Like the facts that were thrown at the Dental Profession when Warburton Contracts had a queue of potential bidders, David Cameron extolls the enthusiasm of GPs to be part of the reforms, there are thousands of GP enthusiasts we are told.

When they study the Bill they will discover what comes with such responsibility, such as commissioning service using European Procurement and dealing with and paying for the legal challenges when it all goes belly up. Monitor will insist on competitive tendering as we have seen in dentistry since 2006. The forces to drive down costs and lower wages and questionable quality, should allow the CQC plenty of opportunity to expand.

“Legislation will allow competition to be forced on commissioners, even when they believe the best and most appropriate services can be provided by local hospitals” say the BMA, how familiar does this sound to the complaints of existing NHS Dental Practices for the last 5 years?

It gets more familiar when the BMA say “adding price competition into the mix could also allow large commercial companies to enter the NHS market and chase the most profitable contracts using their size to undercut on price”, Hamish Meldrum might as well be commenting on our recent experiences.

Let’s see how enthusiastic these GP consortia are when all this detail becomes evident to them?

I think the lawyers must be licking their lips.

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