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The challenge comes in an unprecedented blueprint, drawn up by NHS England chief executive Simon Stevens and published today, which details the far-reaching overhaul the service will push through between 2015 and 2020 in order to relieve pressure on hospitals and GP practices and give patients better care.
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The destruction blueprint is considered unprecedented because of its timetable and the fact that it is taking place during a war.
NBC News reported late last week that the CIA is working up blueprints for an "unprecedented cyber covert action against Russia", and it sounds a lot like they're planning on leaking documents on Vladimir Putin, just as the Russians are accused of doing to the Democratic National Committee and the Clinton campaign.
Shadow chancellor Ed Balls used a speech in London to warn of "unprecedented" £70bn cuts under the Conservatives' blueprint, while Mr Cameron said a Labour government would lead to increased debt, borrowing and taxes.
Sound, and the city's biggest promoter, Blueprint, to discuss the genre's unprecedented growth and how producers cope with the dizzying cost of living.
But he added that NHS England was confident that the major changes outlined in October in its Five Year Forward View blueprint for the service's future, including an unprecedented build up of services delivered outside of hospitals, would help the NHS remain viable.
This week, six months into his new job and amid much ballyhoo, Stevens unveiled the Five Year Forward View – his long-awaited blueprint for revolution in the NHS at a time of unprecedented pressure and hitherto unseen austerity.
Their deep pessimism about the deal Stevens has made with ministers to secure the service's future – unprecedented improvements in efficiency in return for a major cash boost – shows they believe that the blueprint is unlikely to succeed because it is based on hopelessly unrealistic financial assumptions.
NORC Blueprint.
(Unprecedented insult?
In an unprecedented move, the Deputy PM will this afternoon take the extraordinary step of dissenting publicly from his own Government's response to the Leveson Inquiry's blueprint for the future of a free press in Britain.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com