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I think a degree of insider-knowledge is required to put the Humana departure in perspective: The FESC process was a fiasco - a 500+page bid response document for those both bidding and and procuring to contend with certainly didn't encourage either PCTs or bidders to take interest, let alon take part in the process - and that quite frankly comes down to incompetence within the DH. Secondly Humana, produced an impressive bid to win the EoE business yet incapable of delivering the end product (Settlement & Invoice Validation) - due in no small part to the inability of PCTs to provide the data for Humana to crunch...and where does a significan proportion of that data come from? You've guessed it, GPs. So for Mr Phiiilips to say that Humana's departure is strategic rather than economic is mainly true - Humana is pulling out because it can see the writing on the GPC wall. If only Mr LaLa Lansley were so bright!