I think I mean I use them but probably I only use them because we are told to use them in guidance, CHADS2 VASC you are told to use it in AF [atrial fibrillation] guidance you know… QRISK we have to use it, to justify decision making and statins and things like that, Epworth [Sleepiness Scale] I was told we have to use Epworth if we are referring to the sleep clinic. FG2R9 (family physician, medically qualified 10 years) I think that is definitely truer at the more junior level, in these more process driven environments like A&E because I am [a trainee family physician] and I remember in A&E there are sort of proformas almost based on risk scores for assessing certain conditions and that does help you almost learn the questions that you should be asking to assess someone and if it does change as you get more senior and move into general practice it is a lot less process driven and it is a lot more practitioner driven, then it very much will depend on what your own personal awareness is of the scores, whether you actually choose to use one rather than kind of being forced to use one, because that is like the rules of the department that you might be working in FG1R2 (family physician trainee, medically qualified 5 years)