Now! It is quite simple really!!!
It is very much like giving children the mortgage and meal money and that they buy primarily from mother, food, washing and accommodation. But then, there is no restriction on buying food from AQPs: other mothers, fish & chip shops, supermarkets and even McDonalds. What if the children sleep over at friends: is rent deducted.
They just cannot see it, can they?
But wait, they dream up something new: patient must get better or hospitals will not get paid. They called it:
Outcome based commissioning
But, hang on some patient will die; and not every child will get As unless we fine the schools too.
Perhaps that too.
That would be too simple.