▁against ▁the ▁internal ▁market , ▁but ▁did ▁not ▁abol ish ▁it , ▁though ▁Tony ▁Bla ir ▁told ▁the ▁Labour ▁Party ▁conference ▁in ▁ 1 9 9 9 ▁that ▁the ▁dread ed ▁T ory ▁internal ▁market ▁was ▁finally ▁ban ished ▁for ▁good . ▁ ▁It ▁ ▁introduced ▁primary ▁care ▁groups , ▁which ▁were ▁soon ▁converted ▁into ▁primary ▁care ▁trust s ▁— ▁" there by ▁univers alis ing ▁fund hold ing ▁while ▁rep udi ating ▁the ▁concept ." ▁▁ ▁Julian ▁Le ▁Grand ▁was ▁one ▁of ▁the ▁chief ▁pro ponents ▁of ▁quasi - mark ets ▁influen cing ▁the ▁Bla ir ▁govern ments . ▁ ▁The ▁fundamental ▁concept ▁was ▁that ▁patients ▁would ▁choose ▁between ▁different ▁prov iders , ▁money ▁would ▁follow ▁the ▁patients ▁and ▁so ▁the ▁best ▁hosp it als ▁( there ▁was ▁never ▁any ▁choice ▁of ▁community ▁health ▁services ) ▁would ▁prosper . ▁ ▁It ▁was ▁never ▁explained ▁what ▁would ▁happen ▁to ▁the ▁less ▁successful ▁institutions . ▁ ▁As ▁Kenneth ▁Ar row ▁explained ▁in ▁his ▁famous ▁ 1 9 6 3 ▁paper , ▁Un certain ty ▁and ▁the ▁W elf are ▁Econom ics ▁of ▁Medical ▁Care ▁ ▁" A ▁compet itive ▁health care ▁market ▁is ▁ground ed ▁in ▁the ▁expectation ▁that ▁some ▁hosp it als ▁or ▁sur ger ies ▁will ▁go ▁b ust ". ▁No ▁hosp it als ▁did ▁go ▁b ust , ▁and ▁only ▁a ▁minor ity ▁of ▁patients , ▁mainly ▁those ▁need ing ▁elect ive ▁surg ery , ▁were ▁in ▁a ▁position ▁to ▁exercise ▁choice ▁between ▁prov iders . ▁Furthermore , ▁as ▁Ar row