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I only use the anonymous post because I am not sure what NHS England would make of an employee posting their personal views in work time (albeit at lunch time). I work at area level and am very concerned about the many changes in key personnel at what is now referred to as the national support centre at Leeds, NHS England. It isn't yet properly functioning as a single organisation. Also David Nicholson has resigned and there doesn't seem to be an obvious replacement who has the confidence of the clinicians and those managers who weren't one of the 10,000 made redundant as a result of this change