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Tadalafil generico en españa y salarios del medicamento medico thespiano. Procesamentos de la técnica y los técnicos La método informa por ayuda de la Comunidad México: http://www.gmo.mx/ Image caption The BBC said it was a "major change" and warned its staff to not go into work the following day Thousands of nurses are to be affected by the closure of more than 10 maternity units across England by 2018, the government has confirmed. Nurses are being let tadalafil generico in farmacia go across 30 trusts to save up £40m. It said more Buy isotretinoin 5mg than 4,000 posts would go at the two centres of excellence for maternity care in Manchester and Sheffield. Unions accused ministers of an "absolute shambles" over the plans and described it as a "huge blow" to staff morale. The closure of NHS trusts means thousands maternity places at hospitals now are risk. In June, the government said almost 200,000 more women than in 2012 were expecting a baby during the next 15 years, but its figures have been contested by experts. The number of women receiving maternity care has risen from 6.7 million to 8.1 between 1991 and 2012, according the NHS Confederation. The government has now said that 2,834 full-time posts were at risk of closure because a failure to improve patient care or provide enough money to maintain facilities. The government said cuts, affecting 30 major trusts which have maternity services, would save £4.2bn a year. A "major change" to maternity services had led NHS England to put in place the plan to shut two facilities in the Manchester area of Greater Manchester. Under the plans, one of centres in the city will become a new unit called the North Western Manchester Maternity Centre (WNMC) and will have a separate maternity wing. 'Complete nightmare' NHS England said the two women's maternity units would be closed from September 2012, which would mean the loss of more than 4,000 jobs. "We have to make cuts improve our efficiency and support patient care through efficiencies," said Paul Farmer, NHS England chief executive, on Tuesday. Image caption The closure of two sites will mean that the loss of 4,200 staff "The two hospitals provide a key part of delivering that." In a letter to NHS England staff, ministers outlined what the NHS would achieve "while providing a safe and comprehensive maternity service". One union said it was an "absolute shambles" for the department which, it said, had failed to show how it would meet the commitments of 2012, let alone 2020. The union, Community, said "humbug" was a "complete nightmare for thousands of NHS staff - and their families" without the safety net of a maternity unit. A Department of Health spokesperson said this would mean there be "less time providing the high quality care which women so urgently need". Image caption The Sheffield centre already closed to staff could also close, a spokesman said But Unison general secretary Dave Prentis said: "It is completely unacceptable that the government has allowed this shambles which will mean thousands of nurses having to find new jobs." Unison General Secretary Dave Prentis said the closure was "the latest government failure in health". The NHS Confederation called it a "ticking time-bomb for maternity services" that would lead to an "unprecedented collapse in the provision of high-quality care". Shadow health secretary Andy Burnham said all health services in England needed to find more than £40bn a year in savings.

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