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Chalfie
"Commissioning" is so much bullshit and patient confidentialty/Caldicott seems to obstruct patients who clearly really need help/intervention being flagged as such.
I've seen records suggesting there are individual patients with 100's of A&E attendances in a year who seem to be using it as a hostel/accommodation and never does a CCG actually have enough info to query the £1000's of cost they are paying for or put them in the place they need to be.