In the past 4 years our local hospitals have carried out over 185,000 procedures, an increase of 31,000 or 20%, over 132,000 patients at A & E, an increase of 18,000 or 1 6%. This has been achieved at a time of declining resources. It has not been enough to prevent rising waiting lists. However, this year, for the first time in seven years, we have been able to increase staff and reopen beds. As we get more people back to work, more will be possible.