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  Peter, it has been a major issue since its conception, a political football used because of its importance to all. Sadly, whilst the politicions enjoy the point scoring the poor staff bear the brunt of the changes they make, both in patient care, service delivery and new guidelines, all costly. There are no easy answers but, in my opinion, those who actually deliver the services need to listen more to those on the recieving end, just as I would not dream of telling a mechanic how to fix my car I can still help him reach a diagnosis by informing him of the symptoms!

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