in that task i am assisted by a team of six managers, all of whom are professional nurses and district nurses or health visitors and they of course are there to advise me on professional issues, and to share with me the management task of using the resources of oxford city in the way that we feel is best appropriate, and in doing that, i think one of the important things for us to do, i don't think we do it quite as well as we should, is to work more closely with the local council, and to look really at what the needs of our local communities are for health, and to try and make sure that the feelings that might well be expressed by individuals, either individually, or through caring associations, or through other statutory agencies, or through voluntary health organisations, are actually given a chance to be there, and to influence our, that official policy and constituents , and to, to influence the planning process.