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Good clarification by Mark. He may be outspoken at times, and some may strongly disagree with his views, but we should not allow some poor journalism by the Observor to reflect badly on his committment to improving services, and the level of healthcare debate, which has been demonstrated throughout his career.

It is a good thing that there is some space for reflective challenge to the polarised rhetoric and shroud-waving that characterises so much of the current discussions. The NHS has to change. The people who run it and work in it have to change to make that happen. The people who pay for it (i.e. all of us) should demand that the debate about that change is robust and wide-ranging and takes account of the full range of views.