But he told the BBC: "Where practices are struggling and falling short we're not going in there to beat people over the heads, we're going in there to support and to share excellent practice from those who are doing really well with same-day urgent access, making sure that we roll that out."
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Cuban forces killed four exiles and wounded six others who sailed into its waters onboard a Florida-registered speedboat and opened fire on a Cuban patrol, the country’s government said, at a time of heightened tensions with the US.