Mr. Bernard Gloster:

No, traditionally we block-granted or block-funded the hospitals. We are increasingly attempting to move to a position of activity-based funding that would give those types of efficiencies. Some hospitals say that they would very much welcome that. It is a slower process. We are able to do the measurements around it but we have not got to that level of a funding model. We do specify new developments, and those are easier to measure. The overall pay bill and everything else stays pretty constant.