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As a CCG Clinical Chair I feel totally let down by Andrew Lansley's comments.The patients in my geography die 10 years younger due to CHD than the neighbouring more affluent areas and all the public data points to depivation, obesity and smoking as being the underlying causes .As a CCG lead I finally thought we could make a difference in this, but not if funds will be going to other areas just because they have older patients .This will just perpetuate the "inverse care law" and increase the inequality I see .