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The real issue is CSU's are not yet working properly and Bob wants no alternative in his "market" so their will be no choice but to buy in from "independent" specialist CSUs which will all go to market and Bob will be Director of one of the big 4 or 5 consultancy firms to run the market. Nice work if you can get it and sodd choice or best interest of the NHS.
The policy is set ( but with no evidence it will work) and this is about squeezing out the possible opposition or alternatives before it becomes a viable alternative to buying in !!