Re: Pipe Dream
GPs make a profit on their time spent seeing sick people. Including the "worried well".
If a out-source can deliver as well as in-house (and that assumes all the bars - confidentiality, quality, responsibility - are met so it is genuinely like-for-like) for a lower cost then, given the fixed budgets of the NHS, it looks almost a moral obligation to put the work there to maximise return on taxation.
That doesn't mean there aren't hidden costs in the grander scheme for the government of the day to contend with. In moving to out-source are you making an NHS worker redundant, or freeing up their time for higher-return work. Are you replacing an adequately-waged job in a hospital with a barely-minimum-wage job somewhere else?