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This approach is very much to be welcome and marks a significant departure with the previous failed regime. The key issue for providers is that we respect the judgements of inspectors and, with some exceptions we don't, because they have neither the experience or expertise needed to do their jobs. We have had troops of inspectors who patently have little to no understanding of health care but pretend that they do; they march onto wards and announce themselves as 'we are the people that can shut you down'. So a new cohort of genuinely experienced people is required as well as a new start to inspection and regulation. No small task but I'm sure David knew that he was taking on a hugely dysfunctional outfit.

I wish him the very best.