However you want to spin it, there will always be a perceived conflict of interest when the body that is most needed to stand up for the patients—in other words, be critical, where necessary, of the running of the service—is directly appointed by the Minister. This is one of the other key reasons why we cannot support this Bill. We know, at least in parts of Wales, the community health council has been prepared to stand up for patients and be critical of the service. Look at the work being done by the CHC in the north currently in relation to decisions taken on vascular. We remain extremely concerned that the consequence of this Bill will be to remove a vitally important layer of scrutiny within our health and care system.