After nearly six years of waiting in the wings, Andrew Lansley will today arrive at Richmond House, home of the Department of Health on Whitehall, at last able to get his feet under the desk as the new Secretary of State for Health. He comes with unprecedented experience have been in the shadow post for so long, and well developed relationships with many of the key players in health and social care. As a former civil servant, he will have been able to well anticipate the layers of bureaucracy that await him and we hope, be arriving armed with his pruning gear. And it will be fascinating to see who his team now turns out to include although all of his shadow health ministers excelled in their briefs and to lose any of them will be a great shame. Let’s see what the day brings!