Health Bill [Lords]

There is a small benefit in having been in the job for almost six years. Although the Minister has returned to the Department, having spent a year there previously, I am on my fourth Secretary of State and it is getting quite tiresome to have to explain endlessly to a succession of Secretaries of State that there is a real world out there, where people who want services contract for them in a culture of continuous improvement. The Government should focus on measuring the overall outcome.