I have found that one of the greatest difficulties experienced by general practitioners in starting up lies in getting planning permission. Senators might remember that in the good old days people could start in their front rooms or perhaps have a garage converted but that is no longer allowed. Obtaining planning permission in one of the new shopping centres is a difficulty but there is also the problem of cost. These outlets, which are competing with retail outlets, are very expensive. This is certainly putting up the cost of seeing general practitioners.