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The over-75s get free care in their own home if they have high needs. The story so far: Northern Ireland has some of the worst performance figures in the UK. During the Christmas period, the number of patients seen in four hours in A&E departments dropped to 63%. Exactly the same proportion started their cancer treatment within 62 days, according to the latest statistics, while the numbers waiting longer than they should for a routine operation have almost doubled in the past four years. In response to the growing pressures, ministers have already set out a new vision for the health service, which they acknowledged was at "breaking point". A 10-year plan was published in the autumn , which called for greater investment in general practice as a way of coping with home the rising demands on hospitals. The plan was widely criticised for its lack of detail and costings. It did not mention hospital closures, but there is a general consensus that Northern Ireland has too many small units and care would be better concentrated in fewer bigger centres. Political instability in Northern Ireland, which is facing its second assembly election in less than a year, also means the budget for the next financial year has yet to be agreed. Scotland Spending: 2,160 per person Key fact: Scotland was the last nation to hits its A&E target - in July. The system: The NHS is run by 14 health boards that organise hospital and community services.

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