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How does this tie with innovation. Knee jerk reaction of the way it was instead of thinking how we need to go forward. I agree a robust system is better than I am doing a shift. Everyone is more complex. Are we sure the skill set is defined in this new world. I have concerns if an OOH doctor is covering a community hospital. Why is always better to go to the patient instead of the patient to come I a unit? It doesn't have to be an A&E. People think different. GP's and their staff are under pressure.This has to be acknowledge. It is just that you don't see the waiting times because of the duty of care. How would the NHS react if the pratices start posting awaiting times or red alert days. It is unacceptable..If we are to improve the system the money must be shifted but if you are a foundation trust..that is money in the pocket. Also how many foundation trust have money in the bank but don't reinvest in the staff? Two sides to every story