Commissioning of services counter-productive to partnership working
Difficulty within social care to know other providers as partners not competitors
Concern about audiology services going to AQP which may have a commercial interest rather than patient need. ie agressive marketing by a well known provider of specs.
Big charities creating a monopoly on services and gaining more funding through their lobbying powers and connections.
Voluntary sector organisations applying for the same pots of funding and undercutting each other to keep afloat.