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I completely understand what my hon. Friend says. As he says, this is, and should be, clinically led, and it should be evidence-based. He will recall, no doubt, that this has been happening over the years; it is a steady process, not something that started under this coalition Government. It is sometimes the necessary consequence of securing access to sufficient staff with sufficient expertise and sufficient regular practice to be able to provide a 24/7 service; we need a 24/7 NHS. It should not, however, lead to a loss of access that has a damaging impact on outcomes; it should be outcomes-based. In relation to his local area, I will ask my hon. Friends at the Department of Health to respond specifically to his point.