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Mostly, outsourcing has matched the aspirations of the people who want to be accountants doing transaction-type work in a hierarchy that allows them to succeed as accountants.
It says:"The measurement of time-releasing savings requires adequate systems to be in place to capture and measure baselines, transaction costs and productivity outcomes."
How can we ensure that, while there is no abuse of the system, carers' rights are protected when the people for whom they care die? It is not always easy to predict when somebody is going to die or move into care, so it would be quite difficult to abuse the system deliberately.