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Dr Roche (cardiologist): 'You've seen the A&E presumably?'

Matthew Evans (New Labour MP): 'It's terrible!'

Carol Weaver: 'But it's being rebuilt. We had a second tranche of money from the NHS.'

Evans: 'I'm very interested in the difference health promotion can make, to avoid people getting these health problems and keep them out of hospital.'

Weaver: 'Certainly in cardiology a small change in lifestyle can make a big difference.'

Roche: 'Let's be clear, in an ageing population we are talking about postponement rather than eradication.'

Evans: 'One of the problems has been to put health promotion in a box over there, hospitals over there, and a great yawning gap in the middle.'

Weaver: 'Exactly...'

Vital Signs will be broadcast on Wednesdays, 10.45-11am from 15 September to 6 October as part of Radio 4 Woman's Hour.