Does she/he get asked to justify why Siemens is preferred? Maybe she/he has a good reason!
Meanwhile, I am saddened to see that the PFI model has made it to your shores.
OK if you're the contractor, of course; but not so good for the tax payer.
So, in this case, my sympathies lay with the end user; they will probably need to fight the contractor all the way in order to achieve a half decent result.In passing, the process you outline sounds rather odd. Even the old Saudi MOH process was more logical than that!