The contrast is between the Prime Minister's complacency and what people know is happening in the national health service the length and breadth of this country. Is it not the case that in, the past six years, there has been an increase in administration costs of more than £1.5 billion a year, with 20,000 more managers and 50,000 fewer nurses? Is not the truth that the real challenge of the national health service is how to get money out of invoices, contractors, managers, company cars and pen-pushers and into front-line patient care so that we can rebuild the national health service that the Labour party created?