All good stuff, Billy.
But I think you may find that Russ could be thinking in terms of an NHS EBME department at a nearby hospital.
Remember also that you get what you pay for. So all that stuff you mention should be listed up front in the original contract tender, and not sprung on the "contractor" later on.
No-one likes surprises (well, not in this context, anyway). And neither do clients usually enjoy receiving change orders, either!
Meanwhile, in situations like this, I would advise that it may be better to bring in temporary staff to carry out the work you need doing. That way, you remain in control.
