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Last week, Sir David Nicholson, the outgoing head of the NHS, added urgency to the message when he belatedly told us that the NHS faces a 30bn black hole unless it undergoes the kind of radical overhaul also advocated by Dr Hilary Cass, president of the Royal College of Paediatrics and Child Health, speaking on these pages

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Disclosure The authors declare that they have no competing interests in this work

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