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Dont you think a lot of this is about GPs and consultants and the way they interact with patients? If GPs and consultants, who are paid a heck of a lot of money, don't listen to patients then you're on a hiding to nothing with the rest of the machinery. The budget given to PPi is minuscule, yet GPs are now able to apply to the DES for more money to "involve" patients which consists of little more than a "survey". £1.10 per head which isn't ring fenced. A tidy sum for any practice.

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