On 13 April 2011, 96 per cent of 497 delegates at the Royal College of Nursing conference backed a motion of no confidence questioning Andrew Lansley's handling of NHS reforms in England. Later that day, Lansley met with 65 nurses at the same conference, and apologised by saying "I am sorry if what I'm setting out to do hasn't communicated itself." In May 2012, Lansley appeared at the Royal College of Nursing annual conference where he stated that although "the number of qualified nurses has gone down by nearly 3,000... clinical staffing levels overall have gone up by nearly 4,000". His comments at the conference were met with uproar from nurses and union members in the audience with heckling and some shouting "liar". The Royal College's general secretary, Dr Peter Carter criticised the health secretary's claim as being "nonsense that there's more clinical staff than there was two years ago is just incorrect" and later told the health secretary that currently "There is a great deal of unhappiness" amongst nurses and health care professionals, with a standing ovation from the audience.