I think it's an important question because there's something about our ability to say, 'This is the right sort of way to work in the future'. There's broad sign-up to that, and then our ability to have the right numbers of staff in the right place to deliver that care. That is a challenge because, if you look back to three years ago and then five years ago, I think there would be a wider level of cynicism, it's fair to say, within many of our front-line members of staff, including in general practice, about the approach the Government set out. At the start of cluster working it was certainly not universally welcomed, and actually, now, from the primary care conference and, more than that, from my regular interaction, not just with representative bodies like the BMA and the Royal College of General Practitioners, but from my regular interaction going around and about the country, there is a much more positive view about clusters and their potential and their ability to deliver.

But it isn't even-handed. There are still some parts of the country that are a bit more reluctant than others, and part of what I want to do is to get to the position where actually people recognise that it's a better way of working and they're missing out if they don't do it. That means we need the right numbers of staff. On paramedics, for example, we do have more paramedics—there's been over a 7 per cent increase in the paramedic workforce within the last few years. Not only that, though, but we're investing in the skills of paramedics as well. So, the more advanced practice paramedics, who are not just useful within the emergency system but actually within primary care as well, we're finding a way for them to work so they don't need to give up one to do the other. That's been a real success story.

If you remember Bryntirion, they managed to find a model that did that, and it did exactly that, and it provided more stability within the workforce in doing so. If you look at the success, for example, of our first contact physiotherapy approach as well, we do see success in different parts of the country. It's still part of my frustration, and a challenge for the whole system, to see that more evenly distributed. I recognise the Member has a particular challenge in one part of the constituency, but I think people should take more confidence. We're putting our money where our mouth is and investing in the future of the workforce, and we will help and support people to deliver the new primary care model, because I am absolutely convinced it delivers better care for people and it's actually a better place for our staff to work.