One thing I am not clear about; who is advising the Health Secretary on the development of policy here? I am all in favour of the best provider regardless of background but the mismatch on integration seems to be being ignored. If DH is not listening to Kings Fund, Service Tsars or even established IS providers and BMA then who are they listening to?
Competition focuses the attention of the competitors on their own needs for survival and success. The needs of service users / service recipients are not perceived in their own right but become just another vehicle through which potential competitors can try to outshine each other. Surely runs counter to achievinh quality of care in health services?