Yep, agree, but if a local authority screws up the government isn't necessarily the root cause. Yes, they should be nipping local problems in the bud but I assumed the thrust of your observation was suggesting there was a fundamental problem across the board. Or maybe my experience of a good comprehensive in the Thatcher era was an exception to the rule. Our personal experiences don't necessarily reflect a national trend is what I'm trying to say. Were all hospitals as bad as Staffordshire under the last government for example?