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the thing is that no-one has a clue how to achieve this scale of financial efficiency or even close to it, and that included PCTs even when they had a few staff, and now includes fledgeling CSUs, the King's Fund, the Nuffield Trust, Kasier Permanente, Mckinsey, even the great Roy Lilley, old Uncle Tom Cobley and all - basically whoever you care to mention - let alone CCGs knowing how to do it...the thing is that very soon the music is about to stop and our lovable, cuddly GP colleagues, so busy currently flexing their muscles, are about to be caught slap bang in the spotlight, with responsibility for coming up with the answer - and still they can't see it coming, surely the most blatant hospital pass any government could ever conjure up - let the sport commence..