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The fact that there wont be trading record on which to judge a consortia and agree authorisation will make the real choice as simple as do they believe that the GPs/leaders of that consortia will be capable enough to deliver?

The evidence they gather to test this will be crucial. Enthusiasm, a belief they can drive change and a desire for local control will not be enough. Making sure that the GPs involved understand how to deliver corporate leadership and genuinely motivate a plethora of others (staff, stakeholders and providers) to deliver will be far more important than any technical commissioning skills that can be bought in. If the NHS CB starts in the right place they may end up with the consirtia leaders who will really deliver the goods.