There will be many others affected by the reform agenda such as civil servants, general practitioners, health board management and staff and local representatives. I do not underestimate the scale and scope of the agenda being undertaken by the Government. It is big but the public deserves nothing less. It expects the Government to govern and lead. Taxpayers are paying public servants generous increases under benchmarking and Sustaining Progress. With nearly 40% of the public service working in the health area, the quid pro quo must be visible in health service reform. Everyone involved in the health service has the opportunity to show that the investment in benchmarking and Sustaining Progress by society will pay off in better management, flexibility and responsiveness to public needs. That is where the challenge lies. If any one group asks to be exempt from change, nothing can work. If all work together to embrace change, everything can work.