The people who need it most often don't know it exists -- and somewhat incredibly, neither do many of the Jobcentre staff who are there to help them.

Each day, over one million people are treated successfully, and we all know that in the complex world of a hospital, things can go wrong. But no public health system should tolerate a failure to learn from previous experience on this scale.

It is the clear volume of these cases which is worrying, 1 million incidents a year, and even more concerning that half of them could have been prevented if there had been proper reporting procedures.

Far too many small and medium-sized stations are threatening places, with poorly lit, graffiti-covered passages and platforms, vandalized facilities and no staff on hand.

This report raises a serious question mark over the amount of efficiency savings the government will achieve. This is a high risk program. Only 50 out of 300 projects have got to deliver 80 percent of the total savings.

But there are some areas where progress has not been impressive.