The man in charge of the NHS in Wales has released his annual report and, despite a year of conflict and controversy across the service, it paints an upbeat picture of progress on many fronts.
David Sissling accepts there were "unprecedented pressures" on NHS Wales last winter.
He also says that acknowledging shortcomings can be "uncomfortable" - but much of the report highlights impovements not problems.
So, is it a system in crisis or a time of rapid improvement?
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