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    I am afraid that, even if good intentions are there, the shiny new government made up of pals is displaying its inexperience for us all to see and snigger at. If it wasn't so serious.

    I know the NHS sucks - there are some really good bits, and some really good people, but overall it sucks. But what are the options? Privatise (and we all know if we are honest that that is what Dave n Nick want) or Reform. Reform would be painful but honest - robust management, zero tolerance of waste and of poor practice. Privatised=budget priority and we should acknowledge that. A finite budget isn't a bad thing, it is a driver for excellence. It just needs to be managed properly by someone who understands the needs of the service. Not necessarily GPs, who have other priorities hopefully, and certainly not by heavyweight managers drafted in from engineering or the Post Office.

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