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Asked if the Prime Minister had full confidence in Patricia Hewitt, the Prime Minister’s Official Spokesman (PMOS) replied absolutely. That was obvious from listening to the substance of the Prime Minister’s answers in PMQs earlier today. Patricia Hewitt was taking the hard decisions, which whilst not popular with certain sections of the medical profession in the short term, were laying the foundations for not just long term survival but also the long term success of the National Health Service. We had to move to a system that concentrated specialist services where they needed to be concentrated, and where medical technology and clinical practice were driving provision. Specialist resources should be concentrated where they were needed, but much more should be provided at the sharp end, in GP practises for example, where routine operations can be carried out at that level. Those were the decisions that needed to be taken for the long term success of the Health Service. Patricia Hewitt was driving that forward.
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