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age 65-74 Northern Anglia & Oxford areas bed closures British Medical Journal Classical economic clinical audit clinical outcomes clinical practice guidelines clinical practice plan Common Data Set community health service competition contracts data on death Department of Health district health authorities doctors drugs economic effective treatments efficiency and accountability elderly equity and efficiency evidence-based medicine Fabian Society figures fundholding GPs funding government's GP fundholders GP practices health benefit health interventions health needs health policy health spending hospital and community Hugh Bayley ineffective inequalities in health Labour government league tables lowest death rates managers ment million Nation strategy Nation targets National Audit Office National Children's Bureau NHS budget NHS Executive NHS internal market NHS resources Pamphlet population primary principles of equity prostatectomies published purchase real terms reducing health inequalities region shire counties social class South West Surrey Standardised Mortality surgery three fundamental principles treat undermined