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Does the hon. Gentleman share a concern about the new arrangements for out-of-hours services in Cornwall? He will know about the matter better than me, but when I was in Truro just over a year ago, one of the integrated factors there was that the call services for NHS Direct, the ambulance service and the out-of-hours service could operate together. The letting of a contract for out-of-hours services away from KernowDoc will run the risk of further disintegration of emergency services, when we should be moving in the opposite direction by trying to achieve greater integration, at least in terms of commissioning. That seems not to be happening in Cornwall.