The point I made last week was that whilst the Government may have a reform policy (in truth of course what’s really exciting about NHS reform is that at the moment the government has several contradictory policies) it has lost control of its implementation. I have posted before about the contradiction between the Government’s story (that they believe in giving power to local doctors to make decisions) and the reality of what life is like for clinical commissioning groups under the National Commissioning Board.
The leaders of the National Association of Primary Care and the NHS Alliance issued a statement on February 7th which said that the experience of CCGs was more akin to suffocation rather than liberation.