Does that mean the NHS had best spend some of its scant reserves on getting the message across to the public? I think it would be a good investment. We have access an excellent out of hours, drop in urgent care centre, that is available to the patients of group of 7 GP's surgeries, but how this 'product' has been 'sold' to us has been dismal, people don't really understand what it for (to keep us out of A+E) its hard to find, not sign-posted, poorly lit and tucked away at the back of what looks like an industrial estate. Does a 'leading brand' launch a new 'product' by placing one advert?(one press release in the local paper) and does it expect its 'customers' to go and find that information or does it sell itself? (if you happen to go into the surgery you can pick a leaflet, but we have not been sent this information to our homes) or does it promote itself? The NHS has been quick to adopt many commercial practices that make them money, (it annoys me that I have to pay to park at A+E or visit the sick) they would do well to adopt some commercial practices that would better serve their 'customers' the business mantra is tell 'em; tell your patients what is available to them; tell once, tell them twice then tell them again. Its poor communication that is at the root of the problem. The NHS is a mad dog chasing its own tail; do you think it will collapse from exhaustion soon