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As someone in the middle of this transition, the prospect of CSS failing is absolutely no surprise - the radical nature of the white paper has been swept away by the centralist nature of remaining senior executives and civil servants to the extent that it now feels like trying to recite the lords prayer whilst being smothered

There is no management evidence in the world that cites major change can be achieved with the same managerial attitude in place prior to the change required - that aspect is the inherent weak link as these reforms are progressed - we will be saddled with a National Hotpotch Service promising everything, changing nothing but every tick in the box perfectly entered

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