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Integrated care is good in its self and so much the better if costs are reduced, but dont think it will solve the funding issues over the next 3 to 4 years and more likely to required front ended finance for what is likely to be a challenging programme. To become the centre of commissioning HWB board would have to change fundamentally and what little I have seen of Hertfordshire's is unimpressive. Labour needs to 'nuance' its proposals to have a practicable proposition for the next parliament.