So, there are several major challenges, in addition to the need for increased recruitment and retention of health professionals across the board. The primary care estate—the physical state of the buildings—requires massive investment. It is starting to happen now after nothing much happening for many years, but the challenges of sub-optimal buildings remain.

And, social care requires radical transformation. It is no longer satisfactory just to merely tinker around the edges. Social care, I would contend, needs to be organised like healthcare—as a national service paid for by general taxation with salaried, qualified and registered care support workers delivering high-quality nursing care, with health and social care co-located, co-working in primary care hubs. It's starting, but there's so much more to do.

So, finally, I do feel enormously privileged to have had involvement in hundreds of people's lives over 35 years in Swansea as a GP. It is enormously rewarding, and you can truly make a difference. And primary care is pivotal to the whole NHS. Otherwise, everything and everybody ends up in secondary care, inappropriately managed and extremely expensive, like in the United States of America. But, pivotal also is social care. No longer can Government stand on the sidelines and say, 'This is just to big, social care. It's just too complex. It's in the "too difficult" tray.' Justice for our elderly residents must compel us to act. We don't sell our houses to fund health care, nor should we to fund social care.