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  Marek - as ever, good sense and from the heart. I cannot argue with any of your suggestions and wouldn't want to. Other than to say that the NHS actually needs good managers, and needs to scrap many of the frontline workers who are rubbish and recruit perhaps fewer but better nurses, doctors etc. The majority are shameful, there are a few decent ones. Cut out the dead wood including management, get in good ones: fewer, but better, pay them better, manage them better, attract better quality and make sure they deliver. Same for education.

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