Sorry Richard.....
I didn't take it as being set in stone. It's a document issued by Peter Rowe - Chief Executive, Ashton, Leigh & Wigan Primary Care Trust. It is still work in progress according to the document. An ongoing discussion.....not a directive.
As it is PCT's who are the 'bean counters' they are obviously looking for savings. It seems to me that much of it is what already happens, try the cheapest option first, if that doesn't work then step up to something else. So at present I don't see any reason to get to worried.
I think one of the options open to many is to complain about such things to their MP, Councillors etc. Give them something to think about perhaps. :twisted:
Ken