I reiterate my concern that the representation of patients should be sufficiently strong and robust both in representing patients as a group and providing access for individual patients with particular problems. I am also concerned about access to advocacy. Some Labour Members will be watching carefully to see how the new arrangements work in practice and to ensure that patients have proper representation in every way necessary and appropriate. I hope that my hon. Friend the Minister will take note of our concerns that the new machinery should work properly. If it does not work so well, we will look forward to more reforms in the future.