41.   Substantial changes to medical education and research are outlined.

42.   That is to say, policy changes more frequently take the form of relatively Marginal changes to existing policies.

43.   The Act effects several important changes to the pre-existing law.

44.   The changes to borders were officially announced in the European Parliament.

45.   The changes to the Green Form Scheme would deprive millions more people of legal advice.

46.   The changes to the National Health System were extremely unpopular with doctors.

47.   The changes to the system are set out in detail in the next paragraph.

48.   The changes to the timetable failed to arouse enthusiasm amongst the staff.