Debating the NHS reforms

A great debate but sad to see this lack of cohesion and forethought so far into the process of going forward with the reforms. There are some issues here though that are endemic and cannot be touched. The idea of a one size fits all reform will fail simply because of human nature and money. Whilst I cannot criticise any professional GP from wanting the best experience and income for themselves it by default leaves a two tier health service.
Patients in deprived areas with the most chronic ailments will suck the money from the new private providers not because the money isn't there for their care but simply because GPs wont take salaried roles in these areas or set up practices and the provision for care will be done on an agency and locum basis meaning poor patient continuity , lack of accountability and the GPs sucking the budgets dry through agency costs. This has never been tackled as you cannot enforce what people want to do with their own free will and is simply an acknowledged but overlooked defficiency in the whole of the provision of primary care. New contracts should limit the amount of locum time any GP practice can use to that covering holiday time or illness absence only - partners should pratice in their own surgery instead of topping up their salaries doing locum work elsewhere. This would force GPs into accepting salaried posts as the availability of locum sessions decreases and then you will get accountability and proper patient management in place at last on the front line.