Buzzword: "Stand" (as in, stand strong, stand up, stand for).
As services stand at present this aspect of care is often neglected as health care professionals have other priorities and patients may feel ungrateful if they make demands on a service that is focussing on maintaining survival.
"I certainly think," he replies, "that as things stand at present, the party has adopted a narrower focus".
"As things stand at present, Noah will never be able to play contact sports like rugby, or box, or join the armed forces.
As things stand at present, the Americans head the league table of second world war allies, with the Brits doing credibly (with a few questions about a tendency to varnish the historical record) and the French emerging as heroic victims.
As matters stand at present, Israel, the US and the EU demand that Hamas accept Israel's existence, that it forswears violence and endorse previous treaties agreed by the Palestinian Authority.
I emailed Llewellin to ask if he would consider reinstating Haggerty but he replied that "as things stand at present, and to show the good faith and collective responsibility... bringing her back would be difficult - for the time being at least".
None of this can be reproduced by Mali's state health system, at least not as things stand at present.
As things stand at present, we trust to empiric measures to overcome this contraction of the muscles, whereas in reality mathematical precision should be used, in each special case.
As matters stand at present, the European Parliament would like to make the CE (European conformity) marking more effective because it provides guarantees of the safety of products and makes it possible to identify goods from non-EU countries.
With things as they stand at present, European researchers and manufacturers - who are often small and medium-sized enterprises - can neither grow nor hold their own in international competition.
