It was recognised that there was a “gap in the market” for good quality low secure services in South Wales. Research suggested that many local patients were being accommodated in Units across the country, far from friends and families and that they would benefit from more local services where family support could be established and maintained far easier. It was also recognised that mental health provision was notoriously “a revolving door” process with patients being admitted, discharged and re admitted on a regular basis. Pastoral Cymru’s services have been developed based on academic research, building on close links to Cardiff University, that is aimed at remedying this problem. The general economic climate has obviously made growing this type of business far more difficult, but as the company provides very specialist services, planned Government cuts are unlikely to affect anticipated growth. In addition, a general shortage of qualified mental health nurses has added an additional burden to recruitment plans. Finally, the historic attitude of the general public to mental illness also proved an obstacle initially but good management practices and transparent, proactive relationships with neighbours have ensured a very good working relationship.