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This gentleman must be living in another world. come and spend a week on a ward or with the community nurses struggling to put into place all of these mad schemes. GP's should keep patients out of hospital by using all of the resources in the community not just admitting because its easier to do so.
you cannot undo what has gone before in a short time it will take time to make sense of it all,
who wanted PCT's? what a scandellous waste of money. not sure GP's at the helm is a good idea, i'm sure they are dreading the enormity of the task.
my priority is patient care but do not ask me to compromise on quality to save money, put more into the kitty for staffing then you may save hospital admissions. put thought into planning before wrecklessly starting the plan and knowing it will possibly fail - integrated care?