Should the trial prove successful, we will attempt three things.   1.  Expand/open the service to more sites.   2.  Implement all image transferral between all sites via their own networks utilising the NHS Net as they join.  (Obviously there are associated security and patient ownership issues etc. extant, which will be exacerbated by the Internet solution.)   3.  Examine improvements such as video conferencing utilities (eg Netmeeting's shared space [whiteboards] and video conferencing per se.)