Sarah Wollaston, Conservative MP for Totnes, who has been an outspoken critic of Andrew Lansley's NHS reforms in recent months, has written to the Telegraph outlining her criticism in perhaps their strongest terms yet. She is particularly scathing about the Prime Minister's claim to be 'abolishing bureaucracy':
"It is one thing to rapidly dismantle the entire middle layer of NHS management but it is completely unrealistic to assume that this vast organisation can be managed by a commissioning board in London with nothing in between it and several hundred inexperienced commissioning consortia
...In reality the reforms manage to be both 'top-down' and 'bottom up' but we could end up with the worst of both worlds... without some experienced guidance and continuity, the consortia are doomed to fail and will have to hand over their commissioning to the private sector".
Her full letter is here.