Will my hon. Friend confirm that fundholding practitioners, which are important in purchasing services and treatment, are able to carry over funds from year to year? If that is so, can my hon. Friend explain why trust hospitals and trusts, such as the East Cheshire NHS trust, are not also able to carry over funds from one year to another in order to take account of exceptional circumstances that occur from time to time? That would surely encourage efficiency and enable trusts to meet exceptional costs without difficulty.