Column: Smith's report is about much more than the location of Niagara's health services or a new hospital PETER CONRADI/Bullet News Kevin Smith, fresh from recommending that the provincial government spend likely close to $1 billion for a new hospital for the region's south end, says that's the easy part. Anyone can write a cheque. Anyone can get some bricks and mortar. Anyone can put up a building. The hard part -- and arguably the most important part -- is not the walls and roof and the wires and the steel and concrete. The hard part is changing what goes on inside the structure. And this, Smith says, is the actual heart of his final report to Ontario Health Minister Deb Matthews on converting the Niagara Health System into what he calls the new Niagara Health System. It is, in its simplest terms, affecting a change of culture. Consultants are prone to talking about this a lot. Culture change. It's used so much that it almost has no meaning. Not here. Here, with the NHS, it has a clear meaning. It's clear to anyone who has had business dealings with the NHS over an extended period of time. It's clear, or he hopes will become clear, to patients who walk through the door. Culture change. It's why he was brought in as NHS supervisor more than a year ago -- because people in this region had come to despise the NHS -- the faceless organization and the faces who ran