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Out-of-Hours Care

He does not. That point looks like work in progress to me, but it is a critical issue. My problem with the analysis given by the hon. Member for Dartford (Dr. Stoate) is that accountability is lacking under the current system, too. When a PCT fails to safeguard patient safety by allowing a dangerous doctor or a doctor who cannot speak the language on to the performers list, as we saw in Cornwall, there is no comeback for that primary care trust. That surely has to change. I am also concerned about the situation that exists under European arrangements. A doctor who commits an error for which he is potentially criminally culpable must surely be held to account in the jurisdiction of the country where that error occurred. We cannot guarantee that that will happen at the moment, and that must surely change. That will involve ensuring the effective operation of the European arrest warrant, but at present we cannot be confident about that either. There is a clear, powerful and overwhelming case for reforming the system of out-of-hours care. The head of the Royal College of General Practitioners, the highly respected Steve Field, said last autumn that there was a pressing case for the reform of out-of-hours care. That case is overwhelming. I have concerns about the proposition put forward by the Conservative party, and that is why I propose that the Royal College of General Practitioners, which is respected not only by practitioners but in this place, should be commissioned to carry out a review and to come up with proposals to reintegrate doctors into the provision—not the commissioning—of out-of-hours care locally, so that we can ensure that patient safety is protected.