Senior MPs warned today that the NHS is making its £20 billion cuts target by rationing care and freezing workers' wages.
The public accounts committee said there are "widespread" fears that NHS bodies are meeting the cuts by limiting access to treatments such as cataracts surgery or bariatric procedures.
MPs said that while such things are deemed to be of "low clinical value," they can make a big difference in patients' quality of life.
The health service has been given until 2015 to complete the brutal "Nicholson challenge."
As Aslef's annual assembly of delegates begins in Edinburgh tomorrow the general secretary explains the challenges his members - and workers across the country - face