Grahame Morris, MP for easington, questioned whether the proposed white paper will work.
I have a small knowledge of GPs as commissioning consortia, though I'm only voicing my own opinion here.
The main strength that GPs bring is a long-term view. The GP as partner in an independent business is here for the long term (the salaried GP isn't - average tenure of a salaried GP is less than 2 years). The GP partner sees patient x and knows that decisions made today will affect the doctor, as well as the patient, for the next 10, 20, 30 years. So they make the right decisions. I'm sorry, but hospitals don't take this view because doctors and nurses move on. Sadly, PCT managers also don't take this view because they too have moved on to other specialities and other responsibilities. Independent GPs are best for patients, but they may not be the best at commissioning services.