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Hello Cassander, previous poster here. Yes, that's exactly what I think. I know it's cynical, but it seems to be what's happening with so many other things (people who transfer across to services run by e.g. Serco) - although I know there're proposals out re preservation of superannuation and other T&Cs, but there's nothing substantive in law to protect them. Given the hysteria over privatisation, I think it'd be a brave company and/ or Minister who subs out CSSs but then it could all be part of the manager bashing drive....... And may even be a political tactic to suggest "we're giving GPs support from X to make sure they succeed".... Perhaps being so prescriptive about management costs is also a driver (which begs the question what firm will eye commissioning and think "profit" rather than "headache"). Barbara Hakin and others have been quiet on the subject of FESC2 but perhaps this could be back on the agenda again?!