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Once again the Royal Free's A&E is being left to carry the can for another agency.

Leishman added: "There's a lot of people who have got to carry the can for this but we really, in government now, should be doing an awful lot more."

Murray said Chancellor Rachel Reeves had been clear that there would be no return to austerity, and that those "with the broadest shoulders" would "carry the can in terms of trying to help us out of this situation".

That may give them more autonomy to make decisions to deliver on these targets, but on the flip side it likely means they will have to carry the can for any issues in their portfolio.

"You've got wrong assumptions and wrong predictions and now the staff themselves are having to carry the can for these terrible management decisions."