Those Private health care providers who bid for care of Chronic conditions within a pilot scheme will be doing so on a long term investment in other area's!
I personally think that these scheme's will be purely be based on 'Getting the foot through the door' no doubt we might see some improvements in our treatment, but I seriously have my doubts, any improvements will be to appeasement of the decision makers who give contracts out!
If we look at the history of the NHS and how they contracted out many different services to outside agents/organisations... Outcomes have been pretty poor, take cleaning contracts and flogging off their car parks, we've got dirtier hospital and excessive parking fee's! And the latter the hospital doesn't receive a income from, the using private sector to build hospital etc... What happen here, yes an initial minimal investment required but then tied into an contractual agreement that they will never own the building and an ever increasing cost! The only winner being the private provider!
Another thought, is that under the new NHS reform, their are a lot of other changes happening, such as in around 2014 NICE guidelines will go back to it's beginnings with no clout, as around 2014 what treatment we receive a group of GP's will decided what treatments they want to provide... This coming in depends on when the New NHS reform Act is passed!
And with the NHS reform act comes our NHS will no longer be answerable to the government, until now changes etc to how our Health Service is provided needed Acts of Parliament to change how it's run... Once the Act's gone through our health services is no longer answerable so can do as it's pleases, change how it provides our care as it wishes..
So yep, if the Private Health Care provider takes over our diabetic clinic's, it won't be long before they started heading it towards charging us for our care!