title: Valuing different points of view.
abstract: IN RECENT YEARS, there has been a continuous drive to improve efficiency and effectiveness in the health service ( Department of Health 2006a) . Because of the introduction of Payment by Results ( DH 2003 ) and the 18-week referral-to-treatment target ( DH 2006b ) for example, acute trusts must now ensure that their resources are used efficiently at all stages of patient journeys.
authors.affiliation: Doncaster and Bassetlaw Hospitals NHS Foundation Trust. She is now commissioning at Bassetlaw Primary Care Trust.
authors.forename: Melanie
authors.initials: M
authors.lastname: Sims