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Integration could transform our health and care services, argues one social care manager, but time is pressing and demand is constantly growing.
Our job is about more than ensuring fair play once decisions have been taken, we need to influence the big decisions themselves.
Dean Royles, director of HR and organisational development at Leeds Teaching Hospitals, calls for a more streamlined system to run the NHS in England.
With its population and NHS workforce ageing fast, Wales needs urgent action to boost skills and recruitment across health and social care.