Health Service Journal
Alastair McLellan
Stories with this category.
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CCGs face old fears with desire for change
8 November 2012
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Making integration happen
11 October 2012
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The alternative to centralisation
11 October 2012
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We must resist the siren voices to achieve pay reform
2-Oct-2012
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Reconfiguration fever
27-Sep-2012
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Forty wasted years?
19-Sep-2012
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Robert Francis should be the next CQC chair
11-Sep-2012
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After Lansley
4-Sep-2012
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The new NHS's greatest risk
23-Aug-2012
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‘Novel and contentious’
9-Aug-2012
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CQC chair must consider her position
1-Aug-2012
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Questions over Monitor’s role will be raised
1-Aug-2012
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The unplanned racist impact of reform
25-Jul-2012
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Is scrutiny of care poorer the further you are from London?
25-Jul-2012
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Tough choices await CCGs hoping to reverse GP referral trend
18-Jul-2012
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Stability trumps choice in the birth of commissioning support
11-Jul-2012
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Why so many vacancies? Time to stop the NHS talent drain
4-Jul-2012
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South London’s ‘failure’ leaves the big questions unanswered
26-Jun-2012
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Sharing responsibility may be uncomfortable work for medics
22-Jun-2012
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Leaders can help detoxify the BMA strike
19-Jun-2012
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Can light-touch Lansley really avoid the toughest decisions?
14-Jun-2012
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Public engagement with service information is key test of choice
31-May-2012
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Stop wasting money on innaccurate data
25-May-2012
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We should expect more questions than answers from good leaders
23-May-2012
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The data debate needs a dose of pragmatism
17-May-2012
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GPs vs MPs: the ‘new’ battle ground for a redesigned NHS
17-May-2012
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How many care scandals are we missing as reform rolls on?
9-May-2012
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The fairness debate will put health back on the front pages
3-May-2012
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The DH continues to dance around the issue of CCG freedoms
26-Apr-2012
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Agenda for Change was built for a feast. How will it cope with famine?
19-Apr-2012
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Commissioning board mandate must set out a clear vision
12-Apr-2012
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New NHS system threatens a tsunami of hospital mergers
29-Mar-2012
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Leaders must now give the NHS a sense of endeavour and purpose
22-Mar-2012
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HSJ…more for healthcare leaders
15-Mar-2012
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Experienced GPs and managers can give CCGs the best start
14-Mar-2012
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Out of CSS failure will come a ready-made market
9-Mar-2012
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The fate of unsustainable services is back in the hands of the centre
7-Mar-2012
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Failure to limit expectations is blighting NHS regulation
1-Mar-2012
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Are you brave enough to fail?
23-Feb-2012
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CCGs in the limelight as NHS reform row gets brutal
22-Feb-2012
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The Health Bill plan B is dead, but plan C lives on
16-Feb-2012
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Does the government really have a Plan B for NHS reform?
9-Feb-2012
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Government won't enjoy efficiency gained from public sector borrowing
9-Feb-2012
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Cameron's comparison to Blair only highlights the differences
9-Feb-2012
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The NHS deserves a better, more open debate over health reform
31-Jan-2012
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A weak private sector is bad news for the NHS
26-Jan-2012
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The complexity of competition rules creates confusion and risk
18-Jan-2012
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Ministers must slow down to avoid another Mid Staffs
12-Jan-2012
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Cameron is tending self-inflicted wounds
11-Jan-2012
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2012: what now for the NHS?
4-Jan-2012
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The mediocre will be the only losers if pay is reformed fairly
15-Dec-2011
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HSJ100: In a time of transition, power lies in David Nicholson’s iron grip
7-Dec-2011
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Don’t be squeamish: learn to embrace innovation
7-Dec-2011
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An unflinching framework in the face of relentless pressure
29-Nov-2011
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Make an ‘impossible job’ easier by following a NICE example
24-Nov-2011
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Less haste would have led to less waste
23-Nov-2011
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Maximum waits matter as much as minimum ones
17-Nov-2011
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Winners demonstrate the power of unity
16-Nov-2011
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Legal challenges threaten service redesign
11-Nov-2011
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Change is inevitable, but more confusion and conflict is not
3-Nov-2011
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Where are all the female clinical leaders?
3-Nov-2011
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CCG support vision will calm anger but spark controversy
19-Oct-2011
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Rewriting the rules of the blame game
13-Oct-2011
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Pension squeeze is another victim of inept NHS reform
13-Oct-2011
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DH chases up service changes with an undisguised urgency
5-Oct-2011
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'Only mugs work in commissioning’: tackling the management brain drain
29-Sep-2011
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NHS giants sound warning of acute financial turmoil
22-Sep-2011
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Clare Gerada ups the stakes in her fight to ‘save’ the NHS
14-Sep-2011
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Why caution on hospital failure still has its price
8-Sep-2011
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Fear of failure or staff fury may drive further job cuts
1-Sep-2011
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Rival factions fight for influence in Future Forum’s second coming
24-Aug-2011
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Distrust and pragmatism inform softly-softly authorisation plan
18-Aug-2011
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Getting clinicians to speak up is the real key to fighting poor care
28-Jul-2011
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Lansley’s defence of management cuts is disingenuous and dangerous
14 July 2011
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Transparency offers a chink of light in a dark week for reform
6-Jul-2011
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High trust, robust challenge and a firm grip are key to success
30 June 2011
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Save now, pay later: the pension cuts folly
30 June 2011
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Nicholson’s power is unrivalled – so is his responsibility to lead
22-Jun-2011
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The government’s changes will only delay the tough decisions
15-Jun-2011
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Reform changes may threaten what little progress is being made
8-Jun-2011
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The NHS must plan for a decade of austerity
1-Jun-2011
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The CQC is feeling the pressure as rising uncertainty takes its toll
26-May-2011
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Celebrate, don't denigrate: the case for management is clear
18-May-2011
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Service sweats over plans B, C and D as pause takes its toll
12 May 2011
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Benefits lost as C-word remains a taboo
11-May-2011
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Cameron phones friends to help answer tricky reform questions
5 May 2011
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PCTs are dead. Long live the PCT cluster?
