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    80 % of the NHS budgets are controlled by Primary Care Trusts and they allocate the monies where it is needed (in Dover this includes funding to the big telly but that is a whole other thread). Doctors who used to provide a health care service now work on payment scales in which basic health care advice is done on a pay scale. Advising patients to give up smoking earns them more than being on-call out of hours, actually taking the blood pressure of diabetic patients earns them more money and bonuses are paid for patients NOT sent to consultants. If we want better treatment it is most certainly the way payments are made that needs looking at urgently.

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