Admin
Administrator
Posts: 377
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Post by Admin on Aug 5, 2013 8:35:57 GMT
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Post by dangermouse on Aug 12, 2013 22:34:20 GMT
Back in the "bad old days", before business models and internal markets and competition were introduced, the NHS had a central purchasing system and virtual monopsony control of prices. They invited tenders at a low price point, and had an internal distribution network.
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diuretic
Scribe
Posts: 49
Politics: Centre Left
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Post by diuretic on Aug 14, 2013 1:20:29 GMT
I don't know if this is appropriate but in my state in Australia we had a devolution of sorts when it came to purchasing in the public sector. We have a very small population and our public service is not large although it is spread out due to the size of the state in physical terms so there is no need to devolve all purchasing. However it has been done and there have been some spectacular instances of corruption revealed where suppliers were working a fiddle with local purchasers in the PS. I would think that sort of behaviour might be more difficult with a central purchasing and distribution system.
On the NHS, it makes more sense to allow the monopoly to sling its weight around and get its suppliers to provide at a reasonable price rather than split it up and devolve the whole thing - as dangermouse has pointed out. I dunno, allow these MBAs to run things and they destroy it with their ideology.
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