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The general physicians whom we had many more of in the past are becoming fewer and more specialised. That has driven behaviour that results in clinicians wanting to work in specialist centres where there is much more throughput so that they can see the range of patients that they are looking for and build up experience and so on.
There is a tendency with some people to think that reform of the public sector means having less of it but with the same structure, culture and behaviours. You distinctly made that comment about innovation.
However, if we take an outcome approach, the farmer can decide when they shut off the field, according to the waders’ behaviour in their location, but still receive the payment.
For example, the largest group with additional support needs—young people with emotional and behavioural problems—are not identified as young disabled people.
We often find that an employer will come to us when it is too late—perhaps when someone has already lost their job because of behaviours or other things. We will come back in at any point, because we recognise that there might be challenges.
What is your thinking in relation to the long term, especially when we are talking about highly protected marine areas, which invite a change of behaviour and a change of understanding?
That all comes back to the fact that we found ourselves, with the 2002 act, with interpretations being taken outside the bill and prosecution and behaviour not following what was expected under the bill.