When I was chairman of a hospital some years ago, I made an effort to change the word "patient" to that of "customer" and I enjoyed doing so. However, it did not work very well. The consultants did not particularly care for the use of the word "customer". I was trying to impose a way of thinking on those who ran hospitals so that they would think of patients as customers. I also wanted them to think about the job we faced, as I believe was the case in that smaller hospital run by the nuns in the west. That to which I refer does not always happen with the authorities which run hospitals which become very large. It is this remoteness that concerns me. The danger of size is that the authorities that run hospitals often do so solely on the basis of financial concerns.