Percutaneous ASD closure in 149 Cardiac surgery clinics worldwide with additional parameter

This experience is even more disappointing than my previous encounters at government hospitals. I was admitted here through emergency last night, and after numerous tests, it was confirmed that I am positive for influenza B. I've been dealing with severe coughing and a sore throat, making it impossible to sleep. At 5 am, I urgently requested cough medicine and a spray for relief, but the nurses informed me that I had to wait for the doctor's morning check-up to prescribe the medication. Despite waiting until 12 pm for the doctor's arrival, the medicine still hasn't been provided, and it has been five hours. They explained that they are in the process of preparing the medicine. Honestly, considering the delay, I'm contemplating whether it would be quicker to go to an external clinic or pharmacy to purchase the medication. It's disheartening to face such delays in a hospital setting, and I wouldn't recommend this experience to anyone.

Clean and nice place. But they are too freaking slow. it took more than 1h 30mins from the moment they told us about the ward number until my wife got into her ward. Ridiculous.

The doctors and nurses here are very helpful， understand my special identity and give me enough private space during my admission. Their service is also very attentive, I won’t say I wish to come back again , but I would say that if anything on hospitalisation, you are still my first choice☺️ Thanks !

I had to be in the hospital for knee surgery of my son. The experience of us surpassed all the expectations. The doctor, an ex army officer, Dr Bura Sindhupakorn, took care of my son as if the patient is his relative. His care, empathy, motivation and overall the positive thinking of the treatment plan was simply outstanding. His continuous monitoring after post operative was unexpectedly good. The international marketing manager, Ms Masha was too caring for my son. Looked after regularly about everything with a very positive attitude. With her, her staffs also were highly professional and caring. The nursing staffs were highly qualified and professional, who took care of my son always. The staffs of King of Bones were polite, dedicated, proactive in proving seevice and professional. The staffs of foreign cell, splecially Mr Nur Hossain and Ms Diya were very much helpful to us. The cleanliness, procedure, follow-up and the ambience of the hospital is really world-class and we were more than satisfied. Thanks to the hospital authority, Doctors, nurses and staffs for such good care of my son.

First time visiting Vejthani Hospital, just want to said that it been amazing experience here .. all the staffs are really friendly and so helpful specially our amazing and acknowledgeble interpreter Kimkanikar. Want to say thank you so much for taking so much time to helping us during our time here in the hospital. Kim is so sweet and she is so professional and she knows what she is doing so well. You won't be disappointed of choosing this hospital as well i would highly recommend contact kim for interpreter. Kim will arranged everything for you but please give her some time in advance since she has a lot of patients. Again thank you so much Kim 🙏 💓.

Best hospital I’ve Ever seen - one of the best hospital in Bangkok . The international service is very friendly and awesome. If you need any medical help then you must have to visit this hospital 🏥

This crews (room 209 and 210) was so amazing and helpful. Always interact with them on quarterly basis during my appointment. There are truly an asset to SJMC

Nurashifa from Dato' Dr. Siti Zaliha Zainal's clinic as always awesome in giving services. It really made my day. Keep it up! Love Dato', love Syhifa and love SJMC always.😍😍😍

Feeling blessed to get my treatment in SJMC. The service is good. My doctor is Dato Yip, she is superb, professional and efficient. I also want to express my “thank you” to all the nurse/staff i met along- department imaging, biopsy, operation, ward, educator and etc. They all are very caring, professional and always carry smile on their face. Thank you for everything, I feel safe, i been taking good care there. Definitely will recommend SJMC to others.

Went to see ER doctor for emergency situation. My husband had been exposed to a fungus which affected other’s.. we already had a good idea of what was going on. A fungal infection of the lungs. We told him everything which he wouldn’t listen to any of our thoughts. Cough, severe weight loss severe pain in chest, couldn’t hardly speak or even walk! I could go on with the symptoms but the end result was. He said stop smoking… which he did instantly but only got much worse. Within two days I took my husband to another hospital where they looked at his throat/did ct scan and could clearly see a fungus covering his throat right off the bat! (the Adventist doctor could have also) takes 30 seconds to see. John is now in the ICU at another hospital extremely sick. I’m more than outraged! It would have only taken an open mind (LISTEN TO YOUR PATIENTS) Be careful because going here could possibly cost you your life! I felt the doctor was arrogant acting like he knew more about what his symptoms were than my husband! At one point even saying you have TB which has never been the case (20% of lung fungal infections are misdiagnosed as TB on lung x-rays), something I read later. I implored him to look into a fungal infection but he refused. Blaming John for being a smoker. We paid cash for this service which put my husband in a life n death situation. Read the complaints on here I’m not alone!

