What discussions he has had with the National Assembly for Wales Government on joint initiatives to increase the numbers of medical staff in Wales.

I regularly meet the Assembly First Minister to discuss health matters.

I am grateful to the Secretary of State for his reply. He will be aware that over the past 15 months, Welsh consultants have not been paid for the extra shifts that they are having to work due to the failure to implement new contracts. Is it any wonder, therefore, that there are twice as many empty consultant posts in Wales as in England? Surely the situation is unfair, so how does he intend to resolve it?

There has been a dispute with consultants, but we hope that it will resolve itself sooner rather than later. May I just remind the hon. Gentleman of the facts? There are now 350 more whole-time equivalent consultants than when we came to power in 1997, along with 5,000 more qualified nurses, as a result of which the health service in Wales is improving. Nearly 190,000 more patients are being seen in Welsh hospitals than was the case under the Conservatives and we are performing many more operations. The health service is going from strength to strength with its budget doubled. The Conservatives would attack the health service, and privatise and charge in the way in which they always wanted to do—if they win the election, they certainly will do so.

When the North Wales clinical school opened in Wrexham in January this year, I had the opportunity to discuss with trainee doctors the fact that they were training in north Wales for the very first time. They were complimentary about the National Assembly's policies on bringing forward training for doctors in north Wales. Will the Secretary of State speak to the National Assembly to try to extend that initiative in north Wales to nurse practitioners and other medical staff in the NHS so that the increased provision that is going into the health service can be reflected by more training for medical professionals in north Wales?

I will certainly do so. That just shows how, under Labour, investment in the health service is producing better quality. Since we came to power, the number of medical and nursing students in Wales has doubled and it continues to increase steadily. By 2008, Wales will be producing 360 medical graduates a year, which can be compared with the situation under the Conservatives when we were starved of training places for both nurses and other medical staff.

Will the Secretary of State break with tradition and give me a straightforward answer to a straightforward question? Why is it that so many people from Ynys Môn have to travel three and a half hours to access NHS dentistry in Barmouth in my constituency?

There has been a serious problem with dentistry, but it is a result of the problems that we inherited, which we are trying to put right. [Interruption.] No, no. We did inherit a serious problem: the Conservatives closed two entire dental schools. As far as Ynys Môn is concerned, over the past two years, 10 new dental practices offering NHS dentistry have opened throughout Wales and 26 practices have expanded their NHS dental provision. The number of NHS dentists in Wales has increased by 168, or a fifth, over recent years. Increasingly, we will see more NHS dentists provided under Labour in Ynys Môn. However, if the people of Ynys Môn follow the hon. Gentleman's lead and vote for the nationalists, they will get a Conservative Government and we will see health cuts all over again.

Following on from that, with Wales being governed by the Labour party and Britain—[Interruption.]

Order. There is far too much noise in the House.

With the Labour party in power in Wales and Westminster, the right hon. Gentleman must accept that it has become virtually impossible to access NHS dental provision in Wales. When the Liberal Democrats form the Government of this country on 6 May 2005, we will fix the problem, working with the Assembly. Since the Secretary of State for Wales has had the chance to fix the problem but has failed to do so, why should anyone believe that a re-elected Labour Administration will prevent the effective privatisation of NHS dental services in Wales?

All I can say is that with two Liberal Democrat MPs in Wales, the hon. Gentleman has a long way to go to achieve his objectives. A vote for the Liberal Democrats in key Labour-Tory marginal seats across Wales and Britain will put the Conservatives into power through the back door. That is why Labour supporters and every fair-minded person in Wales should vote Labour on 5 May.

The Secretary of State just told the House that the health service in Wales is going from strength to strength. Can he now tell us why GP registrars have not had the pay rise they were promised in May 2004?

They certainly would not get any pay rises if the Conservative cuts were implemented as part of their plans for £35 billion-worth of cuts. Let us stick to the facts. We have seen significant progress on reducing waiting lists. In the past month, out-patient waits of more than 18 months have been cut by more than 2,000—a reduction of 38.4 per cent. Eighteen months is unacceptable for waits, but in the past year the number of patients waiting longer than that time has been cut by nearly 5,000—a massive 60 per cent. We are bringing waiting times down to 26 weeks within the next few years in Wales, meaning that in Wales people will get world-class treatment. Under the Conservatives, they would go back to the cuts, misery and hospital closures for which they were responsible in Wales last time.

I am not surprised that the Secretary of State did not answer the question. The chairman of the GP committee of the British Medical Association Wales, Andrew Deardon, said that the

"Assembly hasn't given us any reason".

It

"has just not got round to it and there is no excuse."

Dr. Neil Statham, the GP trainer, said:

"Registrars . . . were promised this money and they haven't had it. It is either inept or deliberate."

Why will the Secretary of State not encourage the Assembly to pay up and treat medical staff with the respect that they deserve? No wonder nobody believes a word he says.

I am surprised that the hon. Gentleman pursues the question again when the truth is that the health budget in Wales has more than doubled under Labour. We recruited more nurses and consultants, and waiting times are coming down. Under Labour, the health service is safe, but it would be in a dire position if the people of Britain voted Conservative. [Interruption.]

Order. I appeal to the House again. It is unfair to hon. Members if there is so much noise. Perhaps Ministers could bear that in mind.