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I agree with both the above commentators, it is not only the pace of change but the lack of explicit willingness of the GP community that remains the two biggest hurdles. PCTs are already coalescing as we speak so whats that all about e.g. a return to the old HAs.

Lack of will, lack of commissioning experience of GPs and a relentless drive to cut manpower in PCT closures are more than just hurdles!

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