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Private Sector (NHS)

As my right hon. Friend the Secretary of State has said in the past couple of days, there are two aspects to the question of commissioning in a patient-led NHS. One is the question of ensuring that democratically elected local voices are heard in the debate about reorganisation of boundaries. We shall make sure that that happens. The other is the prime opportunity offered by the primary care White Paper that will be published at the turn of the year to reflect on what hon. Members have said about how primary care services will be provided in the future. I have only one more minute for my remarks and I recognise that I have not been able to answer many of the points that were raised. I shall be making several visits, including to Manchester, Stoke and Stourbridge, where I shall be happy to deal with detailed issues in more depth with hon. Members. Debates of this sort are invaluable for ensuring that we pursue effectively our policy for achieving the change that we want in the national health service and tackling health inequalities.