Mr. Bernard Gloster:

In the report, I tried to explain the pathway from 20 years ago to how we have got to where we have got to. Certainly, I will not go back over a history lesson of the health service. The scale of third-party insourcing has grown into a formal thing from what perhaps started as a genuine, localised thing. It has grown and people see an opportunity, entrepreneurially or otherwise.

The best honest answer I can give to the public is in the level of the scale of it, we took our eye off the ball. That is all I can say. It is very difficult to ask a nurse or anyone else to do ordinary overtime on a Saturday when the possibility now exists that in a very different construct, they can get paid significantly more. It is a feature of what it is. That is why we have to safeguard it first, and then unwind from it. That is the credible thing to do.