Report comment

There is a key unanswered question for me about the size of consortia. Too small would be a nonsense in efficiency terms; too big would be a rebadging of PCTs. I think this is a major problem and the overall transaction costs of change is not going to go away either.

I still can't see a fundamental win for the public - Health and Wellbeing Boards could become politically dominated, healthwatch could be as toothless as the old CHCs, consortia could be parochial and still subject to massive conflict of interest issues.

We're backpedalling into the future and the light at the end of the tunnel looks like a flickering candle rather than a blaze of glory ...