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Answer to above is no, otherwise CQC wouldn't need to exist. I think anybody can spot what is worng with this scenario: local decsions, made in Whitehall; money follows patient, but patient need dictated by commissioner; patient choice, but services commissioned by professionals. It is totally incoherant as a model. Central Control and monitoring - fine. Local commissioing, local targets - fine. Patient choice - choice drives quality - fine. Mix and Match - doesn't work.

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