Instead, he pushed a series of small-bore initiatives and, perhaps, squandered his best opportunity to achieve lasting change.

Once we know why we do something we are more empowered to know how to make lasting change.

This, alongside the growing pressure on services from an ageing population, means that real and lasting change will be required.

The clear signal came through to all of us that any lasting change had to have the approval of both spouses.

Lasting change requires planning and a gradual rollout.