you don't think its been privatized slowly and in some cases by the backdoor ?

you didnt answer my last question, how can a company make a profit by providing a service and be cheaper than employing staff directly.

well one way is that the company who make the product could put in a bid to provide the service, because they make the product their cost price is a lot less than what they charge the NHS, maybe the NHS is paying too much for that product? competition drives down prices, so they can afford to put in a lower bid than anyone else, guess what once the company has the contract for the service, they use only their product they make, a monopoly