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There is a London problem.
Either the outer London hospitals close for the greater good of the teaching and specialist hospitals or London continues to receive additional funding to pay for their special contribution.
If the first route is tried then a lot of London MP's will lose sleep. It is strange that Conservatives find it difficult to maintain the privileges of the elite.
Personally I support the Sheldon Group recommendations. It will work, defer the problem until after the next election, and take the heat out of the smouldering powder keg.