As the NHS in England faces the biggest shake-up for a generation, and with only days to go until new commissioning arrangements for NHS services come into force, doctors’ and nurses’ leaders are today (28 March 2013) calling on the Government to amend controversial regulations to make it absolutely clear how competition will be managed amidst continued confusion and anxiety about the changes. There are increasing concerns from doctors and nurses that competition will be enforced. The BMA and RCN say clarity in the legal framework is crucial, placing beyond doubt the limits of competition. Regulations laid before Parliament last month provided greater details about how aspects of patient choice and competition would operate under the Health and Social Care Act, which takes effect on 1 April. They were intended to ensure good procurement practice, but prompted widespread concern and uncertainty about the apparent requirement for competitive tendering for most health services. Altho
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