I noticed in the investigation into all the self-regulatory bodies a suggestion that people should be able to refer themselves directly to specialists in hospital rather than go through general practitioners as at present. Direct access to specialists, as in the United States, has led to its being the most expensive and least efficient health service in the world. It spends well over 14%, possibly 18%, of its GNP on a health service which serves only a certain proportion of the population. There are some aspects of our service which are not bad.