Report comment

The only way this would work is to contract the new GP companies with fixed budgets from which they are legally bound to provide services. Any overrun will be at the cost of the GP and not as now either DH or SHA. If it is contracted this way then you can imagine that a GP will want to protect budgets. If it is a 'here is a bunch of money and Oh if you over spend we will pick up he bill' scenario then as you predict that conversation will be interesting if he is still in office.