The primary focus of this paper is the contribution of “reverse eAuction processes”, characterised by on-line, descending price bidding, to NHS procurement strategies. There has for some years now been considerable interest in the use of such auctions in the procurement of goods and services by both private and public sector organisations. Over the last year or two, this interest has been particularly intense in the UK public sector, and it has been accompanied by claims of substantial gains when these types of arrangements are introduced.