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He says: "Where the pressure comes on is when you are facing a reducing budget.
"You can't expect, with a rising number of frailer older people, to be able to manage this system safely on a reducing budget and successive governments haven't wanted to get us the people to face up to this".
Similar(57)
With a reduced budget the assumption was that it would be a battle for survival for Durham in 2013.
But Maria Foscarinis, executive director of the Law Center, said Congress has asked all government agencies to deliver a reduced budget this year that will likely not keep the HPRP program afloat.
The most difficult thing I've dealt with at work is … leading 12,500 people, as HMRC's customer contact director, and improving service quality on a significantly reducing budget — the same challenge facing NHS trust chairs and chief executives.
Both parties were proclaiming a devotion to reducing budget deficits despite the weak recovery.
Yet the Western world's policy elite somehow decided en masse that unemployment was no longer a crucial concern, and that reducing budget deficits should be the overriding priority.
Currently, organizations are growing and continuously improving their services while reducing budget in a competitive market.
Fiscal cliff refers to the impact of around $500 billion in expiring tax cuts and automatic spending reductions set for 2013 as a result of successive failures by Congress to agree on an orderly alternative method of reducing budget deficits.
The programme was scrapped by Education Secretary Michael Gove but partially reinstated on a dramatically reduced budget following an outcry from heads, schools and politicians.
The festival was, however, eventually given the go-ahead, albeit on a drastically reduced budget, and helped by a crowdfunding campaign.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com