Hon Dr DAVID CLARK (Minister of Health): The Health and Disability System Review is a thorough and thoughtful piece of work, and I want to take this opportunity to put on record my deep and sincere thanks to the panel and the Māori Expert Advisory Group for their mahi and insight. Cabinet has accepted the case for reform and the direction of travel outlined in the review—specifically, changes that will reduce fragmentation, strengthen leadership and accountability, and improve equity and access and outcomes for all New Zealanders. That means we are committing to an ongoing programme of reform to build a stronger health and disability system. As the member will understand, change of this scale will require legislation, which will be subject to the usual processes. Decisions on individual recommendations will be taken to Cabinet over coming months and into the next term of Parliament. 