BarryW.
"Tax avoidance is not a cost to taxpayers at all"
Margaret Hodge, the chair of the Public Accounts Committee, told ITV News: "I understand why they are tempted to go down this route but they are wrong. They should not be engaging in aggressive tax avoidance.
"I have to say the people who benefit from this are the accountants who have set up this system and they are taking money out of the NHS, out of direct services...and pocketing it and that is tax payers' money."
One agency said that contracts start and stop so often so often that "a lot of their doctors have 200 P45s".
It might be legal but it is not ethical.