Congratulations to Ministry of Health for the active position regarding the public procurement for the National Children's Hospital.

What we see in the letter sent to the Health Investment Company for the children's hospital is a necessary and timely act of institutional responsibility.

 What are the questions the Ministry actually poses?


After analyzing the documentation, over 20 specific questions were formulated that touch on the core of the process:
🔹 the choice of procedure – why an open procedure and not a competition for a project that would guarantee quality, not just price
🔹 the participation criteria – are they not excessively narrow and limiting competition?
🔹 payment terms – including their tying to external factors such as building permits
🔹 the evaluation methodology – to what extent it allows for objectivity
🔹 technical requirements – do they guarantee quality or create a risk of compromises

All of this clearly shows one thing: the right question is starting to be asked – "how to build best.".


The letter itself also reveals something even more important – a systematic questioning of assumptions that have long been accepted without critical analysis:
❓ whether „similar experience“ is defined in a way that limits participants
❓ whether the requirements do not exclude international teams
❓ whether the assessment does not allow for subjectivity through vague criteria such as "adequate" and "realistic"„
❓ whether the technical specifications leave a loophole for solutions optimized for price rather than quality

Why is all this important?


Because the National Children's Hospital is more than an infrastructure project.
Its construction is a test of whether the Bulgarian state can create a new standard for children's healthcare. This is the right direction!

Because a children's hospital must be designed as a system of care - functional, humane, and sustainable over time, placing the child patient at the center of the system.

 This type of institutional activity is desperately needed.
And the sooner it happens, the better the chance that this project will be done right… the first time.

 

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