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As CCG lead in a specialist area i cannot see in any of the published documentation any clearly worked examples of OLD nhs ways of working are going to be made better in the new system... Its all smoke and mirrors. FT provided diagnosis and treatment require community support for example from nurses and physio. how will this be provided in the "new order" when other FT will be providing those services...
Who defines the service specification by which trusts will be judged
Long term conditions have so many different parameters by which achievement can be measured

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