But actually it doesn't tell you anything about the quality of the care which they're purchasing  and the evidence that we are getting increasingly from the community health council is the experience of people of the health service  is that actually the quality of the care is getting worse  and this is not due to the staff in the health ee the  more detailed plans coming to the next meeting of the e the  more detailed plans coming to the next meeting of the for an operation  er, four years, it should to be said  er, she's been waiting despite the government's claim that all operations are done within two years  er  for very severe varicose veins and  surprisingly enough she got them because of course most varicose have been removed her, the north-east Thames region  erm, and er  she turned up on the Wednesday and  the operation had been postponed twice previously  er, she was er  gone through all the er, various tests which took her four hours cos she had to  find all the places herself, there was nobody to show her to X-ray and various other places  erm  she was prepared for the op and then was sent home because there wasn't a bed available!