If a government with over 400 seats and 4 years left to govern cannot summon the courage to level with the public on social care then I despair at the capacity of our political system to ever deliver the change we need.

So if the Home Office wants to reduce student migration numbers it needs to explain why it considers British families paying more for uni and/or the largest employer in many red wall towns going under is a price worth paying to reduce a form of migration that bothers no one

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You’d only have to do it every 3-5 years and very reassuring if normal!

Age adjusted cut offs for FIB4 would also reduce unnecessary referrals and patient anxiety

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