GPs in England would be given a £60bn budget to buy hospital care for their NHS patients under a radical plan proposed yesterday by the Conservatives. The shadow health secretary, Andrew Lansley, said family doctors should get authority to decide which services would by provided at the GP surgery and which would be purchased from NHS hospitals, private clinics and therapists. GPs willing to see patients during evenings and weekends would be able to negotiate a cheaper rate from the out-of-hours service provided by walk-in clinics and NHS Direct, he said. They could also bargain with hospitals to provide services to suit the particular needs of their patients.
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