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    I will try to answer some of the above. Devolve services down to community level Gps decide what to commision as they are the perma link between primary and secondary care
    Get rid of the massive beaurocracy that is the PCTs
    Increase the power of Monitor to regulate foundation hospitals
    Build in more effective checks with real penalties to underperforming organizations
    Use local forums to drive Health Changes
    Use local bodies to try and reduce the divide between health and social care
    The rub is until this bill is in place no one is sure if the total effect of the legislation

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