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    The ratios may well be similar to what they were 30 or 40 years ago but I think you've answered your own question when stating higher expectations and dependency result in a higher demand for services than previously experienced. I suspect the NHS was better managed and relatively had more resources available to it in the Seventies than it does now. The NHS of today is under massive pressure and needs more investment from a Government with a political ideology to reduce funding for public services It also in my opinion needs more efficient and experienced local leadership and political leaders willing to make difficult choices.

    I personally don't see much changing any time soon.

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