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Anonymous 12:40 PM. There was a system in place which could have done all you say in an evolutionary, rather than a revolutionary manner. If much of the huge increase in expenditure since 2000 had been channelled through that system, where would we be now? It was called GP Fundholding and it was triumphantly abolished as soon as NuLabour came to power in 1997. Roll forward to 2013 and we now have CCG's /CSUs etc. etc. Yet another attempt to create an internal market overnight. We have spent billions, nay trillions of pounds educating a handful of ministers and they still do not get it.