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The NHS senior management and politicians continue to run a National Hospital Service and the Shelford Group epitomise the problem. More money via PbR for more activity at average national price based on reference costs: what more can one ask for as a hospital when the rest of the healthcare system is losing funding and the hospital gets paid for every admission and contact and the rest have less money and no co-operation for FTs trying to make a margin.

What has the real NHS come to ???? Give acutes a better deal and carry on "Liberating " the NHS !! Bring it on - the end of the NHS as we know it.