Research on the practice of outsourcing health and physical education (H/PE) to external entities has been increasing internationally. In this chapter, we focus on two of the currently under-researched areas in the literature on outsourcing in H/PE: pedagogical decision-making processes and the role that students play in outsourced H/PE lessons. We first position outsourcing within the broader issue of public/private binaries in education. This is followed by an exploration of outsourcing in H/PE in Australia and England. All of this work sets the scene for the research-based proposals we offer on who should determine what is outsourced, how roles and responsibilities should be distributed in outsourcing arrangements and how the practice should be monitored and evaluated. Overall, we argue that listening and responding to student voice in outsourced H/PE lessons might lead to more engaging and educative experiences.