I am confident that there are gains to be made from a radical restructuring of the system in terms of efficiency, effectiveness and value for money. The proposals now being advanced, however, are a considerable challenge to everyone in the system. I will not understate the enormity of the task ahead. There are no quick fixes for the change we envisage undertaking in the coming years. In addition, I must reiterate that the potential of the system can only be realised if we continue to invest as we reform.