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The sixtieth anniversary of the NHS should be used to unleash a wave of political and social imagination similar to that which drove the original concept of a national health service which was freely available to all. Geoff Mulgan, Director of the Young Foundation and former Director of Policy at 10 Downing Street, argued at a Fabian seminar that only in this way could we address the challenges posed by changing social demographics. The integration of health and social care, which had thus far failed to engage a public and political debate, he stated was "going to absolutely dominate politics for the next twenty years" and required an innovative approach that adopted "an experimental and evolutionary model of change".
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