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But for the NHS the answer to an apparent conundrum is more obvious - cash or quality?
The bewildering succession of health service reforms has changed the fundamental governance and accountability arrangements of the NHS.
The extra funds being provided to the NHS give us a unique opportunity to improve.
To borrow a business analogy, the NHS has gone from a bull market to a bear market.
Unlike others in my NHS antenatal class, I never complained of sleep problems.