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As NHS management expenditure tightens, management consultancy costs are in the spotlight. The NHS is big business for the consultancy industry. We spend hundreds of millions of pounds a year on consultancy services. Over the next period, we need to ensure that as section 3.55 of the NHS Operating Framework 2010/11 states, external consultancy is “used only when there are no other options” and that every pound invested in consultancy support delivers a significant return. However, this doesn’t mean the demise of the consultancy industry in the NHS. In fact I believe that management consultants can play an even more effective role and help us get better, faster results. HSJ. http://tinyurl.com/yhadg3e