THE endorsement of specialist hospitals by the Prime Minister should guarantee the NHS finding the cash to rebuild Stanmore's Royal National Orthopaedic Hospital.
Successive governments have supported the option of creating new wards but none has scraped together the cash to make it happen, so an intervention like this from Gordon Brown carries enormous weight.
The hospital trust has pulled some political strings and appealed directly to the Department of Health and 10 Downing Street over the heads of bosses at NHS London, which it felt was taking too long to commit to allocating the cash.
However, given past inaction, members of the trust are unlikely to relax until they actually see the money in the bank.