I am getting a little nearer getting assessed for ambulatory oxygen. It has only been five months since it was recommended ! And so far I have been doing all the chasing around. First I had to chivvy the respiratory physician 's secretary to send the letters, including the results of the consultation and then the reply to the query I had about the nurse's refusal to do the assessment. The GP contacted her Welsh boss in June, he wrote to her in Mid-July, but I have not heard anything, so I contacted the Welsh consultant's secretary, who checked and said I was due a review with the nurse and has forwarded my message, so I hope to hear something soon, but I am not holding my breath, so to speak! Meanwhile I saw a lovely GP a couple of weeks ago who said under no circumstances should I even think about leaving Bristol as it is absolutely the best possible place to treat my almost certainly unique problems. The NHS in England is very good, as is the NHS in Wales, but the communication between them is nil as they use different IT systems. Mostly it doesn't matter, but here the River Wye might just as well have an iron curtain running down the centre. It is not only the health services though, our district council behaves as though this bit of Gloucestershire doesn't exist, for example you can't access the dial a ride service, and reasonably enough you can't access Monmouthshire as we are not in Wales. However, when Monmouthshire talks about a bypass for Chepstow they forget that Gloucestershire will also be involved. What's the problem? The A48 is a trunk road in Wales but not in England. In Wales the Assembly is responsible, but in England it is Gloucestershire, who are not interested! They are both lovely countries with lovely people, but the bureaucracy is mad! A United Kingdom, I think not.