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The focus has to be on improving public health so that people live healthier lives that need fewer health service interventions. This would divert resources away from secondary and tertiary care into primary care - perhaps based on a systme to fregular halth checks (lets face it, we are expected to go at least annually to the dentist or optician, but not for physical or mental health checks,whats that about? A lot of conditions could be nipped in the bud if caught early through regular check up and changes to lifestyle).