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Did anyone really think that Nichloson and his cronies would actually pass control to GP's and other clinicians ???
CSU's are not working properly and certainly do not offer VFM - they still haven't grasped the concept that they are the supplier NOT the customer and until they do they won't be an attractive proposition to CCG's.

Lansley's reform was disturbing in the speed of implementation but it is difficult to argue the case that the NHS shouldn't be clinically led?

The problem you have is that there were a lot of arrogant people in the NHS who think that nobody knows better than they do and all that has happened is that the reorganisation has just moved them to a different place or given them a different title - if you are going to have revolution and not evolution then do it properly and clear out all the dead wood not just move it - the continuing scandals that keep hitting the NHS are evidence enough that it is time to do so - yesterday's news from CQC is a classic example -name and shame those at the CQQ who covered up the failings