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If it's true that the good managers will move on quickly, it would be better to close down the PCTs sooner than 2013 rather than leave them to a lingering death doing more harm than good. PCT Non Execs. and chairs should be removed as soon as statutorily possible since it is difficult to see what continuing role they now have. Small executive transition teams might be given the task of managing the change locally, perhaps with public accountability demonstrated through reports to overview and scrutiny committees and public proceedings of SHA meetings. That way, timewasting rubber stamping can be minimised, salaries and expenses quickly eliminated and large parts (all?) of the Appointments Commission also closed down from an early date.