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If the Trust board have been told that under all circumstances they must meet 100% of Clinical targets, and 100% of finnacial targets and all Trust in England must become an FT by 2009 and if not you will be sacked then they will prioritise the tick box culture that the SHA wanted.

If they are asked to provide safe and effective care and if you have finnacial problems manage in partnership across a region then that is something else but that was not the message from Ministers or DH or SHA, who should all hang their head in shame.