Health Bill [HL]

I am grateful for that clarification. Essentially, the noble Lord is asking whether a commissioner should have a quality account. The answer to that is that it should not have a quality account. There is a framework for assessing the quality of commissioning, which is the world-class commissioning framework. There is an assurance exercise that PCTs are going through. To reassure the noble Lord, there are now indicators looking at the performance of commissioning, which is something about which many noble Lords here have expressed concern. To be fair to the PCTs, as I said before, they are two and a half years old. We have in place the indicators that the noble Lord is referring to. It would be interesting to link the performance of the PCTs with the performance of their providers.