If devolved facilities are used, processes may be streamlined

doi:10.1136/bmj.317.7161.818b

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Tim Heymann, Consultant physician

Kingston Hospital, Kingston upon Thames, Surrey KT2 7QB

EDITOR—New healthcare technologies are often expensive. Maximising their use may become an objective in its own right, with the equipment centralised and protected by a host department—the radiology department in the case of magnetic resonance imaging, for example. The convenience of staff and patients takes second place.

The legacy of early, appropriate centralisation may persist long after the economic and technical arguments have lapsed as prices come …