Dear Prof.

Dakubu

I appreciate your detailed response regarding the procurement of surgical devices for the patient.
Your commitment and contributions to developing this specialized unit at Korle Bu Teaching Hospital
are truly commendable. However, there are several key considerations I must bring to your attention
regarding your procurement and billing processes.

1. Adherence to Hospital Procedures and Policies: While acknowledging your pioneering

efforts and the unique requirements of the colorectal surgery unit, it's vital to align with the
hospital's established procurement and billing procedures. These protocols are in place not
just for standardization but also to ensure compliance with tax laws, auditing processes, and
governance standards. It's crucial that all actions, especially those involving financial
transactions, adhere to these established frameworks to maintain transparency and
accountability.

2. Preventing Patient Exploitation and Ensuring Fairness: Our hospital's reputation and the
trust our patients place in us are paramount. Therefore, it is imperative to ensure that
patients are not unnecessarily burdened with additional costs. All surgeons, irrespective of
their position or contributions, must refrain from issuing invoices independently. This
practice, if widespread, could lead to inconsistencies and potential exploitation, undermining
the equity and fairness we strive to uphold in patient care.

3. Streamlining Communication and Inventory Awareness: The situation you described

highlights a need for improved communication and awareness regarding our inventory and
available resources. It's essential to establish a more efficient system for updating all
concerned parties, including yourself, about the availability of surgical devices within the
hospital. This would prevent unnecessary external procurements and ensure optimal use of
our resources.

I would also like to bring to your attention that since 2019, our theatre has been equipped with two
ligature machines along with the necessary accessories. Patients undergoing surgeries that require
these machines are currently billed 1000 Ghana Cedis for their use.

In light of the points raised, the letter for payment to NAVABEL VENTURES LTD will be sent to the CEO
of Korle Bu Teaching Hospital and the central administration for further review and action. This step
is necessary to ensure that all procedures align with the hospital's financial policies and legal
requirements.

I propose a meeting to discuss these issues in detail and to explore ways we can further support the
colorectal surgery unit while ensuring compliance with hospital protocols. Your expertise and
experience are invaluable, and I believe that together, we can find a balanced approach that
continues to advance our surgical capabilities while adhering to the necessary administrative and
ethical standards.

Looking forward to your thoughts on this matter.

Best Regards,

Head of Surgical Department Korle Bu Teaching Hospital