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Sad to see Mike speaking out when SHA staffing gets threatened, but much less clear throated challenge about the running costs for the people who actually DO the job of commissioning.

SHA staff are clearly split between those who genuinely add value and those who add compliance and reporting costs to frontline commisisoners. It looks in the makeup of the local offices that we may have considerably more of the second group in the new 54 office 'middle tier'.

How will La la claim he has eliminated an entire tier of bureaucracy now?

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