"The biggest adjustment is I no longer live waiting for that ax to drop every day, " he says.

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It is no longer hanging around waiting to be used.

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"With officers laid off and furloughed, simply calling 911 and waiting is no longer your best option, " he adds.

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Gravesham Borough Council believes people with no local connection should no longer automatically get on the housing waiting list.

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She added that in some cases the Welsh services were worse than those in England, but more generally the concerns surrounded patients facing longer waiting times in Wales, no continuity of care and issues with public transport across the border.

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Although there's no evidence the pacemaker helps patients live longer, doctors said some patients were able to come off the transplant waiting list and return to a fairly normal life.

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