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Achieving financial balance is going to be no easy trick. Few health economies are going to be able to deliver within surplus or balance. Therefore deficits will either need to sit with CCGs or with providers. So if a plan to achieve financial balance is a pre-condition then it looks as if many CCGs may have to be authorized with conditions. What happens if a plan to achieve financial balance fails? Does the condition remain? Or will there be intervention? If there is CB intervention then will anyone have a plan by which to reverse a deficit without restricting access to patients. It will be interesting to watch how this unfolds!