- Great body screening experience, with comprehensive type of screening. - Convenience as a open on Sunday. - suggest to come earlier before 8am, in order to complete the test earlier n avoid long queue. - Dec month usually is peak month n long queue, so try make appointment for other months

Attended my usual annual health screening as this is one of the best wellness centre in Penang. Superb satisfied with the professional service, friendly staff, comfortable environment.

Why does a hospital labeled "World Class" provide an ultrasound schedule a month later? This issue isn't recent; they could have addressed it by adding more machines to handle the patient load. St. Luke's moved Maxicare to their HMO Concierge, despite the limited space in the small building. Only a few individuals can enter the office, leaving others waiting outside in the sweltering heat.

The service when checking in is quite nice and welcoming, unfortunately, for me it's downhill after that. Very very noisy nurses, it takes minimum of 10 minutes before a nurse comes to my room after pressing the red button because my dextrose kept beeping since it was almost empty. this happened several times. What if it was an emergency?!

I’d say majority of the staff are very well mannered and trained. Everytime I ask anyone that works there some information, they guided me immediately. I’d say the art building though is a bit old and dirty but the main building is pretty clean and sometimes confusing to navigate. Better to bring in cash or card because unfortunately their gcash doesn’t work. One of the downsides in some of the services here are usually packed with people so best to call in advance. I do love the service and the professionalism but this is definitely a very expensive hospital. Besides all this, there are food places inside where they serve really good food.

My doctors were helpful, skilled, professional and provided me a lot of information. After operation services and information is complete with high priority to the after operation services. The urgence for post opération patients was fast and of full service. The nurses when I came before the operation were too busy, they let me in, gave me my wrist tag and gave me 3 medicines but let me waited 2 hours and no one came back to me to update me that the operation will within 2 hours of waiting . I came at 8h50 and the actual operation is at 11h15, in between the waiting hours, no one has came to re assure me and update me of the schedule that made me nervous and worried for 2 hours. All nurses were so busy that morning and talks a lot to each other without double checking or just to give a quick short words to me for 2 hours in the waiting room before the Anesthesist picked me up. Thank you.

I was very well looked after for my first pregnancy. The team was superb, whether it was for the pregnancy follow-up, the day of the birth or the aftermath of the birth. For this alone I say bravo! But above all, I love the student nurses we met, who were full of compassion and kindness, much more than the nurses themselves. I don't give 5 stars because there is still a lot of room for improvement: - at all my pregnancy follow-up appointments, the wait always lasted more than an hour even though we were told to arrive 30 min before the appointment 🙄 - cold administrative reception - a lady at the analysis laboratory shouted at an old man who didn't understand the process (taking a ticket, waiting etc.) when he had just asked nicely what to do - we were scared when our baby was born, that he couldn't latch on, that he was going to starve to death, that we had to go to the osteopath...when a few days later our baby gained weight. We didn't understand the point of scaring us so much when in the end everything was going well.

I am impressed with the level of the hospital, attitude of medical and medical care. Grateful my surgery was handled here with great professionalism. Merci bien!

