NHS is now four different systems

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Specializes in Advanced Practice, surgery.
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Specializes in Dialysis, Nephrology & Cosmetic Surgery.

Even locally there are different systems. Where I work we actually have patients from three different PCTs, so what is available in one is not provided in another and it gets very confusing. One has a home IV team who will cannulate patients another wants them cannulating by a hospital dr prior to discharge. One PCT has an energency re-enablement team - the other two don't. Funding for residential care / care packages goes to various panels. The social workers are allocated to patients according to where they live and have different referral criteria - so really the whole system is very disjointed even within the four systems identifed by the BBC news.

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