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I received the October edition of the GP Bulletin, published by the Department of Health, and distributed to all GPs, this week. The top headline is '10 high-impact changes' and the article states: 'If implemented across the whole NHS [the changes] would create a quantum leap forward in patient and staff experiences, clinical outcomes and service delivery ­ and waiting lists would become a thing of the past.'

The article further states: 'One of the changes claims 25 million weeks of unnecessary patient waiting time could be saved by improving access to key diagnostic tests.'

Clinicians are bombarded with new ideas to solve the problems of the NHS, from a department that is becoming increasingly politicised, and I have no doubt that the phrase 'high-impact change' is one the public will hear a lot about from our political leaders in the near future.

Dr Christopher Jones

Poole

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