I can't say I'm that clued up on the proposals but I could believe that there would be a cost saving to all of us taxpayers if the vetting process was done at a local GP level rather than further upstream by the more expensive area of that particular community.

As an ex smoker myself (we're the worst) I can't see anything wrong with asking the questions about their health if an operation would be pointless or life threatening if it were to go ahead with incorrect information. Its not just about cost, there are many different types of operation where the survival rate is too low should the patient not be healthy enough (in whatever form) to have it.