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Totally agree with colleagues above. The proposed models looks quite confusing. firstly who has overall responsibilty? is it the NHS commissioning board regionally or nationally, GPs or Local Authority? when does the DH through the Secretary of State intervene? how does the personalisation agenda that is currently being piloted fit into the overall agenda in relation to patient choice and control?

We have had examples of where gaps has led to huge clinical and governance issues such as Baby P, victoria Climbie and several thousands in Adult social care.
How will the S75s agreements and pooled funding work in the future?

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