As a manager, Alf Ramsey is like a good chicken farmer. If a hen doesn't lay, a good chicken farmer wrings its neck.

As GAO states in its letter, OMB did not advise agencies to withhold funds and OMB staff specifically instruct agencies not to improperly withhold funding in the case of cancellations.

The days have gone where the NHS could act as a secret society. It cannot operate behind closed doors,

I want to step up our drive to get more donors so that vital medical advances are not halted and people whose lives could so easily be saved with a transplant are not left to die unnecessarily, ... The overriding principle of all of this will be consent.

Eight million people carry organ donor cards in Britain and they need to have full confidence that they will be treated with dignity and respect at all times.

It cannot keep patients in the dark. It has to take patients into its confidence. It has to actively earn the trust of patients in life and it has to actively seek the consent of relatives in death.