The "any qualified provider" model provides a sensible, cheap and efficient way of driving small scale innovation, says Ricketts, while wholesale transformation needs a completely different approach.
Patient choice, payment by results and any qualified provider.
That's what competition from AQP [any qualified provider] does," said one leader, echoed by others.
A controversial element of the bill to allow "any willing provider" will be changed to a "properly qualified provider".
Nor, actually, did it mention the effect of GP commissioning or the opening of NHS services to "any qualified provider".
By opening every NHS corner to "any qualified provider", the whole service can be taken over by private companies, with a few token charities and mutuals.
Under EU competition and procurement laws there is no holding back the right of "any qualified provider" to cherry-pick any service.
Later, further specialities may be included under the "any qualified provider" provision in the Health and Social Care Bill, raising alarm about the privatisation of the health service.
Opponents of the concept of "any qualified provider" say it represents privatisation of the health service, while others insist it will galvanise the NHS to raise its game.
Bank regulation has been kicked into 2019 – political neverland: in a trice the entire NHS is put up for tender to "any qualified provider", but banks get seven years to "prepare" while they lobby against already weak reforms.
