Sajid Javid has taken over from SLOTXO Matt Hancock as Health Secretary for England at an extraordinary time - what does the change at the top mean for the NHS? Mr Javid is a political heavyweight, having held two of the great offices of state, Chancellor of the Exchequer and Home Secretary, as well as three other Cabinet posts. What's more he was at one stage the minister in charge of social care in England. So the new health secretary has a good understanding already of some of the key issues. And he knows all about the inner workings of the Treasury and how the public spending levers work. But even so, he has a daunting workload ahead with some of the most difficult public policy challenges of any Whitehall department. And that's not including the continuing effort to keep on top of Covid. Mr Javid has set the bar very high for himself with his comment that he wants to see an end to the pandemic and a return to normal "as soon and as quickly as possible". And therein could lie his biggest problem. Health leaders have already warned that bringing waiting times for non-urgent surgery down to reasonable levels could take two years at least. If that turns out to be the case, patients may feel Mr Javid's optimistic pledge has not been met.