Like death of a salesman, the consultant that can draw up 'plans' and 'powerpoints' without additional skills such as 'delivery' and 'Accountability' is dead, also referred to as the 'Seagull Consultant'. The layoffs in many large practices reflect just that, as the 'able' consultant is still billing the customer and has an endless supply of work.Least it looks like that from where I sit.Grrrrrr!