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Message: <blockquote data-quote="catapillar" data-source="post: 1124414" data-attributes="member: 32394">I don't think nhs procurement is very well centralised for this kind of thing & setting the system up, buying out of currently existing contracts from the individual clinics  etc would have a significant initial cost that probably no one has an appetite, or a budget, for.I don't think that the NHS centrally, or individual clinics, can agree proper exclusivity contracts. I hope not anyway as there might be clinical need for an alternative pump. I think the way the agreements work at the moment is that discounted pump A is the default pump for the clinic and patients wanting an alternative will have to fight to show a clinical need for an alternative - because of the differences between the pumps it's going to be difficult to prove a real clinical need for pump b or c over pump a, so in practice it works out as an exclusivity agreement.</blockquote>

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