Pressures on the NHS are widely publicised. When you look closer, much of that pressure could be alleviated if we could remove some of the inefficiencies that are a legacy of the 20^th century. The data clearly shows that two-thirds of patients attending outpatient clinics could have been treated in primary care if GPs have access to the knowledge they needed; patients avoid long waits outpatient clinic appointments and hospitals can use their consult time in clinics with the more needy patients; hundreds of millions of pounds of unnecessary spend could be avoided by patients getting the right care, sooner.