Norman Lamb, Nick Clegg’s closest adviser, has become the first Liberal Democrat to threaten resignation over the coalition’s proposed NHS reforms.
- Abandon the 2013 deadline. He argued that the approach should be “evolution, not revolution”.
- Allow GPs to opt into consortiums, just as schools can opt to be academies.
- Retain “clusters” of PCTs to monitor the “performance management” of GPs.
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- Ban GP consortiums from taking decisions in private about how to spend NHS money.
- Totally rule out any competition based on price.
- Ban private companies from taking over commissioning and allow private health providers in only when it will not damage existing NHS services.
- Ensure the role of local government in the consortiums.
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