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the Gatekeeper."You need one who says to me that we have a common interest in improving efficiency and that he or she understands I'm trying very hard but there may be some room for improvement.The Inspector should be able to give me the means to be more efficient.I need a helper, not a police officer, because efficiency is about learning-not rooting out 'bad apples.'You see, punishing 'bad apples' doesn't make the system work more efficiently, nor does it save much money!"The Gatekeeper paused briefly."There's another problem, too, because you cannot define my efficiency in terms of the number of poorly people I send to the Wizard or the number of spells I cast.To measure my efficiency you need to find out how, much healthier the people are as a result of what I do."5"Oh dear," said the King, "it all seems so terribly complicated.What shall we do, Minister?""Well, Sire," the Minister looked shifty, "we should keep quiet.In a few weeks' time we have to ask the people their opinion of us.We won't mention the Charter any more and we can tell them about our talks with the Kings in the lands over the sea." "Excellent, Minister," said the King.And what did the people think?That's another story.
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The new NHS. Budget holding: a step into the unknown.