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He really is not stupid! I would say cunning rather than clever or smart. He knows very well Andrew Lansley would give him short shrift when the Conservatives come to power. Another rat leaving the sinking Nu Labour project.
Embodies everything that is wrong with the NHS. A 'high-flyer' who has risen with meteoric speed through the NHS 'fast-track' management scheme. Has no experience of anything except the Alice in Wonderland of NHS finances and organisation. He figured out right at the beginning that there were 2 paths in life: the honest hard graft and the sheltered, cosseted life of an NHS mandarin. Actually - maybe I am just a bit envious.........