Re: Will 1 April mark the beginning of the end of England’s NHS? Yes
The largest market based health-care economy (USA) is trying to move away from a fee-for-service model which has failed miserably. (1).
But here we are actively promoting that failed model.(2). The any-qualified-provider (AQP) model of the Health and Social Care Act 2012 would inevitably involve fee-for-service model since any other form of metric cannot be easily contracted.
So the next big idea for NHS, after the next general election in 2015, would be integrate the services that are going to be fragmented by the new health and social care act 2012 .
1. Schroeder SA, Frist W; the National Commission on Physician Payment Reform. Phasing Out Fee-for-Service Payment. N Engl J Med. 2013 Mar 27. DOI: 10.1056/NEJMsb1302322
2. Hunter D. Will 1 April mark the beginning of the end of England’s NHS? Yes. BMJ 2013;346:f1951
Competing interests: In addition to working in a large NHS trust and I also work in a large private hospital chain. I have no ideological opposition to private care.