complete patient experience and journey from incident through to treatment and eventual recovery.  The public are rightly very concerned about the impact of changes on: the seriously adverse individual and combined effect of the above (and other unintended consequences) -- on lives lost, health compromised and inequalities increased. 4. Are there any aspects you feel have not been considered? The idea that the serious and permanent changes to TGH can be assessed in isolation from the wider changes currently being explored across Greater Manchester is also of great concern. It is reasonable to expect that broader regional changes may have significant domino effects on Trafford patients and the broader network of health services provision. It would be perverse in the extreme to be seeking to permanently remove services at TGH now which may in fact have a very important role in the context of the regional service developments and multi-site capacity, flexibility and options. 5. Any other comments The public consultation has been a woeful shambles. Promises that every home in the borough would receive a consultation document have not been kept. The document itself has been partial, biased and slanted to favour a single option. No evidence has been provided about the extent of clinical support for the proposal. Public engagement efforts have been poor. Many people are still unaware of the proposals for the future of Trafford General, which represent the biggest changes to the local NHS since it was founded 68 years ago. By any judgment, the