The new government has produced an ‘exciting’ proposal which may well see the end of the NHS as a provider or comissioner of health care.
The initial plan is to give budgets to ‘consortia’ who commission services. That these consortia will find it difficult to operate is given. Then private commisioners (HMOs in USA speak) will ‘support’ local commisioning as well as providing ever more services themselves, before finally taking complete control of budgets and the public purse.
The endgame has begun. (and guess who will take the blame!)
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