The five specialist orthopaedic hospitals in England may have to abandon complex surgery on hips and bones because of a bizarre twist in the government's rules to turn the NHS into a competitive market.
The health secretary, Patricia Hewitt, will commit at least £700m to invest in a network of community hospitals to provide patients with scans and chemotherapy closer to home.
Thousands of international nurses are to be banned from working in the UK to improve the chances of homegrown candidates getting a job, the government has announced.