He describes it as a refocusing of what the healthservice is there for, saying the NHS of the future "will need to move from a medicinal service with a care dimension to a care service with a medicinal dimension".
I'm going off to Sweden tonight with my health secretary Liam Fox who himself has been to Germany and to France and we're going to go to other countries as well because what we're actually saying is somehow the citizens of these countries recognise they need a better healthservice and they're prepared to make the changes.
The report suggests improvements but the surgeons say NHS managers in particular need to recognise the problems facing those described as the "forgotten patients" of the healthservice.
The initial findings of a mid-year review ofhealth pressures says the service has struggled to meet demand from patients who need to be seen immediately.