Back in April someone who was just about to start working for the Government on NHS reform asked me what the biggest risk was to their success. I said I thought it was clear. The biggest risk would be what would happen if the vast majority of those GPs that had once been enthusiastic about commissioning lost interest and walked away?

They couldn’t see this as a possibility. And over the last few months I have been surprised at how few people have given this any thought at all.