When we put forward our PACS proposal to our Trust in 1999 we were very cautious in predicting the level of staff savings. We identified film filing and handling clerical staff as the major areas of staff saving. At the end of three years we undertook an informal review of what we had achieved. We had exceeded our expected clerical staff savings, had redeployed a number of staff to undertake new jobs which became necessary as a result of PACS but had made some unexpected staff savings as direct and indirect benefits of PACS. In particular we had managed to reduce our radiographic staff in our main plain radiography area, partly due to PACS and partly because of having a less dispersed facility in our new hospital. Voice Recognition reporting enabled us to create new consultant appointments without increasing our secretarial/transcription staff. The latter were freed up to become PAs to Radiologists which enhanced their role, gave them a higher salary grading and stood them in good stead for Agenda for Change. PACS brought our Trust benefits in excess of what we had predicted or considered.