The services already provided in some hospitals will be enhanced. Rather than considering that the levels of service on offer in other hospitals have been diminished, one should bear in mind that a certainty will exist in respect of the levels of staffing and funding on offer. We should not whistle in the wind and try to ensure that everybody who has something holds on to it. My experience in life has been that a person who becomes ill is best served if the extent of his or her illness is known – this is also true of their family, friends and acquaintances. The relevant GP and consultant are the experts in that regard. Equally, one should know where to send the patient to receive the best service.