Hosp de la familia (Terror story) Hospital de la familia : Do not go here unless you want yo die!! My experience at the hospital : Right as we walked In they take us into a small room asked for the money! Our money got taken, immediately . I mean as soon as we walked in $5,950 +580. We were sent to the waiting room, the fear kicked in immediately as we were left in the waiting room watching this woman Maritsa leaving with our money. I was in tears ! Scared out of my mind thinking we had just been scammed! Soon they came to get us to bring us into room 212. The dresser was old and faded , so was the blanket and the dinner tray. I was so terrified that every time they took my blood pressure it was extremely high! My blood pressure continued to be high as Martiza kept getting defensive, talking over us and defending her unprofessionalism and her greedy actions . She did not try to be sympathetic or understanding. She made sure to talk over us, making sure we didn’t get heard , and that only what she wanted to say and wanted done being the only thing was being accomplished. My constant fear of being scammed I asked for receipts for all the money that had been given to her, she was annoyed at the fact, and stormed out! I was taken to a room where more test were done . The surgeon came in poked at where he wanted to work on. They wheeled me into the operating room. I woke up with no surgery done at all! When I woke up I was asked by a man in the operating room with a terrifying look on his face if I couldn’t remember what happened? I told him no! The other doctor in the room with the almost same look but more of fear & concern, said SO YOU REALLY CANNOT REMEMBER WHAT HAPPENED?? Once again , I told him no, I wasn’t being told what happened instead they all were terrified!! I was wheeled back into the room where my husband was waiting for me. There my husband asked me if I knew what happened? I told him no, but he had the same look of terror in his eyes. He then told me I had died . The surgeon told the nurses to get him where he proceeded to tell my husband that there was a complication and that my heart stopped after my larynx closed on me and that they had to preform chest compressions and that I was brought back and was stable , that as soon as I could get enough of the anesthesia to ware off , I would be brought back to my room to him. They then told him they only got to make the holes for the operation but no operation took place and they could not operate due to the “ complications “ They brought me back to room after that my surgeon Dr. Sariana disappeared completely! We never saw him again. There was another surgeon called in and he was the one we delt with . The consultation service group disappeared with my money . Sent me charges that now doubled my original quote. Now I have no surgery and my money’s been stolen due to their negligence. But I’m being charged due to the hospital not wanting to discharge us and said we must stay a extra nights here! Even though we wanted to leave we were told we would not be able to be discharged until the surgeon discharged us and he refused to do so and left us there accumulating charges for extra nights. When I was finally discharged the nurse said they had destroyed the vein where I had my IV and said no fluid was even going in anymore it was just all accumulating in my body. I was able to make a stop payment for the cashiers check that the consultation company wanted to keep even though they didn’t preform my surgery. They kept $850. Dollars I payed them in cash . But now they are charging me for the hospital stay I didn’t have a choice on, and I want the hospital to know that this whole experience has been a night mare. These people that you have working in your hospital are scam artist and I hope you think twice before you let portofino consulting do this to any other poor women who put their trust in this company. Please reach out to me and let me know what you plan on doing about this company’s terrible service, bill and what’s going to be done here.

I came to this hospital in October 2021 to get a tubal reversal. We made the decision to go to Mexico for surgery because of the cost compared to the U.S and I don’t regret my decision! It was clean, professional, and comfortable. The doctor who performed my surgery explained everything to my husband and I thoroughly and even showed us pictures. Although I do recommend taking someone with you if you can, who is bilingual because some of the nurses and I had trouble communicating since I don’t know Spanish, luckily my husband does and was able to translate things though. Maritza was the person who facilitated the appointment and was very responsive, she even met us at the hospital on a Saturday (the day of my appointment) to check us in. Most importantly though my tubal reversal was successful! I’ve had an hsg procedure back home in San Diego which confirmed this. I have not gotten pregnant yet though but I’m hopeful it will happen soon.I just wanted to share my experience to any other person it may help.

I highly recommend anyone who is thinking of having a sort of medical procedure this is the place to have it done. I am over the moon with how well I was treated by not only the nurses and hospital staff but Dr. S, Dr. Mariana, Penelope and Maritza were exceptionally wonderful to work with. I had weight loss revision surgery and could not be happier. I will be going back at some point for plastics. Thank y’all for being so good to me and my mom.

I tried to set an appointment to see a surgeon. Front desk hang up on me cuz my spanish is not great.

I put five stars just so everyone can see this Dr. Jorge Eugenio Valdez Garcia who works at el Zambrano hellion is doing research with an implant in my eye and he is harassing and threatening to have some one shoot me and has hired someone to stalk me and that person has been breaking in to my truck and has been stealing from me he is trying to scare me they grafted the implant in my eye without my consent and he has been doing research with my eye for several years now!

Great service and awesome doctors, we visited Dr José Ángel Garza Cantu

What a shame that in a Hospital like San José you cannot buy a catheter and emergency medicine at the Pharmacy. As a town pharmacy, it was closed at midday because the person in charge “went out to eat.” AND THERE WAS NO ONE TO ATTEND. And the people I asked saw everything as very logical… “he went out to eat and was probably late.” How little brains. A Pharmacy in a hospital in broad daylight must be open so it is a good idea to have another person stay to serve while someone else goes out to eat. It really took a long time and I had to go look somewhere else (CUAN) because the medicine and the tube were URGENT.

woke up there after a slosh of a sesh, now missing my left nut, right kidney and both my big toes and pinky toes. i have no ballence now

Best hospital in the world!!

