NHS Confederation boss Mike Farrar says he wants political support in making 'tricky decisions' at a local level. The tricky decisions include closing hospitals, reducing the number of beds and making NHS staff redundant. He faces a fight. Few MPs and councillors will back decisions, however much they might agree with them, that would make re-election more difficult. It would take an MP of considerable moral fibre to face down a placard wielding electorate screaming for the local accident and emergency to be kept open.
Insulin manufacturers have responded to a report in BMJ Open that prescribers could have saved hundreds of millions of pounds by using human insulin rather than synthetic. They say human insulin is not appropriate for everyone and that synthetics offer great benefits.
And cancer researchers from King's College London have identified the cost of cancer care in the developed world as close to crisis. They say escalating costs must be countered with reduced use and more analysis of where savings can be made.
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