Of course, if this could be done 100% accurately then most of us would now be occupied with our favourite pastime 365 days a year! Just because this is challenging, however, it is no excuse for not trying. In a fast changing technical and political environment it is essential to explore the likely scenarios that are just over the horizon and be able to respond quickly to the options as they become more certain. To sit back and wait for others to ‘tell us’ is a recipe for disaster: indeed not so much for us but more importantly disastrous for those we serve. The legendary ice hockey player Wayne Gretzky said ‘A good hockey player plays where the puck is. A great hockey player plays where the puck is going to be.’ I hope that as we all seek to provide great services we will be where the action is going to be tomorrow and not just where it is today.