One reason why the current health care system is failing patients is that it is not fully utilising the skills and services of the professionals employed. Employment in the health services increased in recent years and currently stands at over 100,000 – a dedicated team of nursing, medical and administrative staff. These people are caring, committed and dedicated professionals who are highly skilled. They work in our hospitals and provide GP services, work as midwives and community care nurses. They are extremely hardworking but the health service as currently organised does not make full use them.