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“When GPs, specialist doctors and nurses are making the decisions, as they will under our plans, they will plan care on the basis of the clinical needs of patients and their right to access the best service, including the least possible waiting time.”

How naive....just who advises this man?

Please don't imagine Mr Lansley that GP's etc will not face the same pressures currently frustrating the work of commissioners, who in the main are doing a good job in difficult circumstances (which you and your cronies make harder each and every day) Assuming the BMA ever go along with your Health Bill, the ability to deliver everything Joe and Josephine Public hold dear at the same time as saving £20b over 4 years will prove impossible.