TY - JOUR T1 - Text of a speech to be delivered from my consulting room chair JF - British Journal of General Practice JO - Br J Gen Pract SP - 228 LP - 228 DO - 10.3399/bjgp10X483797 VL - 60 IS - 572 A2 - , Y1 - 2010/03/01 UR - http://bjgp.org/content/60/572/228.abstract N2 - [Cue National Anthem].[Cue glossy consultation pack entitled The New NHS — Leaner and Meaner, signifying that the decisions are already made].‘In the time of the Brown Hole, it is our patriotic duty to allow Blighty to forge its recovery on the anvil of Reduced Costs. Indeed, it is nigh on 2 years since our cash-strapped Primary Care Trust, bless their silken socks, unilaterally re-negotiated our contract price. “Value-for-money” they pronounced to their adoring public while, behind our gagging orders, we mouthed “mismanaged fiscal policy” and waved hurrah. Let us then steel ourselves to continue exceeding all targets despite a … ER -