Mr. John Dunne:

It will not be down to those conversations. There will not be two budget silos with two different gatekeepers, there will be a single budget silo with a single decision maker and that is going back to the decision we had before the CHOs where there were integrated care systems, and that is a progressive move. There are all sorts of other issues and a major issue is the legacy of staffing structures which determine how the majority of the money is spent. These numbers are like telephone numbers but we are only tinkering at the margins because most of it is fixed in pay and buildings etc. That is a truism.