A senior NHS England official has said vulnerable practices must ‘transform…or be allowed to fail and wither’, a leaked document obtained by Pulse and the BBC has revealed.Paul Twomey, medical director of the Yorkshire and Humber area team, made the claim in a briefing sent to NHS managers and GP leaders in the region. He said that NHS England is ‘no longer in a position’ to continue supporting vulnerable practices ‘irrespective of their willingness or ability’ to transform. The story, which was covered on BBC News at Ten, focuses on this quote from one NHS manager in the north of England, “vulnerable practices must either transform and deliver a quality service or be allowed to fail and wither by the system”. It comes as Pulse has revealed that a £10 million fund to support vulnerable practices announced 14 months ago has had very little impact, with many area teams having failed to even identify the practices that will receive funding. Read the full story here.