Sweeping away the five health authorities in Wales is a bold and imaginative step, provided the resulting reorganisation does better what they should have been doing for the past 10 years or more.

In particular, the efficient delivery of effective healthcare by sharpened and strengthened purchasing is the central need. Unless this is achieved, to quote an old analogy, it will simply be moving around the deck chairs on the Titanic.

David L Crosby Late chair Cardiff Community trust