Online appointment system practically useless since we are required to wait and register again before we can go to the poly. In addition, payment also takes long time even after being seated or called to the counter. The design or layout of the hospital is also very flawed resulting in low accessibility even for non-sick people. Don’t let fancy decoration fool you. This hospital need major improvement. EHCBB Should try to learn from Siloam hospital for this matter 🙂

This hospital is most comfortable hospital near my house. The staff very helpful and full of smile. Nurses are very kind to patients. And it has a clean environment.

I don't usually leave a bad review, but I gotta write this one — the ICU guy that was assigned in the 3rd floor was really such a jerk and very rude, in contrast with the other staff! In no million years way I would recommend my family, colleagues, and friends this hospital anymore — that is how offended I really am!

In conclusion, I appreciate the efforts of Eka hospital and their Nurse Manager in acknowledging and actively working to fix any shortcomings. This commitment to improvement is a crucial aspect of any healthcare institution, and it reflects positively on the overall quality of care provided.

Eka Hospital Pku the best! I’ve got medical treatment from dr. Chandra yg humble, informative and caring person, and also dr. Choky. Pelayanan nurse dan CC yg baik trs ramah. Nice to have you all

Good services and the staff wwere very helping, no need to wait when MCU progress

ER is terrible! Unprofessional doctor with zero ethics.

Actually I don’t l know what to say because honestly we still can not believe what happened, my mom had an eye surgery 6 months ago more or less ( ophthalmology department) and she went more that once to follow up with her ophthalmologist on her case and the feedback was her surgery went good and she was ok and no need any more to follow up, meanwhile she was very sick nowadays and she went for a checkup on her eye and suddenly doctor saying that stitches still inside the eyes and the new doctor in the same ophthalmology department in the same international medical center removed 2 from the stitches and said that was the previous doctor mistake because he didn’t follow up correctly on his case and didn’t remover the stitches and after all mom is very very sick and she needs laser sessions to feel better. She very old and is feeling sick for what happened and we don’t know how to report or how to escalate honestly.

Radiotherapy section is clean. Very polite, friendly and responsive staff. Scheduled time for the session is accurate you come as per your schedule you start the radiotherapy session right away. Very clean dressing rooms to dress in the medical gown. You pay EGP 10 at the car entrance gates. Parking is available. Very clean bathrooms.

A bad nurses behavior even not a smile, not organized at all and in several departments which i deal with, as for the out patients clinics, internal admissions process- their policies are not clear- tr wrong directions as a patient you do not know your responsibilities , or your right they do not gave any medical expectations or procedural- by the way i did a surgery and this is another story to told- for nursing which is a disaster- as a one day surgery- the nurse came holding in her hand all of medications and stuff for doing blood analysis without a tray or gloves - for the operation procedure normally in any respecting hospitals- they always gave scrub - the nurse came at my room which had the number 124 - through the scrub ( in a package which a least something good) on the trash can and told to wear this ?! My way to the operation room is another comic story of none nursing medical procedure behavior- very bad experience- not recommend

Saudi German hospital is like a Chinese car which looks good on the outside and hollow on the inside. Orthopedic doctors are seemingly one of the worse departments in Cairo hospitals, very low standards, although the mighty tone, over confidence, ignorance is spread like soft butter on a toast. Not recommended unless you wanna stay in a hotel like hospital but with butchers as your medics.

I lost my grandpa who was the closest person to me in the ER, doctors are oblivious and ignorant, online it says to admit people with aneurysms to an OR asap yet my grandpa was in the ER for three hours and died there, i saw the doctors walking around fast having phone calls,what looked like they were freaking out because there is no surgeon or an available OR. Its so bad to lose someone like this. I am not mad at the hospital only but at this country. We paid 12k after with insurance covering 40%, so it’s about 20k. They spent one hour doing blood tests and another trying to measure his blood pressure because they didn’t trust their equipment, basically i can say if you have any serious emergency don’t go there, unless you don’t care about coming out. A side note google maps shouldn’t be where we post hospital reviews. But what can we do anyway in this country. It’s a lost cause.

