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‘Grim NHS spending forecasts mean free services may have to go’ (NHE, July 4)

If the NHS is to survive cost needs to be aggressively taken out. The NHS at the moment has absolutely no control at all of its suppliers having outsourced purchasing to DHL.

It needs to move towards open sourced software instead of taking the pain of learning the new Microsoft Ribbon. It needs to move back to generic products...you want a NHS hip replacement to get a Stanmore, Chandley orExeter(all out of patent and now cheap as chips). The NHS needs to drop its obsession with the ‘dangers’ of latex.

Health & safety means not letting a young lad die from dehydration; not worrying about if a mask has latex in its retaining band! But most of all it needs to stop employing bloody consultants at £1k per day. Only pay them when they actually produce something or better still have a central pool of NHS troubleshooters learning and sharing their knowledge.

The NHS will never retain capable experienced staff when they know they can swan off to PWC after 5 years and sell themselves back to the NHS (for a few meetings interface sessions) a couple of months per year.

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