Hello again, just to update you. I happened to meet the clinical director of the Acute Trust responsible for Breast Care. I told him about the stupidity of not being able to have a biopsy without a recent INR and he started giving me some spiel about why they couldn't have all these extra machines etc etc. so I said, well why don't you include it in the advise on the appointment letter, he looked stunned and said, what a really good idea, I will get that introduced. So hopefully, a success!