Sorry Graeme, I wasn’t questioning the technology. Up until now surgeons who were going to carry out the procedures on smokers took the decision as to whether or not there was a clinical risk due to smoking.

Can you just imagine the damage to the GP-patient relationship this new change will cause? "I need to test you to see if you have given-up."

I have read pages on the new reforms from both sides and I just get the feeling that it has been rushed through to save money without enough thought put into it.