I don't think he's at all naive. Incompetent, yes, but not naive. His avowed intent is to destroy the NHS, which is why he was made Health Secretary. The BMA, like the doctors, has been attempting to find a compromise solution. They found one, too, which was accepted by the doctors, but not by Hunt.

A nominal charge for one is a crippling expense for another. Which, when you think about it, is why the NHS is free at the point of delivery.