Well, the White Paper is a genuine consultation. So, it really is only for people to express their views and, if they don’t support the proposals, to think about alternatives to improve the quality and governance and direction of the national health service. So, this is not the Government saying, ‘We’re asking you, but we’ve already made our minds up’. It is a genuine consultation.

On the point about whether there is now a case for an independent review of managers and management within the health service, I would need to be persuaded that that’s the right thing to do, but if you think there is a compelling case to make, I’d be happy to consider representations that you provide on how that can add value over and above what we already have in place, and over and above the professional expectations we could and should properly have of NHS senior managers and the operation of boards within the national health service.