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Something may have been lost in translation but there is no coherent narrative emerging from the NHS Commissioning Board. This interview does nothing to inspire or clarify.
Aren't FTs and their local membership supposed to shape their offer, and not the NHS commissioning board?
Doesn't the word "commissioning" imply shared mission - common purpose derived by dialogue not diktat?
And isn't commissioning supposed to reflect local deliberation and decision (within national standards), not central command and control?
Is the dominant NHS model to be collaboration between interdependent networks in a national system, or is it to be competition between independent providers in a marketplace?
Are we a National Health Service or a collection of English Healthcare Businesses? If the latter, we should be honest and adopt the new brand.
Could we please have a coherent narrative from our political and administrative leaders?
The service needs mentors not tormentors.
I was not alone in retiring early from NHS management because I couldn't function in an organisation that was not being true to its core purpose, its patients or its staff. It stifles innovation and turns a deaf ear to concerns about patient safety and financial probity. I, and others like me, might be persuaded back if there is a workable and ethical model with which to engage.

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