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If there was a time when anybody should go out to the front line to appreciate a sense of reality, that there is a non-existent market in the NHS, it is now and it is Bob.
Until the NHS has a real market, allowing those organisations that cant "cut it" to fail and allows commissioners to act as commissioners, without the centre holding a strangle tight grip on commissioning plans these half baked ideas will remain exactly that - either let the market play out or stop pretending there is a market. Alternatively wait for the next strategy flower to bloom which questions the purchaser provider market ideology...it should not be long!