???? Wrote: ------------------------------------------------------- > Sounds like dogma to me. As Ms Kendall rightly > said it should be about outcomes not how it is > delivered. BTW Huge public services e > consistently been exposed as paying ridiculously > over the odd prices for goods and services as they > don't have the procurement skills, incentives or > culture to utilise their economies of scale. I'd > like less dogma and some more honest from both > left and right but until we have an open > discussion and when the reaction is 'close all > debate down' we get the status quo which won't be > fit for purpose for mid 21st century demographics > or practice. There is no dogma, just (imo) a healthy skepticism about how outsourcing services will lead to improvements. The evidence so far has been that public private partnerships have proved bad value for the tax payer. There are plenty of ways to drive further efficiency, ensure better management and incentivise the right kind of behaviours, without contract everything out. Besides, the point of posting that link was that actually, the current system is pretty efficient. I have to be honest, when i see Capita, G4s et al sending their contract negotiators into the health service, my first thought isn't 'oh this will lead to good value for the tax payer', but maybe I'm just jaded.