Whoever is in Government, it is up to the political leadership to keep those issues high on the political agenda, as the external demand will never be there. No matter who is in Government, they will never feel the same heat about poor psychiatric services that they will feel about cardiac units, radiotherapy or BreastCheck. That is why it is good to have a serious debate on this matter and because it is serious I have deliberately not become involved in the usual political battling over whose fault it is. The issue deserves more than that.