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McKinsey realy makes sense doesn't it? Lets get rid of the senior clinicianns in the NHS. The ones who really understand the patients and the medicine, but who are not so easy to push around. The ones who are generaly the most cost effective and efficient; the ones who still have a sense of ding a professional job; the ones who have survived the machinations of those who constantly strive to deprofessionalise by constantly dumbing down the service with their tick box approach and forms in triplicate.