GPs go through a lot of training, not only medical school, but also post-graduate GP training. Lansley wants to turn them into commissioners, which is a skill all of its own. Sure Lansley says that GPs should "lead" the process rather than do it themselves, but ultimately the responsibility for the commissioning will lie in the GPs and if, through their inexperience, the commissioning fails, the government wants them to suffer the "ultimate sanction" and be sacked.
Public Finance reports:
'The government must negotiate with the British Medical Association to impose the ultimate sanction on GPs who repeatedly fail to live within their means and fail to control their commissioning budget: they must lose the right to continue to work for the NHS,' says Danny Ruta, joint director of public health at Lewisham PCT and the London Borough of Lewisham.
Isit fair to sack someone for not being able to do something that they did not even say that they could do? This is why the NHS Alliance are asking for there to be a two tracked approach.