The attention I received from reception to the consultant was first class. Timing was excellent and the whole experience was efficient and comfortable. This was reassuring as I was a little concerned about my investigations. I cannot praise the hospital highly enough on this occasion.

A big thank you to everyone involved in my care at the London Bridge Hospital. Cannot recommend the hospital enough! Mr. Ember and Tessa are always easy to talk to. Despite his busy schedule, I never felt that Mr. Ember was rushing in our appointments. So very patient in explaining every thing which made me feel 100% confident in him. The nurses were brilliant! RGN Bambhi (Abhi) Q. went above and beyond to make sure I was comfortable during my admission. She has already finished her night shift when I arrived but she still went to my room, answered all my questions and made feel comfortable. She also made sure to check on me after discharge. RGN CJ looked after me, her bright personality is truly refreshing but stayed professional the whole time. She made sure I was well looked after before during and after my procedure. Additionally, RGNs Dana and Gladys, were also exceptionally kind and knowledgeable. The food was impressive! Catering staff were always so polite. Was kinda bummed that coffee was instant coffee(not a big deal tho). Overall, I am extremely grateful to the whole London Bridge team!

I was a day patient for a knee surgery. The hospital staff is absolutely fantastic and friendly, they are always there to help you and to answer questions. The food was good beside I was not able to eat it all (i had anesthetic side effects) and the facilities were immaculate! Thanks for making it such as smooth process.

Ok

My mother suffers from type 2 diabetes but over time we have seen that it was degenerating while respecting the diet and taking the medicines.I contacted doctor Recep Aktimur he gave me all the information for the gastric bypass ,he was clear and professional.We fixed a date, from the airport they transferred us to the Liv hospital.After the surgery, mom's recovery was quite fast, she removed the medicines and the diabetes is stable.I highly recommend Doctor Recep for his professionalism and dedication to work. Explanations and present for any doubts. The hospital staff are very good, helpful and professional.The hospital deserves 5 stars for cleanliness and hygiene, all very polite and well organized.

Beautiful hospital

I would like to note the high professionalism of the highest category cardiologist Evgenia Nikolaevna Preis and the medical staff represented by Valeria Valerievna. At the doctor’s appointment, I received qualified answers and recommendations for further treatment. Thank you very much for your attention and sensitive attitude towards the patient during such a huge flow. Good health to everyone!

Congratulations to the entire wonderful team of the V.A. Almazov National Center on Medical Worker Day! Many thanks to all the staff of the 1st cardiac surgery department and the 4th cardiac intensive care unit for the wonderfully performed complex open-heart surgery, you gave me a new quality life! A low bow and gratitude to cardiac surgeons Dmitry Valerievich Bendov, Amir Nasirovich Ibragimov; anesthesiologist-resuscitator Oksana Valerievna, cardiologist Yulia Sergeevna! You are doctors from God, you have golden hands, you heal the heart with your heart! Be always healthy and happy! Sincerely devoted to you Elena Evgenievna.

I would like to express my boundless gratitude to you, Denis Aleksandrovich, the head of the department, and your team at the urology department, for the professionalism, attention, and emotional sensitivity shown in connection with my treatment and surgical intervention. At the department, the doctors performed additional, high-quality research using modern medical technologies, and prepared me for the operation. The unique operation was successfully performed by a wonderful surgeon, a doctor, as people say, from God - Evgeniy Sergeevich Gilev. And I had the opportunity to return to normal life, as well as hope for a full recovery. I am already at home and maintaining my health by following his recommendations. The operation was successful also because other specialists from the department also took part in its preparation and consultation. Many thanks to the doctors: Shelipanov Denis Aleksandrovich, Shanava Gocha Shakhievich, anesthesiologist-reniamatologist Anton Igorevich Pankevich, operating nurse Alena Andreevna Kuzmina and nurse anesthesiologist A.G. Meladze. Thanks again to all the doctors, nurses, Valentina Mikhailovna, who treated and cared for me, as well as for their dedication to their profession, for their selfless service to people, returning to them the most valuable thing - health. I wish that your dedicated work and medical research conducted by doctors will be duly appreciated by our state. Good luck to the whole team! With sincere respect and gratitude, Valentina Makara!

