Mr. John Armstrong:

We have historically quite a different mix of public and private delivery of health care from many other countries. However, most countries, particularly in the context of UHI, have moved to competitive contracting as a cornerstone of markets. There is competitive contracting around providers allowing negotiation with individual providers. If we are moving towards a UHI world, we certainly need to have a competitive market within the provider side. Provider contracting and the ability to negotiate separately with public hospitals would be a key part of that.