Why should the NHS maintain a monopoly position allowing only existing GP organisations to compete for patients?

By all accounts Dr Clare Gerada, from the RCGP, is not just a good medical politician but also a first class GP. And one the good things about the reforms in GP services up until now is that very good doctors have been able to provide good services for more patients because they have won tenders to provide those services. The tendering process has ensured that the commissioners of NHS care have the opportunity to get the best services for their local people and it is through competition that this has been achieved.

Dr Gerada is one of the leading GPs in the Hurley Group. The Hurley Group provide primary care services across a wide range of very different communities. One of the ways in which they gain the right to deliver those good services is by occasionally winning competitive tenders.

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