Having been a supplier to the NHS in the past. The reason none of us greedy bastard, no good, only out for ourselves, shoody outfits provide the right high quality solution is this:
NHS: Can I have a good thing to update / fix / provide (delete as needed) this service
Supplier: We would recommend X which costs £Y
NHS: We can't afford Y because we are not able to negotiate the budget we need to fix update / fix / provide (delete as needed). What can you for £Z?
Supplier: How about this 2003 PC running XP?