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The development of integrated services for patients may be being adversely affected by the passion that many feel for the forces that fragment NHS care.

2012 was the year when every part of the NHS that came under the powers of the new Health and Social Care Act had the duty to integrate services added to their statutory powers. In addition to the deluge of instructions to integrate, November’s mandate from the Secretary of State to the National Commissioning Board made it clear that he wanted the public’s money spent on the development of integrated services for NHS patients.

Given this one might expect that 2013 would be the year when, for the first time, extensive services for NHS patients would be commissioned and provided in a truly integrated way.

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