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Planning and doing – one of the problematic schisms within NHS culture.

Health care is essentially a very practical activity. It involves patients paying attention to the detail of looking after themselves and taking the drugs that they have been prescribed. It involves medical professionals carrying out diagnostic tests and working with patients that are experiencing pain and distress. The vast majority of NHS staff and patients experience the NHS as a very important set of practical activities.

Most of these staff are right to believe that this is the core of health care, and the core of the NHS.

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