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Business of the House

I am sure that the hon. Gentleman does not mean that question in the serious way that he seems to suggest. Clearly, the management of the NHS is ultimately the responsibility of my right hon. Friend the Secretary of State. However, if she were seeking to manage each and every detail in every part of the country, I am sure that the hon. Gentleman would—rightly—be the first to complain. There has to be a system of decentralised control and, as I know from my own constituency, it is important to have local managers. They know the local situation and understand the concerns of all our constituents. Decisions should be taken at the lowest level possible. I am sure that, if he thinks about it, the hon. Gentleman will agree with me.