Interesting perspective on the future direction of the in England and I think I agree that there probably is a hidden agenda to move to some form of payment for physiotherapy. NHS may give immediate in-patient care, but OP may move to voucher system with limited supply in NHS and top up from independent sector. Of course this goes totally against the NHS ethos of free at point of care. I see parallels with the changes in Canadian Healthcare. Does a member led organisation have the business skills to analyse the wider environment and make strategic decisions wthin the timescales within which private sector work? Members should be lobbying their MPs to ask questions in parliament about the hidden agenda.