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    Whether or not there is a reason for standards to drop with outsourcing has no impact on the fact that they do in practice. We have seen it with disastrous consequences in the NHS and are seeing it now with SITA. Contract reviews are clearly important and will go some way to maintaining standards, but in practice without the old team committment that exists when people are directly employed and managed by the organisation for whom they perform, standards drop. people need more than pay and sanctions to motivate them.

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