Audit Outcomes

UK PPE contracts audit: findings and recovery status

Last checked: 20 October 2026 · Audit cases

The UK National Audit Office found documentation and transparency gaps in emergency procurement during 2020, then reported in 2022 that the health department was managing 176 PPE contracts where £2.7 billion was at risk 1,2. Parliament issued recommendations on stock, disputes, due diligence and fraud controls 3. Later accounts recorded losses and recovery work. In October 2025 the High Court ordered PPE Medpro to repay £122 million under a surgical-gown contract 6.
Auditor
UK National Audit Office
Main report date
30 March 2022
Subject
Management of pandemic PPE contracts
Audited body
Department of Health and Social Care
Status
recovery and litigation continuing
Last checked
20 October 2026

What the audit found

The NAO's 2020 procurement audit examined emergency contracts awarded across government. It found that direct awards were permitted under procurement rules, but documentation, conflict checks and publication were incomplete in parts of its sample 1.

The 2022 PPE investigation recorded expected spending of £13.1 billion on almost 38 billion items. The department was managing 176 contracts where it believed full value might not be achieved, with an estimated £2.7 billion at risk 2.

The 2022 report examined a risk-based sample of 36 contracts worth an initial £1.8 billion. It was a factual investigation of stock and contract management, not a value-for-money conclusion on every supplier or contract 2.

The official response

The department told the Public Accounts Committee that it was pursuing disputes, checking stock, reducing storage costs and developing a PPE strategy. It said Supply Chain Coordination Limited took over programme responsibility in April 2022 3.

The government's November 2022 response accepted or partly accepted the committee's recommendations. It set out work on stock data, disposal, dispute resolution, due diligence, fraud assessment and lessons for future emergency procurement 4.

Parliament

The Public Accounts Committee published its report on 20 July 2022 after taking evidence from departmental officials. It examined stock management, contractual disputes, fraud controls, due diligence and the transfer of responsibilities 3.

The committee recorded 3.9 billion items above forecast need, at least 1 billion items classed as waste, and 176 supplier disputes worth £3.9 billion at the time of its inquiry. These figures describe the 2022 position, not the final outcome of every contract 3.

Follow-up audits and recommendations

The department's 2023-24 accounts recorded cumulative fruitless payments of £3.31 billion and cumulative constructive losses of £4.78 billion for PPE. Some recovery action on disputed contracts was still in progress 5.

The 2024-25 accounts received a clean audit opinion on the departmental financial statements and regularity. That opinion covers the accounts as a whole and does not close each PPE contract dispute or the earlier programme recommendations 6,7.

Courts, tribunals and investigations

The department's 2024-25 accounts record that the High Court ordered PPE Medpro in October 2025 to repay £122 million to the government under a contract for surgical gowns 6.

That civil judgment concerns one contract. It does not decide the NAO's portfolio-wide findings or establish a criminal offence by every supplier in the programme 2,6.

Where it stands now

The latest departmental accounts reviewed for this page cover the year to 31 March 2025 and later events disclosed before publication. They record continued contract recovery work and the PPE Medpro judgment 6.

The 2022 audit covered a broad programme with thousands of contracts. No single official record closes every dispute and recommendation, so the case remains classified as recovery and litigation continuing 2,46.

Timeline

DateEvent
March to July 2020Government used emergency procurement routes for pandemic goods and services 1.
18 November 2020The NAO published its government procurement investigation 1.
30 March 2022The NAO published its PPE contract-management investigation 2.
20 July 2022The Public Accounts Committee published its report 3.
8 November 2022The government published its formal response 4.
2023-24The department recorded cumulative PPE losses and continuing recovery work 5.
October 2025The High Court ordered repayment under the PPE Medpro gown contract 6.
16 December 2025The corrected 2024-25 departmental accounts were published 6.

Common questions

Did the NAO audit every PPE contract?

No. The 2022 investigation examined programme data and a risk-based sample of 36 contracts 2.

Did the government respond to Parliament?

Yes. Its November 2022 response accepted or partly accepted the committee's recommendations 4.

Did a court order repayment?

Yes. The 2024-25 accounts record a £122 million High Court order against PPE Medpro in October 2025 6.

Audit cases move on. Each page shows the date we last checked it. Spotted an error or a newer official record? Email [email protected] with the official link.

Sources

  1. National Audit Office: pandemic procurement investigation
  2. National Audit Office: PPE contract-management investigation
  3. Public Accounts Committee: management of PPE contracts
  4. UK Parliament: government response and correspondence
  5. Department of Health and Social Care: accounts 2023-24
  6. Department of Health and Social Care: accounts 2024-25
  7. National Audit Office: audit of DHSC accounts 2024-25

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