In addition to the lack of economies of scale through the health boards, there has been no uniformity of approach. There has been no sense of a central policy administered regionally. I have frequently sought to ascertain policies on issues that ran across different health board areas and discovered that they did not exist. Child abuse is a current topic. I carried out an assessment of the health boards approximately four years ago and I could not find any two health boards with the same approach to dealing with victims of child abuse. Some health boards had no policy at all. That cannot be an effective and efficient way to work.