The best hospital in Madrid! I recently had a complex surgery and everything was impecable!

The immunology team made up of Dr. Sánchez Ramon and Dr. Navarro is great. They took good care of me throughout my pregnancy and thanks to them I was able to have my baby a year ago. They have always treated me very well, even by email at times when I was worried about the results of the analysis. I have nothing but words of gratitude for them. They are the best without a doubt.

Great quality care.

Twice I have been an inpatient at this hospital. On my first stay, I thought I’d got lucky and struck a few excellent doctors and nurses. But now, after my second stay (a year later) I realise this is a superb hospital. The kindness was almost overwhelming. I felt like the best friend or close relative of everyone. From the reception ladies, to the terrific doctors (esp Dr Mishra), the amazing nurses, even wards men (thanks Wayne), St Vincent’s Private Hospital is filled with care, compassion and competence. Sure, I love the hospital near my home town in Rockhampton. But if I’m ever in Brisbane and am unfortunate enough to get sick again, I hope I’m fortunate enough to be their patient. Thank you to everyone for all you did for me. I’m very grateful to you. ❤️

Shout out to all of the gorgeous nurses in ward 1A! Unfortunately was admitted twice but all of you made an awful painful experience a million times better. I didn’t like the fact that I was in hospital and away from my family and in pain, but it was like having friends close by. You all actually cared. You were all so lovely, caring, friendly, empathetic and advocated for me. Thank you! You all deserve a massive pay rise!

Recently stayed overnight after gallbladder removal surgery. I was very unwell afterwards, but the nursing staff were beyond amazing and caring. Loved the room service food too with great choices (have attached photos in case anyone wants to know in advance what you can get).

I recently gave birth at St Vincent's Private hospital and was impressed by the level of service and care I received during my stay. I was very well looked after by all the doctors, nurses and hospital staff. Not only did the staff provide me and my husband with lots of knowledge and insight as first time parents, they were caring and empathetic too. I highly recommend this hospital and I'd come back to deliver another baby in the future. Thank you

We had our first baby over a year ago at St. Vincent’s in Fitzroy and we had a great experience. Everyone was lovely from the nurse in the room who helped me to get ready for my c- section to the anaesthetists. I didn’t want to breastfeed and no one absolutely no one judged me or pushed me. The room was great. The care was great. Food was great and the night nurses did a wonderful job taking care of our Bub. The paediatrician was amazing and just so calm and encouraging. We are now planning to have our second baby at St. Vincent’s.

I had to spend a week in St Vincent's Private Hospital. The staff were just wonderful. Felt well taken care of at all levels. Nothing was too much trouble. The meals were basic but fresh and of good quality.

I had there fundraisers opening my door and when i confronted him, he said oh i thought you wont be able to hear me. Since when did they have the right to open my house door? eastlondon area. Please advise your staff not to open peoples porch doors or any door if they dont answer the door.

Will you please remind your door to door salespeople whom I guess are students operating in Ripley Derbyshire that it is against Charity Commission regulations to pressurise people into signing up to donating. They have been targeting elderly people twice in two days now. By using high pressure tactics like this you are tarnishing the good works this Hospital does.

We’ve been harassed by GOSH representatives on numerous occasions now. They knocked our door THREE times in a single day. Once at midday when no-one was home, the second just 10 minutes after I arrived home from work (obviously stalking me), and the third at 8:30pm!! I’ve previously expressed my disinterest on donating to the charity, yet they continue to return to our property. If a property could be put on a sort of TPS these guys would be in some serious trouble. After speaking to neighbours, they had nothing good to say either (we have a community Facebook Group), some even said that the representatives were extremely rude and overly personal - one lady even had to leave her house because she didn’t feel safe! Times are hard enough and people certainly aren’t going to donate money to a charity that is being represented by such rude individuals. We’ve offered to give them some spare change as a donation but they insist on bank details. You can jog on if you think I’m going to be giving my bank details to some stranger at my doorstep. I’ll happily donate to charity but it will be on my own terms - not with harassment and peer pressure at my door. I wrote this review after GOSH decided to ignore my email of complaint. We’ve now opted to purchase a ‘no cold callers’ plaque to prevent them from visiting in future. If they choose not to comply and continue to harass us, I will be taking this further; perhaps even deciding as a community to set up a ‘no cold calling zone’ with the Local Authority if need be.