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  1. [Put the verb in brackets into the correct tense.

  1. Before wc (to start) dealing with the health service in Great Britain we (to learn) the system of health service in Ukraine.

  2. They (to pay) one shilling i.e. £ 5 prescription charge together with a 1 flat rate fee (1 фіксована ставка) for ordinary dental treat­ment before those (to be reintroduced) in June 1968.

  3. Three principles (to guide) the development of the NHS over more than half a century before in July 2000 a full-scale modernization program (to be launched) and new principles (to be added).

  4. They (to discuss) the problem for an hour before they (to come) to an agreement.

  5. She already (to fill in) patients’ case histories when her chief (to arrive) at the clinic.

  6. Dr. Bill (to work) for the Government for many years before he (to start) running his own clinic.

  7. Professor was tired in the morning as he (to operate) for the whole night.

  8. The family of Indian immigrants (to pay) tax and National Insur­ance contributions since they (to arrive) in the country.

  9. The healers (to use) acupuncture in China before it (to be acknow­ledged) be the Western world.

  1. 3 (Fill in the gaps with the appropriate adverbs: before, until, after, by,

since, for.

  1. ... a structered one-year pre-registration program to become a fully registered doctors with the General Medical Council, young graduates had completed a five or six-year undergraduate course in medicine.

  2. The average income of a GP ... 2002 had been around £ 55,000 but ... that it changed depending on the area and number of ser­vices offered by a GP.

  3. Nobody started speaking ... all the listeners had arrived.

  4. All consulting doctors had gathered ... the chief doctor started his speech.

  5. Most GPs had negotiated terms and conditions of service with the NHS ... they signed the contract to the Service.

  6. Family doctors in Great Britain had been contracting with the NHS ... it was created in 1948.

  7. She waited ... all her patients had left ... she started sterilizing the instruments.

  8. Sebastian said he had been to Scotland ....

  9. They had been living in England ... more than 10 years.

  10. The demonstration had already started ... suddenly the light disap­peared.

[4 | Choose the correct variants.

  1. He had been/was to England twice before he took his brother there.

  2. The patient had changed/changed his family doctor to another one before he left for London.

  3. British expenditures on health care had nearly doubled/have near­ly doubled in real terms over previous few decades.

  4. Another area in which very little progress had been made/was made was preventive medicine.

  5. Many patients who had had/had much money preferred to have private doctors.

  6. In the period 1999—2009 the age-adjusted death rates for coronary heart diseases and stroke declined/had declined for the total popu­lation.

  7. They have made/had made huge progress in the field of medicine during the last fifty years.

  8. Dr. Smith was confused. He was discussing/had been discussing with his colleagues the patient’s treatment tactic for 2 hours.

  9. How long had he worked/been working at the hospital?

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