To make the debate on NHS reform comprehensible, and the claims testable against evidence, what we need is some form of baseline scenario that explains the level of productivity improvement needed to keep health costs below double their present cost.
Goods deliveries to and from the county are delayed and improvement is needed for a sustainable future, they say.
In North Wales maternity care across three hospitals is expected to change after an initial review recently concluded improvement was needed.
Inspectors concluded that improvement was needed in a significant number of areas.
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Further improvement is needed in energy efficiency and reducing carbon dioxide emissions per unit of GDP, with carbon taxation preferable to emissions trading.
In fact, for some benchmarks deemed satisfactory there were warnings that more improvement was needed, or that progress was being made only with substantial assistance from U.S. forces.
As for the board itself, Sonsini identified numerous areas that needed improvement.
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Continued productivity improvement will be needed to compete globally, but these will depress employment in manufacturing further as they did in agriculture during the prior century.
AMs praised the government's cervical screening program however, Kirsty Williams AM leader of the Welsh Liberal Democrats, said that screening programs available to people in rural areas still needed improvement.
Mr Burnham added that "systematic improvement" was needed to enable the government to fulfil its pledge of establishing a "national care service" to provide free personal care to elderly people in their homes.
Over the past decade there has been growing international agreement that the system for linking science and policy in the area of biodiversity and ecosystem services needed further improvement, resulting ultimately in the process for creating an Intergovernmental Platform on Biodiversity and Ecosystem Services (IPBES).
The reinforcement of the values of continuous improvement and radical transparency will be needed to achieve preeminence over efficiency.
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"It's the kind of continuous improvement of technologies that's needed, " Shellenberger said.
"Although improved, the university's financial health still remains precarious, and further efforts are needed to ensure that the improvement continues, " it said.
This improvement means that smaller or fewer LEDs are needed for the backlighting.
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On profitability, the chief of these is whether the improvement in corporate governance that she expects, which will be needed if the gains from restructuring are to last, will come to pass.
Mr Davies said positives highlighted in the report included that the new senior managers at the authority were "very clear" about the changes needed and that they recognised that the pace of improvement had been too slow.
Last year the course saw only 22, 000 rounds, about two thirds of what it needed to break even, and there are no reasonable prospects for improvement.
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