Benefits of Shared-Fleet Horizontal Logistics Collaborations: A Case Study of Patient Service Vehicles Collecting Pathology Samples in a Public Sector Healthcare Setting

Road-based logistics suffer from inefficiencies due to less-than-full load vehicle movements. Consolidating loads through shared-fleet collaborations (also known as freight pooling) can reduce such inefficiencies, and thereby reduce costs, vehicle-kilometres (vkm), and related emissions and congestion. Utilising a significant historical dataset of vehicle movements, the potential cost savings and environmental benefits of a shared-fleet operation involving collaboration between two public sector organisations, integrating both static (fixed-schedule) and dynamic (client-specific) demand within a healthcare setting, were quantified. A Sample Collection Service (SCS; transporting pathology samples from doctors’ surgeries to centralised laboratories for analysis) shared spare capacity in vehicles operated by a Patient Transport Service (PTS; transporting eligible non-emergency patients to/from routine hospital appointments) as an alternative to engaging an external courier company. Results suggested that a shared-fleet collaboration servicing 78 surgeries, alongside normal patient loads in an average of 24 PTS vehicles/day, produced reductions of 16%, 13% and 12% in costs, vkm and carbon dioxide emissions, respectively. Decision-makers within public sector organisations that operate own-account vehicle fleets could pursue policies that actively seek out opportunities to deploy shared-fleet solutions to improve vehicle utilisation and therefore reduce public sector spending and the detrimental effects of road logistics.