The report states: "Acute hospital medical services would be consultant provided rather than consultant led". This looks fine but it is aspirational. That is the problem with many of these reports, they are aspirational but there is little meat on the bone. The reduction in junior doctors' working hours will lead to major staffing problems in hospitals with a requirement for more junior doctors or other arrangements. The objective is to have more consultants at the front line of services and one cannot quibble with that, if it is possible. However, I have a quibble with the statement on page 22 of the report dealing with methodology which states: