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Why don't we hear from David Nicholson on this - he is the Chief Executive after all.

Incentives for integration of health and social care services have been a no brainer since the 1970s.

What is needed is encouragement of local decision making instead of constant and ever increasing central dictats and arbitrary budget controls despite government saying that it encourages local decision making.

I can't think why any GP would want to engage with this.

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