The committee heard loud and clear that people want their voices to be heard in the system. Current planning, commissioning, and delivery of primary and community care is disjointed and does not routinely seek or respond to the voices of consumers. I've also heard comment that in the pursuit of centralisation, these reforms take power away from voices at the local level. We currently have 20 separate systems operating in 20 different ways in a country of 5 million people. It doesn't work. Hearing the voices of New Zealanders is a key pillar of the single New Zealand health system, one that is centrally coordinated but locally delivered with health services genuinely informed by the needs and the priorities of the people it is serving. The bill puts consumer voices at the heart of the new structure. There are active engagement requirements at all levels, so services are designed for people's needs. I agree with the committee's recommendations to strengthen these engagement requirements. In particular, I strongly support the inclusion of annual progress reporting for locality plans. These will complete the feedback loop to local communities on the priorities and outcomes agreed with them.