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    there are ways of making saving and improving efficiency that don't need politicians just health top brass to earn their money.

    when i had reason to have a colonoscopy, i had an appointment with a consultant that explained what it was all about, was given a leaflet that answered any possible questions, a few weeks later i had a consultation with a specialist nurse for an hour that went over the same things.

    i was then sent a letter telling me how to prepare for the procedure telling me yet again all about it.

    when i arrived at the hospital a nurse took me throught it all again, when i went in to the room the technician then went over the same rigmarole.

    the truth is i did not even need telling once, i watched a video of it on the internet.

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