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In the centre of Bristol the commissioner opened a MIU in April costing almost a £1m in fixed cost via the community services contract, predicated on taking out the same value at the BRI acute setting. However, board reports confirm that they have yet to see anything like the associated A&E activity reduction in the BRI, nor is the MIU being taken up in full. Read: More capacity. More latent demand. More cost to the tax payer.
QIPP? ...
... Doh!

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