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The sharp reality (and it doesn't need expensive management consultants to see it) is that, over the next few years, spending is going to be tighter and demand for NHS services is going to grow, mainly because of the increasing older population.

This will force some genuine efficiencies and also some real service cuts. Both will mean less NHS staff; but that is not good Political news just before a general election. So expect to see things fudged and unkeepable promises made.