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Capstone mortgage pool what is capstone synonym for money maryland judiciary statistical report a question I have to ask many to compendious feed you answer in the time we have available but I've compelled to ask it nevertheless you can start the analysis said it's this that it ties in with what you just said about none of the Trust's that you examine in the north west london area achieve the proposed and that's how you'd written down in here the emergency standards i want to take this in stages before the proposed standards obviously there was a another staff because otherwise you wouldn't be talking about propeller stance I don't think now if there's a difference what is the difference secondly to what extent did the Trust's fair to me the proposed standards in other words was it all the same because you mentioned particularly at the beginning of your evidence on site consultants and radiology now are those the standards that you're talking about wasn't much more than I'm missing here so do you see the thrust of the question I super-sized so it is the first thing says that secondly is right for me said prior to the tips of healthcare London's their loss prior to their attempts to derive sackers there are one of those apples so these this is the first opposition the first available this arose because of the report by our friends in journalism about the dangers of entry London hospital also a month over the weekend remember this was 56 years ago and one man responded and hence those proposals I have a supplementary and these that is instead of reducing science was it considered valuable there's a possibility of raising all the hospitals to the center I think all our would clearly take back you the view that you just increase the side but it was only the population at 200 cash male llamame to us as if you're going to meet the emergency centers have sufficient numbers of consultants start brady forests and senators and specialty disorders then you don't have anything to do that isn't alerts in their elected lives this is partially part of the puzzle saw specialization and this is fundamental action with supplemental questions from when I started the voice of the census there were five thirty potential selections and we did their eyes upon thames a neurologist and a general search the general surgeon by the other general settings happen to do most of the worst way but his colleagues did this as well the vascular cell did most of the vascular surgery before so the generals so with a passion to power on the fashion world worse innocence five surgeons refused to unify on the court and the pro se was shared was an honest especially interests there was enough work to go around two main 10-6 as soon as you say we have our surgeons and they just depressed pathologists apartment separate right many years ago the lastest surgeon suggested from the general sense and in order to have sufficient tribes and sufficient money because God has had one at a tribe who needed three go suddenly walk 15 consultants almost for population by us now if that's the only hospital and that's the catchment and that's 170 miles were little so be it but in terms of the dense population to raise the standard to the propellers criteria but each of that unit and I see for surgery of emergency surgery is not a sensible party irrespectively model now I mean I'm attending Costas socking the hour equally important medical personnel by credit and it was wonderful just to take it differently around if we can I mean Zoomer you're saying it to have a full range there's different subspecialties in a team to deliver services you need a certain expanded catchment population I'm thinking that if you have our expanding population and these teams working effectively then you'll also need a certain number of beds to go with that in order to ensure that they could actually place their patients for recovery having operated on acid Landell me so those are going to cut trade-off between and making fingerings orange juice and hospitals and numbers beds and the same time bringing cash was together so you get more soldiers so do you the answers probably do when we do the extensive which it is necessary to save money I've talked about the fact that if you reconfigure hospitals to take one half in this case for hospitals out of the frame in Northwest London and we are now looking in the plans as drawn up involve thousand fewer bets in Northwest look so if you take those beds out but you've then got the bigger teams of surgeons able to services will they have the been to support the patients I do remember a couple years ago a number of years ago down the joint report I think it was the royal college of surgeons and being away and others they've got together proposed a much bigger trash like a million are two minute or something but they know drew conclusions to how big hospitals needed to be too long in everyone's actually treatment rational so the all of us would suspect that story to prosper sacrifices this is a secession the first is that we surgeons would become more interest the second is a horrible within we would also do a better right could I keep I have to know Google wide experience kilometer the widely experienced young the down the narrow talk birthday we might ask you a question based on your P's experience but I to explore little bit of how out of our other hospital services will they reduce emissions because thatís wats please whatever to believe both of sh and to that end can i call on your experience and to know if you were a pioneer of running outreach clinics which you did without them like a place i am very well 25 years ago and when we tell me that time we wanted to do it because she wanted to make the decisions you consult first and although we can put it if we discover that yes you can probably reduce our patient attendances but firstly educating us and saying because you were making decisions now assuming a consultant is there to make decisions do you really think the outreach things actually prevent admissions the mark bed operation attendants they actually read permissions are exempt for the berry am i all yet what is he very yes because of course you will avoid actual schedule in to assist which might fracture which might actually are my wire isn't when they attempted to possess oh Jesus nothing it on top and consultant base and indeed primary cultures so I session soup currently I secondary answer I believe using be able to cooperate primary care physicians in the set of egg quality does have a great deal of those intense quality access at all can i push it into the further i thought was really talented mouth I'm trying to understand I wrote this we chose st. Mary's at one edge node can see this is one edge o is great huge area TV video through I'm some telepath mud away from UC H which probably duplicates lots of water say no it does except for the major trauma center including the third down to having an H ASU youth wouldn't it make more sense have you regards the fact that but for the one worden paddington the mostly prime the most unequipped people are to the west of Northwestern's we can make more sense to have your major major center somewhere in the middle but at least a little bit away perhaps if not an eland where geographically had make sense at least in Charing Cross wearing already years I has be and if so why isn't called the signals so last wash my to be proceed not as that central location for all services now the pediatrics and fantasy setting sources not there so just licensure purposely another central so you could say it was Boz was and I can tell by correspondent that decision for example that had many flexibility successfully it had blueberries and would not be owned by NHS and if not contiguous knowledge could be acquired as opposed to say berries which has difficult transport links old buildings etc in your experience medical product do you know how the original yes the disposition says is long before and he was a very impressed by you how's that possible trust us was to read about the past awesome site include especially separate separate fortune says all kinds of shops gins swimming pool this is in the any days before the crash I think so certainly that time what happened I think they're part of it first part of the things really fast wish by NXT i am even I'm glad I'm afraid of people enterprise risk management masters order Mannes School of Music.