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Anon 4.37, us old lags who can wallpaper our houses with all the different headed notepaper/ different names/ logos and whatnot over the years know that any reform is just down to your resilience. If you get fed up and leave, you might miss out. But if you stay, ditto. There's no money for redundancies til the next financial year and we need to see if they'll have another MARS or if the cash will run out. CCGs might not want to take us on, or they may be made to. So the trick in all this is to make your own choices and not let others force you into them. If you want to stay in the NHS, dig your heels in, this is the worst one ever - if not, then start planning your new life. But don't wait for a stupid letter to run your life. It's going to be this chaotic for a long time.

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