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Good luck with the Treasury, Jim Lad. The most productive and financially efficient sector by a mile is primary care - 25% increase in productivity since 2019 delivered with a declining workforce and only COL uplifts, and 80-90% all healthcare delivered for under 8% of the total budget.

Whenever McKinsey or Kaiser Permanente pop up to suggest vertical integration, the Treasury bats them down because it knows that no other model is as cost-efficient. Most modelling suggests you'd need a 25% increase in resourcing to deliver via vertical integration what primary care delivers now as independent contractors. You can dress it up as hosting or alliance working as much as you want, but what is suggested here is just vertical integration with another label.