First time commenting, but I couldn't agree more. Who wants choice? What everyone wants is the knowledge that should they need NHS services, they will get a good, timely service from their nearest hospital/GP/whatever. By giving patients choice, you will end up creating 2nd tier hospitals where only the poor/vulnerable will choose to go because it's closest, while those with the means to do so will go further to the "better" hospital. The second thing of getting patients to rate their care is a joke. All of us that work in the NHS can say for sure that in the vast majority of cases you can do whatever you want to a patient as long as you are nice to them. If you smile and keep them happy you can be the most clinically incompetent practitioner in the world and they won't know or complain. On the flipside, clinically excellent people in a bad mood would get poor ratings from patients. I know who I'd rather have treating me. At the end of the day, the vast majority of the general public do not have enough knowledge to make informed choices about their healthcare or healthcare provider. That's why we're all in work.