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I like anon 11.52's analogy of kittens tied up in wool. Does anyone even understand what it means, this idea of being 'commissioned by the NHS Commissioning Board on behalf of Public Health England'? And services for Children’s public health – Services for the under fives being commissioned by one lot, while those for children and young people aged five to 19 will be commissioned by another? What happened to central control of the budget to expand health visiting services?

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