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All the people advocating bravery here do so anonymously and make a whole series of statements for which they present no evidence and assertions based on personal preference - pretty typical of the cavalier approach NHS management takes to evidence.

It's the decision to train fewer doctors and pay them more than anyone else in Europe that is the reason for most of these changes. The benefits of quality and specialisation can be achieved with smaller numbers seen by most current DGHs for most medical conditions (STEMI and stroke excepted) and this is the case in Europe.