Other questions arise if smaller hospitals are relegated. What will happen to the alternative bed numbers? Where will they spring from in already crowded hospitals? From where will the large numbers of consultants emerge in such a short time? The report admits in 2.3.3 on page 23 that it is trying hard to work on an "'ideal' or 'perfect' model of services". That may be the philosophy of those who present reports, but the nettles of a less than ideal world are the concerns of those affected by this vital, life and death primary service.