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A Secret Dossier Predicts Major Changes At NHS, England

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The documents were compiled before Christmas, suggest that one way out of the current calamity would be to prevent young doctors becoming consultants.

Instead a lowly paid post, called a "sub-consultant," would be created.

A Department of Health spokesman told that NHS had to accept that change was ahead. "The NHS is at a turning point. In the past few years the Government has invested huge amounts of money, many more doctors and nurses have been employed, waiting times have been cut dramatically and patient care has improved.

"Over the next few years the NHS needs to consolidate improvements in patient care, reduce waiting times to a maximum of 18 weeks, respond to patient demand for care closer to home and to become more efficient in its use of resources.

"At the same time, growth in NHS funding will return to more usual levels and the numbers of staff employed by the NHS will stabilise.

"This work is at an early stage, and the ideas in the paper are very much what any health expert would be expecting the department to be considering.

"We have already been in discussion with unions and other partners on the issues and we will of course consult with stakeholders as the thinking develops. Some of these ideas will be dropped and some will become policy."
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