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    Reg is your man for that information David. My understanding is that by fragmenting services and delegating responsibility to various "service provision and commissioning groups" the decisions on spending and the monies available can be better monitered. In practice, it dont' work!
    Another layer of burocracy is created, time wasted on self congratulatory meeting and overall management is lost.
    One of the best consultants in this area is due to retire, I worked with him to raise awareness of the gaping holes in local maternity services. He is the most honest and direct man I have ever met, respected by both managers and nursing staff, believing in cutting thro' the cr*p and dealing with those delivering the service directly.

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