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5.40 - you sure? Health Services are under Part B of the European procurement rules - hence why some member states do not mandate or even allow tendering for health services. This whole thing is really unclear. If all contracts should be tendered every so often - what about hospital/GP and other contracts. To market test these on a reasonably regular basis would bring the whole of commissioning rapidy to a halt. Plus the experience of tendering health services (eg OOHs, NHS111) does not have the best track record of improving services or even saving money.