In this chapter, the Review seeks to reflect upon the changes of the past decade, and the impact that they have had on DE&S's performance (and that of its predecessor bodies). The extent to which these initiatives solved the problems that they sought to address is also considered. It also discusses the way in which DE&S interacts with industry, with a view to determining the nature of the improvements which need to be made in that regard. The chapter concludes with recommendations about the further changes that the Review considers to be necessary if DE&S is to become a top performing manager of acquisition delivery for the Department.