Dr. Colm Henry:

It is almost more pertinent now than it was when it was first drafted almost ten years ago because care is constantly evolving and more complex, and expectations are always rising. For example, I cite the treatment of stroke. In my medical career, this has involved the provision of intervention with time-critical treatment that can affect and improve the outcomes of people presenting with stroke, whereas, decades ago, there was no active treatment. People expect that. We have seen bypass protocols implemented for primary PCI for certain categories of heart attack, stroke and trauma to ensure we get people to the correct destination the first time. There is no sense in revising that to move to a situation where people go first to the wrong hospital, where they cannot get effective treatment.