Once you lay out a suggested list, who is in authority to endorse it? Is there an 'Institute of Biomedical Engineers/Technicians' or as some like to call themselves clinical engineers. First and foremost the needs to be clear guidelines as to job titles and job descriptions, followed by educational requirements to attain the positions. A full working proposal should be forwarded by an authorized body to the Government (whichever section deals with these matters (education, work and pensions). Think it is time to wake-up and stop dreaming as today is my day off and I should be doing something more constructive, cleaning the house comes to mind.