Is the Under-Secretary of State aware that the London ambulance service is applying for trust status, but at the same time has vehicles with inferior specifications, a reduction in the number of its officers by 50, a capping of the necessary overtime for emergency services and a move to divide patient transport services into 32 different organisations? Is he aware that the management is appointed entirely and directly by the Secretary of State, who, despite those deficiencies, has refused to see a deputation of London Members of Parliament? Is not this arrogant and undemocratic behaviour, which demands the condemnation of the House?