While working as an NHS consultant anaesthetist, I wrote about myopic short-term approaches to complex problems. Contracting out cleaning and catering to the cheapest providers led to surges in hospital-acquired infections and patient malnutrition, and so to increases in morbidity, mortality – and costs. Public finance initiatives to build new hospitals resulted in long-term debts and fewer beds. Targets caused distortion of clinical priorities: treating a hundred extra varicose veins within five weeks was more politically expedient than 10 urgent joint replacements.

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Independent Crossword

Professional links are a match made in heaven for career prospects

Business schools have links with specific industries and with certain local companies, so choose wisely, says Harriet Swain

ExxonMobil fights off call to invest in oil alternatives

Rockefeller-led shareholders urge world's biggest oil company to develop fossil fuel alternatives

Market Report: Brokers' concern spooks Barratt's investors

Barratt Developments, the FTSE 250-listed house-builder recently besieged by renewed rights issue rumours, hit a 52-week low yesterday after a pair of brokers spooked investors in the sector.

Leading article: In search of some wind in their sails

Shell's decision to pull out of Britain's largest wind farm project leaves our national renewable energy sector looking decidedly deflated this morning. The "London Array" was intended to be the world's biggest wind farm, with its 341 turbines planned for the Thames Estuary. The scheme's designers hoped it would be capable of generating 1,000 megawatts, enough to power a quarter of the capital's homes. Shell had an equal share in the project with E.on and Denmark's DONG Energy. Now the oil conglomerate has put its stake on the market, the entire project is in jeopardy.

Exxon makes record first-quarter profit of $10.9bn

Exxon Mobil outdid its European rivals yesterday with record first-quarter profits despite falling production and growing problems in Nigeria.

Rockefeller's descendants tell Exxon to face the reality of climate change

Descendants of John D Rockefeller, America's first and biggest oil industry magnate, say that ExxonMobil, a company spawned from his 19th-century monopoly Standard Oil, faces becoming obsolete if it does not step up the search for alternative fuels.

Shell to axe 180 jobs in Scotland

Royal Dutch Shell Plc said on Wednesday it is to cut 180 jobs in Aberdeen and review practices regarding contractors, as it sells oilfields in the North Sea.

Johann Hari: I like to be informed – but TV's not helping

It's easy to forget as we bullet down the information super-highway, but 67 per cent of British people still get "most" or "all" of their news from the old-fangled flashing box in the corner of the living room. (And kitchen, and bedroom, and kids' bedrooms, and... hey! Put down the remote and listen to me.) But something sad is happening on that box. Politics – the democratic debate that determines our fate – is slowly, steadily disappearing, or being rendered ever-more useless. Where the top-ranking politics shows used to be, there is now a message: We're sorry if your picture has been disrupted. Normal service will not resume, ever.

Tobacco and oil pay for climate conference

The first international conference designed to question the scientific consensus on climate change is being sponsored by a right-wing American think-tank which receives money from the oil industry.

Exxon could face payout 20 years after oil spill

Just after midnight, almost 20 years ago, an unqualified crewman was at the helm of the Exxon Valdez super-tanker when it ran on to a reef sending 11 million gallons of crude oil spilling into the Prince William Sound.

Hayward to reveal BP's green shoots

BP chief executive Tony Hayward is this week expected to put the problems of a self-confessed "dreadful" 2007 behind him when he unveils the green shoots of recovery at the struggling oil major.

Exxon Mobil gushes past $40bn mark to set new profit benchmark

Exxon Mobil, the world's largest oil company, yesterday unveiled the biggest ever annual profit from a quoted corporation, breaking through the $40bn (£20bn) barrier for the first time.

Final bow for 'Stars in Their Eyes'?

Television show Stars In Their Eyes is reportedly facing the axe after 16 years on British screens.

James Lawton: Henry's conscience clear as he ponders final dangerous night in Arsenal colours

Half a century or so ago there was a summer in Spain when two great matadors, Antonio Ordonez and Luis Dominguin, fought mano a mano, hand to hand, with a simple, thrilling imperative. It was to prove who was better, who had the more sublime talent and the hardest competitive nerve.

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'To farm I have to rape the countryside. It’s got to be wrong': The true effect of the badger cull

The true effect of the badger cull

'To farm I have to rape the countryside. It’s got to be wrong'
Theatre review: Daniel Radcliffe gives an admirably honest performance in Michael Grandage's The Cripple of Inishmaan

First night: The Cripple of Inishmaan

Daniel Radcliffe gives an admirably honest performance in Michael Grandage's comedy
Girls Guides drop religious reference but pledge to self and the Queen

Guides drop religious reference but pledge to self and the Queen

After 103 years, organisation changes oath to welcome 'all girls, of all faiths, and none'
Steve Tongue: Joe Kinnear was one of the boys and a breath of fresh air... 21 years ago

Steve Tongue

Joe Kinnear was one of the boys and a breath of fresh air... 21 years ago
Chris Froome: Free from 'pain in neck' after Bradley Wiggins' exit

Chris Froome: Free from 'pain in neck' after Wiggins' exit

Sky's lead rider says he is in fantastic form for the Tour and happy pecking order debate is over
Hannah England: I've got the right times – now to focus on the chess

Hannah England: Keeping Track

I've got the right times – now to focus on the chess
Beards, brawn and body art

Beards, brawn and body art

Meet London’s new batch of male models
Scandi-geeks descend on Nordicana for fan-convention

Scandi-geeks descend on Nordicana for fan-convention

British love of shows such as The Bridge, Borgen and The Killing shows no sign of fading
Behind the rhetoric what is really being done to combat desertification?

The Great Green Wall of Africa,

Behind the rhetoric what is really being done to combat desertification?
Laughter Inc: the cheering growth of the chuckle industry

Laughter Inc

The cheering growth of the chuckle industry
The bad science scandal: how fact-fabrication is damaging UK's global name for research

The bad science scandal

How fact-fabrication is damaging UK's global name for research
To the manor born: The female aristocrats battling to inherit the title

Female aristocrats battle to inherit the title

A passionate protest is gathering pace among the women of Britain's aristocracy, who believe that men should no longer automatically inherit the family pile and title.
Love struck: Photographs of JFK's visit to Berlin 50 years ago reveal a nation instantly smitten

In pictures: JFK's visit to Berlin in 1963

Photographer Ulrich Mack accompanied Kennedy on the entire trip. The results are an astonishing record of a watershed moment.
Eat shoots and leaves: Mark Hix gets creative with fresh peas, mangetouts and sugar snaps

Mark Hix gets creative with English peas

English peas and their offsprings, such as mangetouts and sugar snaps, are great tossed into a salad, says our chef.
Ceviche with a smile: Chef Martin Morales has turned South America's elegant cuisine into one of London's hottest food trends

Chef Martin Morales: Ceviche with a smile

Morales has turned South America's elegant cuisine into one of London's hottest food trends