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Mr Lansley insisted that the NHS was delivering efficiency cost savings and improvements for sufferers following a warning from MPs that the overhaul of the NHS can be hindering initiatives to slash wellness spending without cutting essential solutions. But she said the bill still remained deeply flawed and that attention would turn to clauses coping with plans to improve competition when it returns to the Lords next month. They expressed concern at the lack of a chain of accountability that would allow the service to be fragmented as different sets of doctors followed different approaches and the part of the personal sector expanded.