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30 years after Barbara Castle, the lessons ministers fail to heed

The NHS deficits currently preoccupying government are an unintended product of their own policies. Their increasingly frenetic and all too often evidence-free reforms have been funded by a fifty per cent increase in funding, with £80 billion now being spent on the NHS.

Healthcare is labour intensive, with 70 per cent of expenditure funding staff. The pay settlements in 2004 for GPs and consultants were exceedingly generous. The Department of Health’s bid for funding of t…

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