Care in the community is not a cheap option. It has to be accepted that it is actually much more expensive and labour-intensive. Anything I say is in the context of the enormous respect I have for those who work in the mental or psychiatric health services generally, whether in hospitals or the community. By and large, they overburdened and short of resources, and work with extremely difficult people in extremely difficult circumstances. I say this just to put in context some of the more critical remarks I might make.