It’s entertaining to see GPs suddenly realise that being given the power to decide how and where money is spent on health care in the UK is tempered by the fact that the buck stops with them.

Yes, boys and girls, you get the honey pot but you also get the sticky hands from holding it – and all that sticks is not sweet.

The days of palming off tough decisions on primary care trusts are coming to an end as trusts wind down in anticipation of the transfer of power to GP consortia in 2013.

It will, for the first time, see GPs collective head firmly above the parapet as primary budget holders. Break out the tin helmets and flak jackets.


The general public seems blissfully unaware that the Conservative, sorry, Coalition Government is privatising the National Health Service.

Health minister Andrew Lansley has agreed to the abolition of primary care trusts in favour of handing the financial reins to GP consortia by 2013. This train has already left the station.

I’m sure most people aren’t aware that GPs aren’t NHS employees but privately-run businesses that trusts pay to treat local people.

It would be naive to think that clinicians can’t be as self-serving and devisive as anyone else , especially when the Government has said that GPs who perform well will be financially rewarded.

So, we are giving these private businesses billions of pounds of public money to, no doubt, employ other private sector companies at the cost of thousands of NHS jobs and further line their pockets.

I’m not blinkered enough to see that there isn’t huge duplication and wastage in primary care trusts and their top heavy management structures but at least they were impartial and could impose performance targets on GP practices.

Margaret Thatcher must be putting on her glad rags and shaking out the blue rinse bottle at the prospect of David Cameron and Co. finishing off her handiwork. I can feel a 1980s revival coming

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