In Denmark, for example, clinical guidelines describe not only “what should be done”, but they tend to describe “who should do what, when and where”. At present, there are very few established standards for health care provision, and those that exist are mostly minimum-standard process checks, for example staffing numbers and facility checks. Latvia is struggling to find a robust framew'ork for quality that could be used to apply minimum standards to all providers, regardless of their size and nature.