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Anon 6:14pm "But the sad fact is that day in and day out people continue to have frustrating experiences of care - jammed GP lines, poor access, cancelled appointments, lost medical notes, re-referrals from one place to another"

All these parts of the system are run by the clinicians not the management structure. And their in lies the problem. Clinicians have got too used to been a law until themselves and until there is proper collaboration between the clinical and managerial sides of the Trusts not much will change. You only have to go back and watch the Gerry Robinson series when he failed to get the clinicians to engage and work properly with the management of the hospital how disjointed it all is