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Plan B seems a sensible option given where we've got to in (pre-legislation!) commissioning organisational change. Retain the SoS duties as currently- too contentious otherwise. Then we need a calm, open, non-political debate about the appropriate role of the private and public sectors in a) commissioning and b) provision of services (which?) - not a hidden rationale with uncertain intent.
Unfortunately I know it's not going to happen - but it would be a far healthier and more mature approach than the current spun selective arguments and consequent disruption to the people who are trying to deliver high quality patient care in so uncertain and insecure environment.