The art of intelligent spending
The NHS has been under some scrutiny lately over inconsistency in the procurement of medical products. For example where one NHS trust paid £1109 (€1317; $1756) for knee implants, another paid just £634 for an identical product.1 Analysts have blamed a “lack of transparency in the market.” It is natural, however, that the companies that make the supplies aim to make as large a profit as possible. So, why hasn’t the NHS put policies in place to ensure more critical spending?
I believe that it is the attitude towards spending that is at fault. I lived in Bangladesh for two years, where I quickly learnt that if you paid the initial price that the vendor demanded you would end up out of pocket and be seen as an “easy client.” There is no expectation that the price being demanded is a reasonable one. After all, why should it be? It