The strike of the nurses in Northern Ireland shows that healthcare staff in the NHS needs political (as well as monetary) support. The same applies to GPs in charge of CCGs, who have been denied that support since 2012. The solution is to persuade MPs in Northern Ireland to work together in hierarchy in Stormont, and councillors on HWBs in England to work together in hierarchy with GPs in CCGs in England. However, the local health budget (totalling £80bnpa) should be devolved to HWBs, and the CCGs should be their executive arms, by tweaking the Health and Social Care Act 2012. Do you agree? Please forward to leaders in the CCG.