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A nation divided
  1. R J Cook,
  2. J Ronald,
  3. D K Pedley,
  4. W G Morrison
  1. Accident and Emergency Department, Ninewells Hospital and Medical School, Dundee, Scotland
  1. Correspondence to:
 R J Cook
 Accident and Emergency Department, Ninewells Hospital and Medical School, Dundee, Scotland; ronald.j.cook{at}tuht.scot.nhs.uk

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Corfield et al1 demonstrate improvements in door-to-needle time with a relatively simple organisational change. Other examples of innovation can be found across the country.2 Driving these changes in England and Wales is the National Service Framework which sets a standard of 60 minutes from calling for professional help …

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