Yesterday there was a lot of discussion in the media about the government's proposals for NHS reform; particularly access to services and preventative medicine. Generally, I welcome these suggestions; but they don't go far enough - health provision isn't only the responsibility of one government department concerned with GPs' surgeries and hospitals, but is also affected by benefits, income and taxation, social services, health and safety legislation, public transport, housing, lifestyle choices and personal responsibility. The levels of provision and ease of access in all these areas need asessing and a fully integrated policy developed.