The King's Fund and BMJ debate: regulating for quality

I don't believe that increased competition drives up quality unless your are talking about a level playing field. When you have large private companies who are willing to make a loss to get a foot in the door in the NHS market place there is no way that public sector and NHS providers can compete with this on price. It is naive to think that value for money and quality go hand in hand as no-one would expect a bentley for the price of a trabby - both will get you to the same place but dont compare on quality.