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  I agree with BarryW, and I am able to do that because I am not driven by ideology or sentimental attachment to ideals that no longer work. Yes, I am left leaning and proud of it. I am also a businesswoman, and happy to remain small because that is how I enjoy my own business, while supporting and developing much bigger businesses. But to lose opportunities for improvement because of an inability to re-evaluate the circumstances would be lunacy. My experience is that the public sector is unable to move with the times and ha spectacularly failed to learn any lessons at all. However, I know, personally, private and third sector health and social care organisations who function incredibly well, providing quality care and support with value for money - NOT cutting corners but spending money wisely, planning ahead, using resources effectively. To miss an opportunity to re-build our NHS because of dogma is ridiculous!!

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