Could plans for NHS shake-up collapse? As winter approaches, NHS managers in England will be even busier than usual.
Handling the increased volume of emergency admissions to hospitals and juggling demands for beds will be as tough as ever.
On top of that will be a raft of meetings discussing the potentially most radical shake-up of health services in decades.
The sustainability and transformation plans (STPs) being produced in 44 local areas of England are seen as vital ingredients in the redesign of care to cope with increasing patient demand.
The plans will focus on trying to moderate that demand and treat more patients away from hospitals.
But there has been no denying that some of the plans will see closures of accident and emergency units and hospital wards, concentrating services on fewer sites.
The STP process has got off to a difficult start. BBC News
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