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Primary Care Trusts

The hon. Lady has been generous in giving way to me for a second time. I congratulate her on a genuinely fine speech. In an important way, she has laid bare the fallacy of seeking to arrange those services from the centre on a geographic basis—for the convenience of Whitehall—rather than sectorally focused on local need and demand. I remember our debates when no one has stood up for her local ambulance service, which was among the first responders. She has just been doing the same thing. I want to put on record that the example of Staffordshire—and her part of Staffordshire—demonstrates how silly it is to approach those on a rather crude geographic basis rather than on a needs and demand basis.