Just finished a fascinating  meeting with GPs and I have realised something quite profound, the majority of GPs have no idea how commissioning is going to work.

I have said before that if I were a GP, I would be excited about the opportunities that the abolition of the SHA and PCT would present in order to enable me to 'think outside the box' in terms of the provision and service I would be able to provide to patients and the opportunities it would provide for GPs, to extend and enhance their own practice based skills. 

As you explain the reality of the NHS commissioning board for specialised services, the role of the Local Authority in the provision of public health and the opportunity the consortia will provide for each practice, its like watching the scales fall away from their eyes.

I am about to write an email to Andrew Lansley. GPs are enthusiastic and love the idea, but are short on information and explanation and that's something we need to address.The rest of my evening is going to be spent writing a speech for a conference fringe meeting on trauma care.