The same argument applies to the delivery of future health care services. The highest quality of care to meet an ever-increasing demand for a huge range of needs, can only be delivered at centres where the widest range of specialist expertise, including research and other facilities, is available together with the most up-to-date surgical technology. That, however, is where the parallel between health and education ends. Centres offering the widest choice and richest resources of educational expertise and facilities, can be accessed by a school transport system. Access to health care by remote communities will be challenged by conflicts between the pressures inherent in regional hospitals catering for ever-increasing patient numbers and the perceived urgent needs of distant local communities or, for that matter, individual patient concerns.