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"The Shelford Group"......the utter pompousity of this ridiculous moniker says it all - elistist claptrap indicating we're most certainly not all in this together. Having had close experience of contracting with UCLH for far longer than I care to remember it has taken commissioners for a ride for years with its arrogance, obfuscation and total unpreparedness to partake in any kind of partnershp working - a contract signed pre-xmas has been cause for celebration. These Trusts suck in activity wherever they can and sod the consequences to the NHS - evidence the ridiculous increase in C2C referrals which is hampering commssioner attempts to reduce referral rates. If the DH caves in on this the message it sends regarding QIPP, Out-of-Hospital strategies, changing the settings of care etc etc is quite simply "don't bother!"