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Primary Care Trusts and Ambulance Trusts

The point of the changes is to ensure that PCTs can take a balanced view across a broad area to ensure that patient services are most effectively provided. He would be the first to complain if local priorities were overridden from the centre by targets or central diktat. It is right that at local level people should be able to create the kind of health service they want. Through foundation trusts we want to give local people much greater ownership, control and say over how their hospitals provide services. Ultimately, that is the way in which local people and local communities will have their say over the configuration of hospital services.