Hon ANDREW LITTLE: The changes are in response to the Health and Disability System Review, which found the public health system was under stress and that a greater emphasis on primary healthcare had the greatest potential to improve New Zealanders' health. The reforms herald a change in the focus for the health system. We will have the chance to make it a priority to treat more people before they get sick, so they don't have to go to hospital, thereby taking the pressure off hospitals.