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. 2024 Feb 15;16(2):e54258. doi: 10.7759/cureus.54258

Table 3. COO of top 100 medical consumables (with four items excluded as per the main text description) by spend in the financial year April 2018-April 2019 supplied to Cambridge University Hospitals NHS Trust by annual spend (termed value of contracts, value in British Pounds, £) and ITUC rating.

In this dataset, for products of ‘multiple’ COOs, the highest ITUC-rated country is used to represent the product. COO is mapped to the 2019 ITUC country rating for labour rights risk [14], with ITUC rating 4, 5, or 5+ equated with a high-risk of labour rights abuse. Note: Malta and the European Community are not included in ITUC 2019 ratings, so the ITUC rating is listed as 'not recorded'

COO: country of origin, ITUC: International Trade Union Confederation

COO Number of products with COO Summed value of contracts (£) Proportion of total value (%) ITUC rating (2019)
Unknown 26 3,713,620 27.0 -
Mexico 14 2,179,449 15.9 5
USA 12 1,981,895 14.4 4
China 7 1,126,414 8.2 5
Switzerland 6 734,879 5.4 2
Ireland 3 546,343 4.0 1
Malta 1 506,225 3.7 Not recorded
Malaysia 4 414,604 3.0 4
Costa Rica 2 323,040 2.4 2
Germany 3 272,188 2.0 1
Dominican Republic 2 247,268 1.8 2
Bosnia and Herzegovina 1 212,132 1.5 4
Israel 1 211,000 1.5 2
France 1 197,496 1.4 2
Estonia 2 182,710 1.3 2
UK 2 172,159 1.3 3
Spain 2 165,044 1.2 2
European Community 2 158,842 1.2 Not recorded
India 1 92,964 0.7 5
Australia 1 85,260 0.6 3
Singapore 1 79,200 0.6 2
Canada 1 72,964 0.5 2
Japan 1 68,536 0.5 2
Grand total 96 13,744,239 100