My Lords, I want to respond to the noble Lords, Lord Hunt and Lord Desai. I fully support the case that has been put in opposition to this form of devolution to local hospitals that has been outlined by my noble friend Lord Howe. The noble Lord, Lord Hunt, and I used to work very closely together and at one time I was actually his boss. He was my chief executive and he was exceptional. He was imaginative, entrepreneurial and a person with huge skill.