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But over the years, the LAFD’s reliance on overtime has generated concerns about fatigue, burnout and whether taxpayer dollars are being used effectively.

“It’s a loss for taxpayers, it’s a loss for communities, it’s a loss for the environment. Not producing the report saves us basically nothing and costs us maybe everything.”

In less than a year, Georgia taxpayers had spent $26 million on the program, almost all of it on administration instead of medical services.

Energy minster Michael Shanks said the report proved that "pylons are the best option for taxpayers".

There is a "high risk" of increasing patient harm and poor value for taxpayers' money if there is not an "urgent improvement and turnaround" in the Welsh NHS, according to a group of independent experts.