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The publication of Supporting Research and Development in the NHS is of great importance to the medical research community and the health service alike - for the first time a comprehensive strategy is set out for the funding of research within the NHS.1,2 This strategy seeks to integrate and support constructively all interests within the context of the NHS research and development programme and the new NHS administrative arrangments.
The task force responsible for the report consulted widely. Although the NHS research and development strategy receives praise for its systematic approach to priorities and for its emphasis on getting research into practice, many policies in the NHS adversely affect the environment for research. These include pressures to keep costs down in the internal market, efficiency indices, shorter length of stay, and the reduction in junior doctors' hours. Medical schools are
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