NHS Reorganisation

That is an interesting point. The difficulties of transport from the Isle if Wight would need to be taken into account and we are still developing the detail of the commissioning proposal and how the model will work. Those issues will face his constituents on low incomes—I am pleased to hear the hon. Gentleman champion them—and their interests will need to be taken into account so that they can achieve a real and genuine choice of services. Under practice-based commissioning, GPs and other primary care professionals—the clinicians in daily contact with patients—will be able to redesign services for their patients. All of this allows PCTs to concentrate on a more strategic role. The way we commission needs to be transformed if we are to deliver the next phase of reforms successfully. We need to make commissioning more professional and to learn from the best, and we need to encourage innovation. Above all, we need to make sure that patients have access to the right services in the right place at the right time.