The patient needs decisions to be taken about practical measures that can increase service and treatment available to him or her, not more analyses, so that he or she will not have to wait months and, in some cases, years to access absolutely necessary treatments. The reports are largely accountant-driven and there is nothing wrong with that. Details that affect costing must be examined and accountants are experts in this regard. However, we must be mindful that the patient must be at the core of reform of the health services and the administrative and technical details must come second to the patient at all times.