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One of our priorities must be to make best use of the money that we have. Well over half of all the CCG's money is spent on acute care. I believe that there is a lot we can do to reduce the use of accident and emergency services by patients with minor problems. Much more significantly, I feel that by changing our approach to the care of people in the last year or two of their lives would not only save a lot of money by reducing unnecessary admissions to hospital but also improve the quality of lives of our patients and their carers/loved ones. I would like the CCG to focus a lot more energy and effort into understanding the cultural basis for how clinicians and patients behaving in Lambeth. Once we understand this we will be in a position to change behaviour. I would appreciate other people's views.