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Surprisingly I find myself disagreeing with SJBurnell (nice ideas, but the big challenges are too 'here and now' for the moore philosophical approach) and agreeing with Clive Peedell.

The S75 regularion has the potential to more or less neuter effective strategic planning. It's what La la and the various hardline marketeers on the right wanted, since that mode of thinking feels the market will determine all. It won't, of course. Masses of individual market exchanges can never drive long term change in healthcare by themselves. It needs collaboration and co-operation and long term vision. But these need to start now, and Se&% could tie everyone up in competitive knotes and paperwork, sapping innovation, energy amd time.