2026: 1,076 contracts, 7.9% of all contracts8%Oct2026

The last quarter runs only to the end of October 2026.

Show the numbers
QuarterContractsShare of all contracts
Jul–Sep 202414431.7%
Oct–Dec 202418329.6%
Jan–Mar 202550916.7%
Apr–Jun 20251,22912.5%
Jul–Sep 20251,86612.9%
Oct–Dec 20251,4419.3%
Jan–Mar 20261,7108.9%
Apr–Jun 20261,6048.7%
Jul–Sep 20263,2018.6%
Oct 20261,0767.9%

How big the contracts are

Share of health and social care contract notices and awards in each value band, against all contracts, since July 2024.

  • All contracts
  • Health and social care: more common
  • less common
  • Under £10k16%
  • £10k–100k26%
  • £100k–1m31%
  • £1m–10m16%
  • £10m–100m7%
  • £100m and over4%
0%25%50%

Values are what the buyer published: an estimate for an open notice, the award for a closed one, and for a framework the ceiling across every buyer that might use it.

Show the numbers
ValueHealth and social careAll contracts
Under £10k15.9%5.9%
£10k–100k26.1%40.2%
£100k–1m30.7%33.1%
£1m–10m15.7%13.9%
£10m–100m7.1%4.9%
£100m and over4.5%2.0%

On the record

The most recent policy papers and consultations that affect health, dated by when each consultation closed or each paper was last updated. Every one is on Seam with the rest of its source.

If you work in health and social care

  • Know where your sector stands out. For health it is “what it buys”, at 5 times the typical sector’s share. That is where your sector stands out most against others.
  • Follow the rising themes. Growing fastest: NHS digital, data and AI, hospitals and equipment and A&E, ambulances and urgent care. Watch these for new consultations, contracts and questions.
  • Find the people already talking. Liberal Democrat members ask more than their usual share of health questions. The organisations in the meetings chart already have access to ministers. Both are routes in.
How we did this: method and caveats

Data. The Seam search database: one row for every record in every source on the site. This piece uses everything dated from 5 July 2024, the day after the general election, to the end of October 2026: 456,455 records. We leave out directories (officials, bodies, councils, registers of interests) because they are lists, not activity. We also leave out ministers’ expenses, hospitality, gifts and travel. Meetings appear a quarter or more late, so the latest months hold fewer of them. Charts built on months or quarters use whole months only.

The five strands. What government publishes: announcements, policy papers, consultations, guidance, transparency releases, statistics, NHS England (62,441 records). What it buys: contract notices and awards (132,067 records). Who it meets: meetings ministers and senior officials hold with outside organisations (36,405 records). What Parliament asks: written and oral questions, debates, select committee letters and evidence, Holyrood and the Senedd (208,774 records). Who checks it: regulators, the Information Commissioner, the public auditors, the RPC (16,768 records).

Sectors. The scorer that ranks search results on Seam reads each record. It checks the record against the hand-written lexicon (word list) of 39 sectors: phrases and words for each, with words that argue against a sector. A record counts towards its strongest sector, and towards any other sector that scores at least half as much. If a record’s strongest sector scores below 2.5 (less than one decisive phrase), we leave the record unplaced. 74% of records are placed. We made three changes from the search pages, all because a count needs to be stricter than a search. First, we do not use the publisher, because a department’s name decided too many thin records on its own. Second, we switch off the machine-learned extra terms, because they placed records in sectors they were not about. Third, we remove boilerplate first, such as the “Senior official. Meetings” that ends every meeting record. We make one correction by hand. We take a record out of local government if its only “council” is the UN Security Council or a similar body.

Activity and rank. A sector’s activity is its share of each strand’s records, averaged across the five, so that no strand dominates. The biggest strand, what parliament asks, has 12 times as many records as the smallest. We rank sectors on three measures over the latest twelve months (Nov 2025–Oct 2026): that average, the middle (median) strand share, and the raw count of records. We then order them by their average rank across the three. Health and social care, Education and skills and Local government come third, second and first on the average share and first, second and third on the middle share. On the raw count they come first, second and 7th, because sectors heavy in contracts and written questions collect more records. We also tried the scorer with the publisher and the extra terms switched back on. The same sectors stayed near the top, but digital and telecoms rose sharply on meetings alone. That is the noise those changes remove.

Themes come from keywords in each record’s title and summary. For a meeting, that is its purpose and the organisation met. For a question, it is the question. The lists are below. They are a judgement, and they miss records whose titles say little.

Change over time compares the government’s first year (July 2024 to June 2025) with the latest twelve months (Nov 2025–Oct 2026). We compare shares, not counts, because the amount published swings with the parliamentary calendar.

Caveats. Counting records measures how much paper a subject generates, not how much it matters or what it costs. Some sources publish in bulk. One council that posts each school-taxi route as its own contract award can move a sector’s share of contracts on its own. The charts say so where one buyer accounts for 15% or more of a sector’s contract records. Contract values are as published. Frameworks carry their ceiling, which is why we use bands and medians, never totals.

The theme word lists

ThemeWords and phrases in the title or summary
Waiting lists and planned carewaiting (lists?, times?), elective, referral to treatment, RTT, backlogs?, diagnostic, community diagnostic, operations?
A&E, ambulances and urgent careA&E, A and E, accident and emergency, ambulances?, urgent (care, and emergency), emergency departments?, corridor care, NHS 111, winter pressures?
GPs, pharmacy and dentistryGPs?, general practi, primary care, pharmac, dentists?, dental, optometr, opticians?
Mental healthmental health, psychiatr, CAMHS, eating disorders?, talking therap, suicide prevention, psycholog, mental illness
Adult social caresocial care, care homes?, domiciliary, home care, care (workers?, providers?, sector, workforce), carers?, supported living, learning disabilit, autis
Cancercancer, oncolog, chemotherapy, radiotherapy, tumou?rs?
Prevention and public healthpublic health, obesity, smoking, tobacco, vap(e, es, ing), alcohol, vaccin, immunis, screening, outbreaks?, infectio, UKHSA, health protection, measles, flu, influenza, covid
Medicines and devicesmedicines?, MHRA, prescri, drugs? (shortages?, pricing, supply), medical devices?, clinical trials?, NICE, recalls?, pharmaceutical
NHS staff and paynurses?, nursing, doctors?, resident doctors, junior doctors, consultants, paramedics, workforce, strikes?, industrial action, pay (award, review, deal, rise), GMC, NMC
Maternity and neonatalmaternity, neonatal, pregnan, midwi, stillbirth, births?
NHS digital, data and AINHS App, electronic patient records?, patient records, federated data platform, AI, artificial intelligence, software, cyber, digital, health data
Hospitals and equipmentnew hospitals?, hospital (building, programme, beds?), RAAC, estates?, equipment, scanners?, beds, medical supplies, consumables
NHS structure and reformintegrated care (boards?, systems?), ICBs?, 10 Year (Health )?Plan, ten year (health )?plan, reorganis, abolition of NHS England, NHS England, NHS trusts?, foundation trusts?
Patient safety and complaintspatient safety, safety (incidents?, investigation), negligence, inquir(y, ies), CQC, Care Quality Commission, complaints?, whistleblow, avoidable harm

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