Private Firms will be given a new advantage over public bodies in the race for millions of pounds worth of NHS contracts.
From April this year every service outside a hospital will be farmed out in 18 month contracts.
Clinical commissioning groups (CCGs) with around 30 staff are supposed to replace Primary Care Trusts with about 700 staff.
The spin was that this would allow them to commission services based on local needs. But they will have too few staff to do the actual commissioning.
So Commissioning Support Units set up by the government will do it instead. CCGs, with an elected board of doctors and nurses, will rubber stamp their decisions.
This means private firms can use the Freedom of Information Act to look at contracts and undercut the NHS. Private firms are still exempt from the Act.