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By definition, most of the great and the good of the NHS are part of whatever problem exists and none more so than former CEOs. At least Lansley was prepared to challenge NHS institutional forces in the interests of better outcomes. That is not to say his programme could succeed but this group is more likely to deflect and absorb change than promote the relentless pursuit of improved outcomes we so badly need. Some perceptive individuals but perhaps too many records to defend and interests to advance.