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I can't help but feel that the "spin" put on the work of PCT's and SHA's is a huge own goal for the government.

Calling people "red tape" and "bureaucracy" is insulting - scrapping PCT's and SHA's and wording it as such implies they have no value.
Yes, the NHS is not where it needs to be.
Yes change needs to happen - but what change management methodology are they applying in assuming insulting the commissioning teams - that are still expected to deliver the £20 billion savings over the next 4 years (3 of which will be before GP consortia take over) is seen as the best way to motivate them?

Bureaucracy and red tape exists – it’s in the system, but I am yet to find a commissioner who revels in it - it is a hurdle to everyone. The system needs fixing, but implying managers are personally responsible for this and tarring everyone with the same brush is not the way to inspire a team to perform.