In the first speech I delivered as health secretary, I made one thing perfectly clear: we need a cultural shift in the NHS: from a culture responsive mainly to orders from the top down to one responsive to patients, in which patient safety is put first.

Meaning: The saying pictures agues arriving on horseback and departing on foot. It contrasts a rapid onset with a slower imagined recovery through two ways of travelling.

Meaning: Unpleasant early weather is linked with a pleasing later display of flowers. The sequence can express hope that present conditions help prepare a later benefit.

Meaning: The saying asks for steadiness when conditions become less favourable, rather than enjoyment only when things go well. Its complaint about deserving a good market should not imply that suffering earns success or that someone must tolerate an unfair arrangement.

Meaning: An imperfect resource is compared with losing the underlying capacity altogether. The saying can encourage appreciation of what remains useful, but its bodily comparison must not become a demand that someone accept inadequate support or feel grateful for hardship.