A modern health and social care system has to be completely focussed on the needs of its users.

As patients and consumers, we are better informed today about our health care than any previous generation.

The 2 million people who work in the NHS and social care are also themselves patients and users. I know they all want to treat patients and users the way they and their families would want to be treated and that is the purpose of our reforms.

We want to ask people how services can more effectively promote good health, as well as treat disease, and how we can empower people to have more say in the care they receive in the community and their homes.

You've got to respond to that and of course thinking through the role of a left party in the modern world, in the modern economy and society and having a policy response to that.

The accusation that we've lost our soul resonates with a very modern concern about authenticity.