I think the problem is you see, because you are dealing with an individual, when you are using the score you are using it on an individual basis, but you are right it’s been based on a population aggregate, so therefore, you can’t just rely on the score you have to have clinical acumen as well. FG2R2 (family physician, medically qualified 25 years) Yes probably, we get it all the time with like Wells’ score for DVT, and people with chronic immune insufficiency so, little old ladies with huge legs, really common thing you see in family physician, and they are always immobile, erm… you know they have always got a couple of other things that would give them every day of their life they have got a Wells’ score of 3, but every time you go and see them you don’t write the Wells’ score down because you don’t, they have not got a DVT and both legs are the same but you see just, you just deliberately think well, I am not going to write that down I am just going to focus on what the clinical problem is. Because you almost, yes you don’t want to go there so you just don’t use the score. FG1R8 (family physician trainee, medically qualified 3 years)