Cryptic crossword clue
Reforms inside NHS are a wake up call 4,3,5

The most common and most likely answer to this crossword clue is the 4 plus 3 plus 5 letter word RISE AND SHINE

I've seen this crossword clue in The Guardian
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Buddy explains!

The straight part
We know that "a wake up call" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case a wake up call = rise and shine.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

Crossword Answer definitions


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