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Aren't Govt allowing licenced Commisioning Support Groups CSG's to take the strain if CCG's can't manage this task for which they have no real training or experience. The CSG's of course are private comercial enterprises, and will then be holding the reigns. As an aside: SERCO (private company) is taking over Eastern Region support sevices shortly. They don't have a good track record with staff. And they now run MOD, prisons and court services and several other previous public services etc. But they are cheap, mainly because they cut staff and corners. They TUP'd MOD civil servant staff over but I understand only guaranteed the pay and conditions for a year! I wonder if the monopoly commission is looking at how these large companies are taking over.