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It's an interesting debate to support the public procurement legislation that prohibits post-tender price negotiation for the NHS should not be relaxed. However, there are some scholars that stressed on the funding health care that is mostly provided by the public money and therefore, the project should be carried out within the initial assigned spending budget.
Nevertheless, generally there could possibly some instances that the client will face to the situation in which the tendered prices are higher than the capital granted available to obtain the products and/or services.
e.g. for North Bristol Integrated Community Hospital, in that case what action/policy should be undertaken?
Does the public client require to move for PTN?
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