Mr. Bernard Gloster:

A lot of the more than 2,200 ECC staff who have been put in place are just bedding in this year. To give one example of what consolidation means, in the past four weeks we started a process where the integrated care for older people team will assess every person going from an acute hospital to a nursing home. They will do a comprehensive geriatric assessment to inform their care in the nursing home. They will then be supported by the ECC staff and primary staff in the community to achieve that plan with the hope of reducing the incidence of readmission to hospital. That is the type of improvement we can do with the people we have. However, the simple truth is we will not grow the ECC programme on top of that. That is what I mean by-----