Economic constraints on healthcare spending require clinicians to deliver high-quality services with more effective targeting of resources and better outcomes for patients. Ensuring that patients benefit from excellence in healthcare is an absolute for a medical professional. The challenge that must now be overcome is that of the differing viewpoints of the healthcare system for the payers, providers and the patients. How do clinicians ensure that there is a common language so that patients are not deprived of new technologies that maybe perceived as high cost? Confounding the issue further is the fact that published evidence may not be easily transferable into the local care setting.