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I'd love to know from the "well-placed source" just who the potential entrants to this market are and how on earth they're going to make ends meet - in London CCGs are looking to keep in-house up to £12.50 per head leaving v little for any prospective commercial organisation to bid for - and presumably they'd have to take on PCT staff who'd be TUPE'd over..? even if they find a way of getting out of that there's simply not the money to make it a viable commercial proposition.