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Published: 10/02/2005, Volume II5, No. 5942 Page 23

Jamie Gillespie, trust programmes co-ordinator, unit for developing organisation and community, South London and Maudsley trust

In the run-up to the general election, all three major parties look set to use the usual mantra of 'weeding out NHS waste and pen-pushers to invest more money in frontline services'. Apparently they remain unaware of the very low management costs in the NHS.

I propose that, as an awareness-building manoeuvre, the NHS should refuse to contract any private sector provider with higher management and corporate costs than the NHS.