the evidence that we've found out already from C H C  is that the operation of the N H S reforms has restrictive patient choice  because  crucially those referrals to London teaching hospitals which used to made as a matter of course if treatment is unable er, unavailable in Harlow   have actually been largely stopped, I got the detailed figures from the purchasing director  erm  er, recently in the C F C minutes  and it shows a miniscule number of patients being referred to London teaching hospitals  erm, and this is clearly the reason as this points out in this paper that London teaching hospitals are in serious financial problems and  four of them, indeed are being threatened with closure by  the Tomlinson report  and I think many patients in Harlow would much rather  as er, people have pointed out, go to er, Middlesex and U C H, should they still exist  than to go to Colchester  and er, but this is this a key question, so  on the the basis of the this consortium doesn't meet those criticisms indeed,make the situation worse I move that we oppose it in principle that Vince  reports on that line.