Sir, – Much of my working life was spent in the development of health services in many countries across the developed and developing worlds. The first piece of advice I was given, and which I found to be universally true, might be summed up as, when you are planning health services , remember that the only absolutely certain way to unite any community, no matter how riven, is to threaten its local hospital. – Yours, etc,
BARNEY McCAUGHEY,
Letterkenny,
Co Donegal.