Unlike the NHS, all hospital services have to cover their outgoings without subsidy. This allows you more choice when you have treatment and also ensures we have staff to provide your treatment swiftly. Something that might take six weeks to arrange in the NHS can often be carried out in the same week at our hospital. The cost of healthcare in the UK has risen as people who perform higher risk treatment must meet ever increasing standards. Obviously this is correct and you will find under ‘quality assurance’ the type of activities we must include. This has pushed the cost of healthcare delivery up. I believe it is important to spend time with patients and this is included within the cost of delivery high quality consultations.