The report recognises that composition of the Chamber is likely to be on a representative basis, but asks if members should be selected through either direct or indirect election or perhaps by ex-officio membership or directappointment.
When a patient calls 111, an operator - who is trained in the same way as a 999 operator - can send out an ambulance, put someone straight through to a nurse, book an out-of-hours GP appointment, or direct the caller to a pharmacist or dentist.
It has been a struggle to alter that: Bolivia's political elite fought hard against the loss of their direct influence on the judicial system, and in-fighting over the appointment of judges to the Supreme Court had threatened to mar the change.