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  I am yet to be convinced that the P word is the best way forward. With healthcare, accountability and control matter, and Private healthcare organisations have different drivers to publicly funded orgs, although partnership working is useful. But yes, it is clumsy and ineffective as it is and needs refreshing. The entire structure from how nurses and doctors are trained and managed through to the funding streams for drugs and products and hotel services need to be finetoothcombed and completely re-grouped. This is not the time to tweak and plug gaps.

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