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One of Mr L's fundamental errors in all this is i thinking he can abrogate responsibility for any part of the NHS. Does he rally think that, following this redisorganisation, he can pass the buck to GPs, Natn'l Comm Brd, LAs, PHE, third sector, anyone else passing by? When things go wrong, he will find that the buck will wend its way back to him. He will also find it harder than he seems to think not to intervene as things start to go awry.

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