It's madness not to give hospital consultants a significant role in commissioning. I recently suffered from a cancer so rarely seen in my age group that most GPs have no experience of it, and even the consultants that treated me don't see a case every year. My GP was great and referred me to the consultants as soon as the most likely cause of my symptoms was ruled out. Nicely demonstrating why we shouldn't be ignoring them.

I am not disagreeing with you, just pointing out that the aim is to have a purchaser/provider split. The purchaser is the GP consortia, the provider is the hospital. If you have a consultant on the commissioning board then they will be purchasing from themselves. (Think about the implications of that, especially when it comes to Competitions law, which is supposed to apply to consortia when the Bill is enacted) Of course, the solution to the issue is to get rid of the purchaser/provider split (and the internal market) but I doubt that Lansley will go that far.

So you think this helps Lansley. People who use it, doctors, nurses and virtually everyone in the NHS is against it, whilst, like vultures circling a corpse, people in the city and big business are all for it, eager to make their profitable pound(and milions of it) of flesh.....no Sh&* Sherlock!

Those in the NHS are scared of change and privatisation for the simple reason that they know the NHS couldn't compete.

Privatisation of the NHS is the only sensible solution, continually throwing money at the NHS isn't going to solve the solutions, Labour tried that and it failed.

The overwhelming majority of those working in the NHS see themselves as providing a public good, to provide healthcare, not to benefit those in finance.

"To the City, competition and choice are the main means of improving the quality of service and decreasing costs".

This statement assumes that 'the City' is remotely interested in improvement in the quality of service. It isn't. The only two words that matter here are 'decreasing costs' as that enables increased executive pay, fees and profits for the parasites seeking to enrich themselves at the misfortune of the chronically sick.

Oh and the 'throwing money' line is another old chestnut designed to implant negative connotations in the mind of the public. How about 'investing in the health of the nation' as opposed to 'throwing money' at a spiv based financial system that should have been left to perish along with the vultures within it.

Why am I surprised. There are two reasons why this is a statement of the bleeding obvious. Firstly, most in the City have fully bought into the "self-correcting" "perfect" market theories of classical economics, despite the fact that these theories repeatedly fail the practical test of predicting or describing the real world (rather than their artificaial models). Secondly, many will be looking forwards to the fee income to be generated in running what will, effectively, be provate medical companies

Interesting article, thank you, although phrasing this phenomenon in terms of a CLASS war/divide would be better than referring politely to a 'cultural' division!

Two words: Southern Cross. You cannot provide high quality care and expect to turn a profit

One business of how many successful care homes in this country?

So you ask people who do not rely on the NHS for healthcare, but whose companies will potentially make a lot of money from privatisation and "competition" in NHS services and they say they are in favour of Lansley's policy? Can you now tell me the religion of the Pope?

The view of most people would be that if 'the City' supports something you can be sure they main concern is whether there is likely to be any money in it for them, regardless of its use to the rest of us. On that basis - no the the privatisation of the NHS.

What next? Asking campires about how to run that National Blood Service?

Now I feel stupid. That's celared it up for me

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