[Margaret Pilkington]

Hooray Lettie, common sense from someone who knows exactly what they are talking about.
You have said everything that I think about this hare brained idea.

I would also cut costs by using patients own medications...by that I mean anything that the patient was on before coming into hospital should be brought in with the patient and used as if they were in their own home, with the hospital only supplying any additional medicines that their condition requires, as a result of a new diagnosis.

I would make drug companies fight for contracts by reducing their costs to the hospital.
Likewise the companies who provide other services to the hospital...dressings, needles, syringes, IV lines...surgical instruments...they would have to prove that their products were cost effective.

I would ban anyone who had children already, from accessing IVF/fertility services unless they were prepared to pay. Not having children is not a terminal disease.
Reversal of sterilzation, both male and female would have to be paid for.....no
exemptions.
Anyone attending the Accident and Emergency unit in a drunken state, or with injuries or illness provoked by their alcoholic binge would also receive a bill for their treatment...and those who didn't pay would get a visit from the bailiffs.

Asking GP's to manage the NHS is, in Dave-in-Germany's words.....giving the Monkey the key to the Banana plantation......and you would never ask a barber if he thought you needed a haircut...would you???