We have to be aware that the government if we are not careful will open the back door to private companies to have the upper hand when submitting their application to provide a service for the NHS, it seems that the NHS will become fragmented and much of the services that you now receive in hospital will be outsourced to private health companies, we have to have the best service for patients I agree but how do we know that these companies will be able to provide a competent service to patients, they have to be on a level playing field it is not an acceptable fact that they should be preferred above the service that is offered as is.
The idea that GP's know best in regard to commissioning is a fallacy they do not, commissioning is a specialist knowledge so that was why we had the PCT, so the government has got rid of the PCT, well No in fact they have reformed under the new white paper as a Clinical Commissioning Group much of the same people different name, also the Strategic Health Authority is due to go but no it is still there just under a different name, so why all this turmoil your guess is as good as mine!!
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