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This year's mandate will pile added layers of instruction on top of last year's operating framework for the NHS.

Last Wednesday the Secretary of State introduced his radical new idea of a draft mandate between himself and the NCB to the House of Commons. This mandate has 22 objectives which, in return for giving them the money, he wants the NHS to achieve in the next few years.

What was interesting about his statement is that he didn’t get to the mandate until page three.

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