The plea for more freedoms as to how the third sector spends its money is heard and understood - I spent some time working for a charity and understand where it's coming from. It does give potential to innovate. However, there have been equal pleas from third and independent sector alike to be treated on a level playing field to NHS providers when it comes to NHS procurement (something which recent DoH procurement guidance and policy announcements have endorsed). This level playing field will almost certainly involve commissioners (of whatever shape and form) in their contracts being more restrictive about how they want their investment to be used. That's perfectly reasonable.