400 million isn't a small amount, i would also include not treating health tourists, why should hard working tax payers foot the bill for those who bunk in here and get free treatment, stop paying massive salaries to the fat cats in these hospital trusts as well, start getting the service back to what it used to do best, treating people. People have far more expectation than they once had, it's one of envy in many ways, oh look she has had a nose job on the NHS, why can't i, well pay for it then. Its a totally different matter if a person is seriously hurt in an accident and needs reconstructive surgery, but this cosmetic nonsense, boob enlargements should be paid for by the individual. Exceptions being women who have had breast cancer who want reconstructive surgery..