One year later, Gerry revisits Rotherham to see how they are coping. What he finds both surprises and delights him. The hospital is now run efficiently, waiting lists are down and staff relations are excellent. But there are clouds on the horizon. With government policy encouraging more out of hospital care in the community, what is the future for the hospital? Gerry takes a long, hard look at what is planned for the NHS and asks whether it really adds up and whether it will really deliver the change the service needs to face the challenges of the coming years.