Manufacturers often replace parts that are not necessary to be replaced.
So you know better than the manufacturers? If a manufacturer says you need to replace a wire rope every 3 years do you think they are saying this just to generate work? Of course not! There are many parts that need periodic replacement to ensure the continued reliability and safety of the medical equipment. Failure to carry out proper service work may well result in a reportable incident.
It seems you are just enticing cash strapped NHS managers to use your services even though they fail to ensure the equipment will be as reliable and safe as a proper contract.
It is similar to 3rd parties using non-OEM parts to repair equipment and therefore invalidating the medical device directive (CE marking). (Use of parts other than those directly specified by the manufacturer mean the equipment becomes re-furbished and requires full CE re-certification!)