Homonculus, you hit the nail on the head. It was a good service, at least until the government changed it. That's why national doesn't work. I wasn't holding NICE as a national organisation to copy, just that they play God using value for money as a guide. Charities may not be medically efficient, but ours does not discriminate on grounds of VFM. That's why I oppose national and the public fill our collection tins.