I do not agree with the hon. Gentleman's assertion, or with Coopers and Lybrand, if the report supports what the hon. Gentleman says. General practitioners who do not elect to have practice budgets will still have freedom of choice on referrals although they will have to work more closely with their district health authorities than hitherto in deciding on referral patterns from their areas. As I explained to my hon. Friend the Member for Chislehurst (Mr. Sims), a GP practice that elects to have a practice budget will have much greater choice for itself and the patients and much greater control than GPs have had in the past over quite large amounts of NHS resources.