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    No. He does not offer solutions or quick-fixes. What he does call for is a Royal Commission. I agree.

    There are three serious questions. How much the NHS should do, for whom and paid for how. Only once these parameters are agreed can you start designing a proper service, the present mess having grown more by mutation than by any design, which is great in evolutionary terms except we've never allowed the bits that don't work to wither and die.

    A Royal Commission is an incredibly wide-ranging and very powerful inquiry, which is why governments tend not to like them. Once started, they can’t be easily shut down. They are independent of government and are so in-depth, hearing from such a wide range of experts and interested parties, that they can run on for several years. And this is precisely what we need: a debate, once and for all, about what the NHS is for.

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