In tens, please (ten pound notes) <a href=" http://siulodarba.com/effective-project#thorn ">personal college essay help</a> Speaking at a conference on GP federations run by Newham CCG and the RCGP, NHS England deputy medical director Dr Mike Bewick said the NHS &lsquo;tore itself apart&rsquo; with the Health and Social Care Act reforms because PCTs were seen by former health secretary Andrew Lansley &lsquo;as a failure&rsquo;.