An international cancer conference in Dublin was told by Professor John Reynolds, consultant surgeon at St. James's Hospital and professor of surgery at Trinity College, that gaps in the provision of radiotherapy were affecting individual patient outcomes. The position could be put much harsher. We were promised the report of an expert review group on radiography services in February 2002 and again in March 2003 but it has yet to be published. I would like it to be published as soon as possible. Professor Reynolds spoke of the need for more structured cancer clinics involving a multidisciplinary approach. With modern developments in communications between hospitals there are possibilities for co-ordinating their strengths.