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I think Patrick Newman makes a very valid point about the true architects of all this being Labour. During their time in power they have given us FT's and Transforming Community Services (Where Social Enterprise came from) so I guess they find themselves in the unenviable position of shouting down something which they effectively concieved. Never easy for politicians, especially given how much good they did also.

But the concerns of GP's are very real and should be listened to. More importantly the future of our cherished health system - the NHS - is too important to trivialise and experiment with to satisfy huge ego's and the fleeting aspirations of here today, nowhere tomorrow politicians.

Nobody is arguing that the NHS is perfect and doesn't need to change. But what are we trying to change it to? Is everybody crystal clear what that change means? Are there unintended consequences which will actually do harm?

And should it not be premised upon change to improve services for patients (don't forget we are all patients) not just to save money?

Jury's still out for me.