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It's not that bad for me

Dr Paul Singer, a GP in Luton, believes the Evercare scheme in his area has been more successful than the national evaluation suggests.

The Department of Health cites the Luton pilot as evidence that second-generation schemes can cut admissions – and Dr Singer has started to see the benefits.

He said: 'I haven't seen the research showing it's ineffective. Locally there are indications that it's probably prevented a significant number of admissions for chronic diseases.'

The department said many of the Evercare pilots had not been 'at full capacity' during the national evaluation period.

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