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How much management time and effort is wasted on spruious assurance processes.

It was when I, in the PCT, was asked by the SHA because they had been asked by the DH to provide the data that formed the evidence of how we had assurred ourselves that the data we had supplied to confirm that we had assured ourselves that the data we had requested from the Acute Trusts to support the Stroke Assurance Framework which assured everybody the the stroke strategy was being delivered was correct that I gave up fighting and just got them the data as best I could and started looking for a more meaningful job!