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“We can commission really well – it’s the bureaucratic stuff, the returns to the Department of Health, that will stop us doing what we do best.”

This could have been said by a PCT manager. The GP's are right about this but unfortunately bureaucracy is only something the Govt want the public sector bodies to stop doing, probably because they think it is somehow invented by PCT's. They didn't mean the mountain of meaningless beast feeding that they require on a tediously regular basis. The Govt will not have such an easy ride with GP's over their unreasonable demands - they will, quite rightly ask WHY?

However did they really think the DoH would entrust them with 80% of the NHS budget to play with (sorry commission with) without micro-managing their every request for a post-it note?

For intelligent, bright people they perhaps need to get out more - no such thing as a free lunch in the fraught world of healthcare i'm afraid Dr. Be intereting to see the winner in this one.....my money would be on Messrs Nicholson, Lansley, etc. But a good fight to watch from the ringside!!!!