If you’re getting more de-centralised management, then you’d hope to cut costs by being able to deliver specific services required, rather than a blanket approach. But I'm no expert either.
While you have to think that every penny that goes towards a non-doctor et al in a PCT, is a penny that’s not being spent on doctors, nurses, drugs, equipment and buildings.
Obviously clerical staff are necessary, but its worth seeing if there’s not a more effective way of organising the NHS, as its not clear whether we've got the vo9lume right at the moment.