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It is one of the most laughable letters I have ever received. Someone really should cost it out. We have undoubtedly spent hundreds of thousands and probably millions of pounds just to tell staff that the confusion over the health bill means we don't know what they will be doing in future, and accopanying that with nine factsheets that tell us nothing that we didn't already know which is that the new organisations are a confused medley of functions and high risk changes; and more, that the only reason the letter is going out at all is to avoid the embarrassment of failing a self imposed deadline (although they now have the embarrassment of a laughable letter to deal with). DH and La-La reputations continue to sink into minus figures ...