---

Primary Care Trusts and Ambulance Trusts

I know that my hon. Friend has run a characteristically dogged and tenacious campaign on this issue and that he did indeed present a very large petition to the Department. As I said, that shows that the new PCTs have commanded a great deal of support and that people are identifying with those organisations as providers of health care. I will of course pass on to the Secretary of State the points that he raised. He is absolutely right to say that as the NHS goes forwards, it needs to show that it can listen and, where possible, make changes to respond to local communities.