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    The point was, chaps, that the old stuff is no longer appropriate because times change. Standards and integrity remain crucial, but the way we deliver and manage services and medicine will inevitably develop and change.

    Keith, not sure why "even" Bern agrees. My main driver in all of this is to improve and maintain quality services appropriately delivered. That will probably mean delivering them differently.

    Also, I am totally unclear about what Reg's post actually means......can someone help?

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