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Bob Ricketts is responsible for a great deal of shoddy thinking with no evidence but this takes the biscuit. CCG are being "told" there is only one way we can not have a "choice" or an evidence based debate. Where is the evidence for the "private buy-in " model being successful ? Where is the VFM model that is based on any sense of reality comparison with what a good company spends to run a business ? None produced for any of these policies.

Sadly these ill-thought through reforms will increase transaction costs and put clinicians off leading "clinically led commissioning".

No one has factored in the now compulsory procurement costs for each contract renewal, never mind the potential legal challenges costs.

This is on top of the impossible £25 per head running costs policy from "no evidence" base policy drawer.

Then the real winner CCGs do not need access to patient identifiable information to do our job !!!!!

What is the point in trying when the powers that be are trying to stop you being able to do your job ? Contract management, 111 call reviews, risk assessment registers etc all to be based on bought in "clean" information? People will look back in three years time to wonder what the idiots were up to ?