GENMED have run mini-competitions for almost all areas of a Hospital services and as having developed 130 suppliers’ relationships we obtain quick responses to Trust requirements and have turned around tenders in less than 4 weeks. Clinical selection remains with the Trust, though guided by our experience and if none of the offered suppliers meet the Trust's requirements we can re-run the process to include other suppliers. We have found that Trusts have gone with suppliers they did not believe they would have at the end of these processes as the prices obtained by GENMED have been so much better than they expected. This has resulted in that they have been able to have a top quality known brand for the same price they were previously paying for a mediocre brand. We do not apply BAFO we just keep asking and this continues to be very successful.