Of course, there are improvements in some parts of the health service in Wales, but in other respects we seem to be going backwards. So, in spite of all the money that is spent and the fact that half the health boards are either in special measures or in targeted intervention—in some cases, like Betsi Cadwaladr have been, for many years—progress is, at best, painfully slow. So, this, surely, gives us pause for thought as to whether the system itself is working or, indeed, can ever be made to work.

But I'd like to focus my next question in this respect particularly on Betsi Cadwaladr, just to pick up on answers to Mandy Jones at the start of questions today. One of the features of Betsi Cadwaladr is that more and more GP practices are being taken in-house and managed directly, most recently in Porthmadog two weeks ago—yet another practice taken directly under the wing of Betsi Cadwaladr. We've now got nearly 100,000 patients in north Wales who are under the direct management, ultimately, of the health board. What I would like to know is what performance reviews have been conducted on directly managed GP practices in Wales and what impacts it's thought that this management change has had upon patient care? When I met with GP representatives many, many months ago, they expressed some concern about this because, in particular, one of the problems that's developed is that individual patients no longer feel that they've got a personally accountable GP, because a lot of these practices are populated by locums. That leads to a growing lack of confidence not just in the hospital system, but also in the provision of primary care at the local level.