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Well said Anon of 20 Mar 9:01.
The most truthful response of the lot.
This is all nonsense, and pure ideology.
The emperor is not wearing any clothes.
No-one has really thought this competition notion through or risk-assessed it.
It is an experiment without a clear research question, informed consent, evidence base, control group or method of evaluation. In clinical medicine an experiment conducted like this would probably lead to disciplinary action and dismissal.
There is no "plan B" if all goes wrong.
Our current leadership's track record on obtaining value for money out of big procurements like IT and PFI hospitals is not reassuring.
And given the well-publicised difficulties in raising concerns about patient safety (whistle blowing), we can't expect the staff to act as a warning system if it does start to harm patients.
So many people have been gaming the finance, clinical and activity data in the NHS target culture for so long that no-one really knows what to believe any more. Truthfulness cannot be taken as read, not even in front of Parliamentary Select Committees.
There is no sense of grip at the top. "The man with no shame" is "The man with no idea". Soon to be "The man with no job"?