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Primary Care Trusts and Ambulance Trusts

I thank the hon. Gentleman for his two cheers. Again, I will pass them on to others who have worked on this. The crucial test in judging changes to an ambulance service is, first, that the service is viable and, secondly, that it is providing a safe service to all the residents in the area. Those are the guiding principles on which any further changes will be made. As I said to the hon. Member for South Staffordshire (Sir Patrick Cormack), any further change would be about ensuring that service standards could be further improved. We recognise the improvements in service standards that Staffordshire has reached; that is why we are happy to make the decisions that we announced. I hear what my hon. Friend has said. In going forward with any further change, we must be clear that it is about improving service standards to all the residents of Staffordshire and the west midlands.