Ultimately the aim would be for adequate long term funding being available to refugee and asylum seekers self-help, community and voluntary sector organisations in order for them to deliver local services to local communities. Treatment and service options would therefore be more easily controlled and chosen in accordance with the context of refugee and asylum seekers lives and therefore the actual needs and choices of the individual. This approach requires a truly radical re-organisation potentially encompassing changes not only in healthcare but in welfare, housing, employment and immigration policy. Local community groups, ideally managed by committees.