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I struggle with the concept that working in the private sector means that your are anti-NHS. It is a reasonable intellectual and practical position to work in the private sector and believe the best care is delivered through a mix of public and private enterprise. Not least because 'contestability' means public providers become motivated to keep their skills, efficiency and crucially co-operation with the rest of the system high.

I think dismissing concerns over moves from public to private sector as merely 'technical' betrays its importance. I don't believe they're being enforced and I believe taxpayers overpay because selected providers have an 'in'. Confidential tenders to long-forgotten frameworks are all-too common and sidestep the competition that was the primary rationale about private sector involvement.