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This might hurt

The NHS is facing one of the biggest shake-ups in its history. In a time of austerity and facing a £20bn deficit, is now the right time —and are these the right remedies?

By Sam Knight   December 2010

“The man with the plan”: Andrew Lansley, secretary of state for health. Will his plans turn a health organisation into a health system?

Something is going on in the NHS, and most of us do not know what it is. Until now, standing at the threshold of a four-year winter of diminished public services, we have at least been consoled by the apparent stability in our health system. In October’s spending review, the £111bn behemoth was, with education and foreign aid, one of the few corners of the budget to win a slight increase. We have also been emotionally assured…

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