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  let's have a brief summing up here.
  
  dave and chums want to get shot of the primary care trusts that currently hold the purse strings.
  
  my understanding is that they manage things so that doctors, nurses porters etc can do their job.
  
  paul and bern(both been in the healthcare game for yonks) are saying about how vital the managers are.
  
  i might be missing something here but it appears that the managers from the trusts would get the elbow and our local g.p.'s would then hire them to do basically the same job.

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