1.   But how much real curriculum change has there been this century?

2.   Climate change could have disastrous effects on Earth.

3.   Economic and political change has now blurred differences between ways of life then distinct.

4.   However in practice the change has been less dramatic than it first appears, for two reasons.

5.   Much of this reflects the entrenched acute-service bias of the National Health Service, and major change would have far-reaching implications.

6.   Once again the change can have nothing to do with making the chapter more acceptable.

7.   Recommended changes had to be substantiated by explicit statements of rationale, supported by the systematic review of relevant empirical data.

8.   Surface cultivation is rare, except in some lower lying valleys so the changes have subtle origins.

9.   The change in government had a minimal impact in the rural areas of the country.