Atfield R
J Sterile Serv Manage. 1987 Aug;5(2):2-5.
Like many multi-million pound organizations, with a number of operational levels and a multitude of delivery points, decisions regarding the purchasing of goods and services in the NHS are made in many different ways. In 1985 the total expenditure of the NHS in England alone was in excess of 9,000 million pounds and, that, 6,8000 million pounds was spent on salaries and wages for staff. The majority of the remainder was spent on goods and services with a small proportion through specific National or Regional contracts. Much of the purchasing, therefore, is in the hands of personnel at Unit level and below.
与许多价值数百万英镑的组织一样，英国国家医疗服务体系（NHS）有多个运营层级和众多交付点，其关于商品和服务采购的决策方式多种多样。1985年，仅英格兰地区的NHS总支出就超过90亿英镑，其中68亿英镑用于员工薪资。其余大部分支出用于商品和服务，通过特定的国家或地区合同支出的占比很小。因此，大部分采购工作由单位及以下层级的人员负责。
