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Hear hear both of you.
Everything is a mess, and the prospects for imrovement are slim whilst acute trusts continue to centralise their services into their acute facilities whilst the community sector (that they picked up under TCS) are being denuded of staff and facilities.
Certainly a valid point about clinical commissioning now focused on GP commissioning, who will have little idea about how much acute/community services need radical overhaul to meet the vision of 'consultant physician.'

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