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I am not sure , I have spoken to Mark and he knows what needs to be done, it will be for him and his board to turn health around and I am happy to support him in his efforts. He will need a strong will to bring our health service back to something Guernsey people recognise, in my view he needs to lay out to his senior staff what him and his board expect and then make sure those wishes are carried out, I am not saying it will be easy but it must be done and although Mark is softly spoken he does have an iron will when he sets his mind at something. I would start by making lots of visits to the coal face, just him and his deputy minister on their own, talk to the nurses and other medical staff about the problems away from line managers where they can speak freely. More importantly listen carefully to what they say. He will learn much more from the front line staff than he will ever learn around the board table and that is true in any organisation. Once he has a general picture about what is happening on the ground then he will have a better idea about what needs to be done to address some of the problems.