Like Britain's Tony Blair, and unlike traditional Latin American leftists, Lula's government has made economic stability the foundation of his quest for social justice.
Mr Akers said the best option for the Wye Valley NHS Trust would be for it to go into a partnership with a neighbouring NHS trust, especially one that had the financial stability of foundation trust and teaching status.
"This is a Budget to expand prosperity and fairness for Britain's families - and it is built on the foundation of the longest period of economic stability and sustained growth in our country's history, " he told MPs.