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In message <[log in to unmask]>, Paul Caldwell <[log in to unmask]> writes >Will someone please tell me what this means in practice? I haven't a clue. >Both thoughtful and sarcastic comments welcome. Aren't a lot of our present problems due to two systems divides by a common language? Take "confidentiality". DOH definition seems to be as in "commercial confidentiality" - BMA as in "patient confidentiality". Not the same thing.. Suggestion on "Primary Care Led NHS" - DOH "get all GPs to function as total purchasing fundholders, without paying any management allowances." this has the advantages (to the department) of being cash neutral, and laying all the blame for underfunding at the doors of the "purchasers". er anyone any ideas how the new pilot schemes - salaried GPs, employed by all sorts of organisations, even Unichem(accordiing to one freebie), - would fit into this? Where *did* I put my guide on early retirement? Mary Mary Hawking tel:01582 601289 (home) 01582 663218 (surgery)fax:01582 476488 (surgery) %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%