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Ah the great circle of NHS change .... many many moons ago as a CHC Chief Officer - and Community Health Councils were statutory bodies - I can recall the reality of this. CHCs that ran professionally, developed their members, worked with patients and the public, represented credible challenges and built constructive relationships could nearly always achieve improvements. Being a statutory body gave you practically no leverage as such. But we now seem to have reached the point that the only supporters of the bill are political supporters like the Cameron groupies who wrote to the Telegraph yesterday ... Everyone else has lost confidence in the bill, in what is now an incredible example of how to show that you can alienate all of the stakeholders, all of the time ...

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