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I have been working in and around the NHS since 1978. I have lost count of the reorganisations which I have experienced. But never has there been such lack of clarity, such lack of value of managerial contribution and such fogginess regarding the destination of travel. I have often reflected that if we were able to calculate the person hours/days/weeks/months/years which we have devoted to reorganisations over the years and spend that time instead on developing quality services we could have avoided some of the unhappiest moments of NHS recent history. Before last year's election it appeared that Mr Lansley thought so too ... how wrong one can be...at least I have the small satisfaction that I didn't vote for him or his party!!!