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I have a significant concern here. Even if you ignore the conflict of interest that applies in terms of commissioning. Birmingham is a big City with 3 Acute Trusts within its boundaries along with the likes of the Royal Orthopaedic. Recognising that UHB is a state of the art hospital, If I am a patient of a GP employed by UHB, what chance do I have of ending up under the knife of a surgeon at HEFT or SWBH with better clinical outcomes.

I know GPs rarely exercise this power but the one thing you would hope as a patient is that your GP will act as your advocate and support you towards the best outcomes and Consultants available. What chance here?

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