So health secretary Andrew Lansley goes, about a year too late.
His legacy will not be improved delivery or resources saved, but the massive encouragement he has given to private health firms.
They must be very grateful and, presumably, Mr Lansley – like both Milburn and Hewitt before him – can now expect to get his reward.
Meanwhile, those of us who care about the NHS are left looking at the wreckage he leaves behind, and wondering how much of the damage done can be reversed.
Will Labour commit itself to controlling the market and restoring equality of treatment?
Paul Francis, Much Wenlock