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A parable of procurement

BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7397.1043 (Published 10 May 2003) Cite this as: BMJ 2003;326:1043
  1. Robin Bosanquet, consultant ophthalmologist (rcbosanquet@aol.com)
  1. Royal Victoria Infirmary, Newcastle upon Tyne

    Some say that the NHS is unnecessarily bureaucratic, its decision making slowed down by committees and procedures. This, however, is an essential response to the avarice of clinicians, who if left unchecked will spend an entire annual budget on equipment and will treat far more patients much more expensively than is agreed in the contracts so carefully drawn up at the start of each financial year.

    I believe in incorporating the best of NHS practices into my domestic situation

    I believe in incorporating the best of NHS practices into my domestic situation. Let me take a recent example.

    Last April, soon after the start of our financial year, my wife, whom I shall call Mrs B to protect her anonymity, went on a short break to Paris and fell in love with a watercolour landscape on sale at a gallery there. Back home she could hardly contain her enthusiasm, saying how well it would go in our living room and what a long term investment it would prove. …

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