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This separation of responsibilities is a direct consequence of the legislation, policy framework and organisation restructure. To feign surprise of the emerging collateral damage at this stage is deeply disingenuos.

Perhaps it would be more useful if Mr Flory could offer some advice to commissioners on the issue of

"How do we avoid a reference to the Competion and Collaboration Commission for including in our specification for GUM services requirements to provide HIV services which are outside our sphere authority and which have the effect of prefering the existing NHS provider"