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I believe that many medical examiners have little experience of mental health issues, do not take into account any additional evidence from other mental health professionals, and do not seek supportive evidence from GPs and so on.
Those are good examples of boards taking a long-term perspective and taking account of double-running costs going forward.The Scottish Government has access to the budget exchange mechanism.
For example, the Dutch have introduced what they call reintegration agreements, which are in effect skills accounts that individuals can take with them.
Although that is welcome—if late—I hope that they will also take account of the survey that many members have mentioned that was carried out by the EIS, which represents teachers at the chalkface.