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It is pretty harsh to blame the NHSD too much They were trying to compete with a wide variety of interestingly cross funded 111 offerings, plainly had no whitehall support to manage a very tricky transition of some services, thier own demise, and a complete lack of support for them as an orgnsiations. In short it was the orphan of the 111 debacle, which now looks likely to become the whipping boy !!