NHS: Should there be more competition for services?
18 August 2014 Last updated at 21:40 BST
Should there be more competition to provide NHS services like chemotherapy and care of the elderly in England?
And if contracts are placed with private suppliers who make a profit, does that undermine the ethos of the NHS?
Some recent large contracts are fuelling the debate, for example, one to provide cancer care in Staffordshire will be worth more than £1bn to the winner.
Hugh Pym reports.