They didn't have a strict meal plan or detailed exercise routine, and devised their own slim-down plan.

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This is what Medical Savings Accounts are supposed to be about, with consumers controlling the purse strings for routine medical expenses and choosing the insurance plan that best suits their needs.

FORBES: Fact and Comment

According to Tim Jones of the NHS Confederation, hospitals now plan carefully so that they do the more complex routine operations in the Spring and Summer, leaving them free to concentrate on day cases and the increased emergency cases in Winter.

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They will have to plan and buy healthcare for their local community, everything from paying for routine operations to meeting the drugs bill for patients.

BBC: NHS changes: The picture now