There is a major need for a consultant provided service. Under such a service, consultants would work together in teams and take a substantial and direct involvement in diagnosis, delivery of care and overall management of patients. The task force believes that this is the only way to achieve high quality care while meeting the requirements of the EWTD. This will entail a significant increase in the number of consultants working in teams, and with revised working arrangements, and a substantial decrease in the number of NCHDs.