Mr. Bernard Gloster:

Yes, of course. Not only do they need that access, they can benefit greatly from it. There is a balance between the expertise to rehabilitate those neurological conditions and what one might call the use of general therapy to help people. For example, there are the enhanced community care interventions of which the committee has heard in the past 15 months, with some 2,000 extra staff coming into community network teams in the context of chronic disease, primary care and older people. Many of those staff are therapists. The fundamental question I would be asking the delivery system is whether there is anything in that construct that can be done to help people who have a range of other needs for therapy without crossing the lines of what the specialisation might be for that. There is potentially some benefit to respond better but I would not want to give the impression it is an easy fix. Given the prevalence of disease, incidence of illness and age profile of the population, rehabilitation must be one of the key components of reducing the dependency on the acute-centric system.