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In-Reply-To: <[log in to unmask]> Hear, hear. Since my conviction is that it is not cost-effective to make the NHS cost-effective, this one may run for some time before HMG gets the message. As you say, the NHSE has unfortunately lost sight of the aim of treating its patients, and would be much happier if it could eliminate the rounding errors in its spreadsheets. This sort of behaviour is usually the result of an organisation in terminal decline, but in the case of the NHSE probably represents an overdosage of management theory. Andrew -------------------------------------- Dr. Andrew N. Herd MRCGP GP, Journalist, and Medical Adviser to Durham Health Authority [log in to unmask] -------------------------------------- -------- Original Message -------- Memo #90475 (2389)