The range of services provided within the health system is unique by international standards covering everything from health promotion and disease prevention to acute hospital treatment and a wide spectrum of personal, social and community services. The vision we have for this vast and complex system is set out in the health strategy which describes the programme of investment and reform that will stretch over the next decade. Contrary to popular opinion, the strategy is alive and well. I am pleased to report that 91 of the 121 actions set out in it are being implemented.