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I am sure that everyone is very pleased that Rhodri Morgan has received excellent treatment, performed as and when needed, with no waiting times, with a successful outcome and within easy reach of his home. Nobody would have wished it to be otherwise whether they agree with his politics or not. However, on returning to his duties as First Minister it is inevitable that the concerns surrounding reconfiguration of the health service will be the subject of public debate and concern as before the election. Health reconfiguration will surely be the most relevant issue facing the coalition government as far as people in the street are concerned. Even if constitutional issues may have a greater relevance (albeit for differing reasons) for the political class in Wales. I think it fair to comment that Rhodri's stout unflinching defence of reconfiguration during the election campaign found him somewhat removed from the concerns expressed by every other political party, even some of his own party, not to mention campaigning groups throughout Wales. Broadly speaking the two previous assembly terms have been too concerned with ineffectual reorganisation resulting in a failure to convince the public that investment has led to a commensurate improvement in service quality and delivery. Unfortunately this current reconfiguration continues this process of impeding the delivery of safer and better quality health services across the board. What Wales needs is not super sized amalagamated health trusts but unitary health authorities delivering integrated primary, community and secondary services. 55 separate health organisations for a country of 3 million is absurd and confusing. Services, such as those supporting chronic disease management, children, the elderly and people with mental illness or disability, which ideally should be based in the community working closely with primary care services should be subject to double funding with no withdrawal of hospital services until people are confident that the new services can be relied upon. There needs to be greater clarity about which specialist services require centralisation, and more transparency about the options available for their geographic distribution particulary in the light of the recent research by the University of Sheffleid which found that some high-risk patients are more likely to die after a long ambulance journey. It is long overdue that the assembly delivered on fundamental concerns over the cleanliness of hospitals, the "eatability" of food (did you know that one hospital in Wales actually bans its patients from the restaurant available to staff and visitors - why you might well ask ?) and a return to the time honoured practices of good nursing care. It is time for the assembly as a whole and the government in particular to deliver or get out.