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russmeyer
Completely agree about new public management/internal market - vast amounts of money is wasted on administration, and this is what should be cut in the name of 'efficiency savings'. And yeah, it's not a matter of R vs. L so much - the previous Labour govt. did just as much to advance the management structures/reorganisations that we are reaping the (grim) rewards of now. However the current batch of Conservatives are a particularly nasty bunch who are hell bent on destroying the NHS for ideological reasons alone (Letwin/Refeood et al).
Regarding GP's they have actually been independent organisations since the inception of the NHS for precisely this reason - but you're right in terms of inept politicians/managers making short sighted decisions which end up doing a lot of damage in the long run.
If you want more insight in to this, I'd recommend checking out the videos of the debates from the recent TalkNHS event on the royal society of medicine FB page - super interesting and some good solutions too.