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Entries in the minute books of the New Bethlem Hospital Building Committee from 1813–1816 contain details of the commissioning, installation and subsequent extensive modification of a system for heating the hospital. The system adopted was chosen principally for its cheapness, but in a manner that may seem familiar in the current climate of competitive tendering, with adoption of the cheapest proposal; through the incompetence of its manufacturer it was to prove problematic and dangerous.

A lesson from the history of psychiatry: competitive tendering for services and defective central heating systems in Georgian New Bethlem