27-Apr-2011
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Inquiry adds to the toxic reform mix
21 April 2011
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Straggling organisations set to slip into crisis
20-Apr-2011
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Andrew Lansley: an enemy of reform?
14 April 2011
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Imperial's problems are the first rumblings of a perfect storm
13-Apr-2011
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Why Andrew Lansley should stay - and why he might go
5-Apr-2011
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Action on the ground is proving as fascinating as Westminster tussles
31 March 2011
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Transparency tsar could spark a revolution
31 March 2011
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One more sign that we may miss the expertise of PCTs
24 March 2011
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Pay attention to the sound of the crowd
24 March 2011
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2013 has already arrived for some regions
17 March 2011
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Performance bonuses: a fair swap for public service pension reform?
17 March 2011
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Is Andrew Lansley 'screaming inside'?
9-Mar-2011
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MPs could teach GPs a lesson in prudence
3 March 2011
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Regulating managers will not resolve the issues they face
3 March 2011
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Alcohol harm is causing a nasty headache
24 February 2011
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Squaring the price competition and efficiency circle
24 February 2011
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Competition should never be first choice, but it could be best
17 February 2011
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If accountability counts, its value must be recognised
10 February 2011
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Local performance is the key to the future of the NHS
10 February 2011
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Is a narrative for complex health reform impossible?
3 February 2011
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The NHS might be being rewired, but its electricity runs to much the same effect
24-Jan-2011
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‘Brave’ Sir David stresses freedoms and delivery
19-Jan-2011
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Private sector takeover not as imminent as some may have it
18-Jan-2011
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'Conspiracy of silence hides true extent of poor GP performance'
13 January 2011
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'Now with 25pc more reason to believe'
13 January 2011
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Nicholson is master of all he surveys after surprise decision
20-Dec-2010
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'Lansley may play down his reforms' radicalism, but this does not involve big changes to his plans'
15-Dec-2010
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Battleship Lansley ploughs on through the fog of reform
9 December 2010
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Circle’s success at Hinchingbrooke is more likely to be cultural than commercial
1-Dec-2010
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GPs and government battle for custody of white paper reforms
25 November 2010
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HSJ100: Politicians and medics surge to power in the new world order
17-Nov-2010
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What Dorrell says matters, and his message to the NHS is clear
17-Nov-2010
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An American Dream we should believe in
11 November 2010
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Lansley accelerates his plans as Labour’s opposition falters
11 November 2010
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GPs stung by maternity services rebuff
4 November 2010
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The new mortality indicator suffers from mixed messages
4 November 2010
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NHS management challenge stays much the same, rich or poor
28 October 2010
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We need NHS managers to tackle the first financial crisis since 1987
20-Oct-2010
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Follow the leaders – or waste billions of pounds every year
14 October 2010
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The coalition’s honeymoon is in danger of being called off
7 October 2010
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Your idea could redefine the health service
7 October 2010
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Lansley acknowledges lack of readiness for GP commissioning
30 September 2010
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The NHS has too many hospitals - something’s got to give
30 September 2010
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The hurricane of protest over NHS pay can be calmed by honest debate
23 September 2010
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The health community remains doubtful of Cameron’s big idea
2 September 2010
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NHS spending debate focuses on the wrong type of consultant
26 August 2010
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The accountability of overspending GPs
26 August 2010
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Alarm bells sound as financial scrutiny falls victim to the cuts
19 August 2010
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Help shape the 2010 Hospital Guide
18-Aug-2010
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World class commissioning: this ridiculed plan might just be working
12 August 2010
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Free NHS Choices to meet public need
5 August 2010
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Under the radar guidance ends hospital closure moratorium
5 August 2010
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‘Heroic’ NHS managers get their due from friend and foe
22 July 2010
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Managers have been unfairly served by the rushed reforms
13-Jul-2010
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It’s public health, Jamie, but not as we know it…
8 July 2010
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Take a bow as HSJ scoops awards glory
24 June 2010
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We embrace NHS reform – but not the idea of a clinical takeover
17-Jun-2010
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Who will help GPs if managers are laid off?
17-Jun-2010
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Dangers of putting GPs in charge outweigh the rewards
10 June 2010
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We need the NHS Confederation – now here’s the sort of leader that it needs
3 June 2010
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McKinsey report: unthinkable solutions set scene for NHS cuts
2-Jun-2010
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20 questions the coalition must nail if its agenda is to succeed
27 May 2010
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Dare one step further and keep Lansley in post for the full term
20 May 2010
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NHS managers are not overpaid – but their rewards must reflect results
6 May 2010
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Elected PCT boards - we're not ready
29 April 2010
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National GP referral guidelines are needed to reduce inequalities
29 April 2010





