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For staff the most corrosive aspect of delay is the impact of uncertainty. Where does this now leave SHA and PCT staff? How can they plan their future in the promised new world. How can they make their future when it is so unclear? Can these organisations function effectively when the date of their demise is now effectively unknown? Will they need to start recruiting again? Can the new organisations be formed on different tracks and timelines when there is so much inter-dependence? How will commissioning staff transfer seamlessly to new organisations when some may be up and running years rather than months before others?
DN has been comparatively quiet during the pause but one thing is clear is that he is now in an even stronger position. Either as NHS CEO or as Head of the NCB, he will be relied upon by Ministers more than ever to steer the ship through uncharted waters on a dangerous voyage to a destination as yet unknown.