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Primary Care Trusts and Ambulance Trusts

May I pay tribute to my hon. Friend’s efforts to ensure that the voice of people in his constituency, particularly in Glossop, is heard? He is quite right that there are occasional exceptions for people with health ties that do not fit the local government structure. Knowing the area well, I can say that Glossop is one such location. Traditionally, people have travelled north-west into Manchester for hospital care, but technically they are not within the region’s local government boundaries. We have listened to my hon. Friend’s concerns, and we have made an exception, as we recognise that people in the area lean towards the north-west for health care. However, he is right that that exception does not challenge the other structures that have been put in place to improve services on the ground.