—no, I’m carrying on with my remarks—if we are to provide the health service that the people of Wales need and deserve, because service change requires maturity and leadership from all of us. The challenges facing health in Wales today are well known. They include a rising elderly population, enduring inequalities in health, increasing numbers of patients with chronic conditions and, of course, a challenging financial climate. The adage 'If it ain’t broke, don’t fix it' could not be more inappropriate, because, in healthcare, waiting until 'it' is broken means waiting until real, avoidable harm is caused and no public servant should contemplate doing that.

It's widely accepted that there are UK-wide shortages of health professionals in certain specialities, which is causing difficulties in recruitment, as was mentioned in the debate. We also know that where more specialist services are provided, doctors need to see a minimum number of patients to maintain their skills and expertise to meet care quality standards. There is a wealth of evidence that shows that concentrating some specialist services in fewer centres improves outcomes for patients. Don’t take my word for it: that is one of the clear, unambiguous messages from the independent parliamentary review that enjoyed cross-party support.

So, these are Wales-wide challenges, and I’ve repeatedly been clear that I want to see an increase in the pace of reform in Wales, because there is simply no avoiding the reality that there will always be contentious choices to be made in every area of Wales. So, we either engage in that debate now and confront some of those challenges and then help to make clinically led choices, or we put that off and make it even less likely that change will happen until a point of crisis and a service collapses, and I do not think that is a responsible thing to do. And, again, that’s a very clear message from the independent parliamentary review, which told us that our current system is not fit for for the future. [Interruption.] I’m happy to take Nick and then Angela.