Why should it publicly provided? NHS trusts are heavily bureaucratic and out dated and why should they be the only one to provide ever expanding and demanding heathcare. There are very many out there who could provide the same quality care with much better management and along the same NHS founding principles (free at the point of use). The whold world is changing including the British Parliment and over burdened NHS has not changed and this is the time to change. BMA should change modify its stand regarding this and aim to provide the same level of support to the staff working for the independant sectors so that they work with acceptable and comparable contracts and ensure they provide the same level of quality care. BMA should move away from these old and out dated principles and try to embrace the necessary changes required for the future.