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I am really puzzled and somewhat bemused by the lack of inclusion of the RCGP; it will be General Practice that makes this work, or indeed doesn't, that makes it really their party. "its my party and I'll cry if I want to" springs to mind, you can exclude the RCGP but if the government thinks it has had problems thus far - hang on to your hat, its about to get worse. The other thing that is puzzling is what message is this sending to the public - by the way electorate the people we have given control over the majority of NHS spend, because we think they are the best people to do it, we don't trust them to play nicely so we won't talk to them anymore. Grow up guys and get a grip.