UNCORRECTED TRANSCRIPT OF ORAL EVIDENCE To
be published as HC 460-v
House of COMMONS
MINUTES OF EVIDENCE
TAKEN BEFORE
TRANSPORT COMMITTEE
Road Safety
Wednesday 16 July 2008
JIM FITZPATRICK MP and MR MIKE
FAWCETT
Evidence heard in Public Questions 412 - 438
USE OF THE TRANSCRIPT
|
1.
|
This is an
uncorrected transcript of evidence taken in public and reported to the House.
The transcript has been placed on the internet on the authority of the
Committee, and copies have been made available by the Vote Office for the use
of Members and others.
|
|
2.
|
Any public use
of, or reference to, the contents should make clear that neither witnesses
nor Members have had the opportunity to correct the record. The transcript is
not yet an approved formal record of these proceedings.
|
|
3.
|
Members who receive this
for the purpose of correcting questions addressed by them to witnesses are
asked to send corrections to the Committee Assistant.
|
|
4.
|
Prospective witnesses
may receive this in preparation for any written or oral evidence they may in
due course give to the Committee.
|
Oral Evidence
Taken before the Transport Committee
on Wednesday 16 July 2008
Members present
Mrs Louise Ellman, in the Chair
Mr David Clelland
Clive Efford
Mr Philip Hollobone
Mr John Leech
Mr Eric Martlew
Graham Stringer
________________
Memorandum submitted by Department of Transport
Examination of Witnesses
Witnesses:
Jim Fitzpatrick, MP, Parliamentary Under-Secretary of State, and Mr Mike Fawcett,
Head of Road User Safety Division, Department of Transport, gave evidence.
Chairman: Would Members like to declare any relevant interests?
Mr Clelland: Member of Unite.
Mr Martlew: Member of Unite and the GMB unions.
Clive Efford: Member of Unite.
Graham Stringer: Member of Unite.
Q412 Chairman: Member of Unite. Anyone
else? Could I welcome our witnesses and
ask if you would like to identify yourselves, please, for the record.
Jim Fitzpatrick: Good afternoon, Chairman.
Jim Fitzpatrick, Parliamentary Under-Secretary at the Department for Transport,
and Mr Mike Fawcett, who is Head of our Road User Safety Division is on my
right. We are very pleased to be here
this afternoon and we are at the disposal of the Committee.
Q413 Chairman: Thank you very much. You
have of course given evidence to us relatively recently on this issue but since
that time there has been the publication of new road safety statistics and we
felt that, on the basis of that, we would like to talk to you again and ask you
some questions, and we are very pleased that you are here. Would you like to make a brief statement
before we ask you any specific questions?
Jim Fitzpatrick: Only to urge a very slight note of caution and apology in perhaps
not being able to respond as definitively as colleagues might wish in respect
of the statistics that were released a few weeks ago. They are in the early stage of analysis. We expect to publish additional information
on traffic speeds, traffic levels and congestion for 2007 next week, on 24
July. The initial estimates for
drink-driving for 2007 are due on 7 August.
The first quarter of 2008's casualties data will also be issued on 7
August. The National Travel Survey will
be published in late August and the Road Casualties Great Britain 2007 Annual Report
will be released on 25 September. All of
these reports will help colour the figures that we published recently and give
better insight perhaps into exactly what has been happening, because these are
the first of a set of figures that will be released by the Department and that
we will be analysing fully to try and identify exactly what is happening out
there.
Q414 Chairman: Thank you very much for that.
I think that is very important because what we would like to do is get
behind some of these figures and see what they mean and see what factors might
have led to them. Could I ask you first,
do the figures as you have them now change anything that you told us when you
gave evidence to us in May?
Jim Fitzpatrick: No, I do not think they do.
The figures released for 2007 apparently were similar to figures released
in 2004, and in 2005-2006 there was a very small decrease in the numbers of KSIs. So again, a cautionary note about using one
year's figures as justifying or vindicating or pointing in any particular direction. We are, as you know, Chairman, heading
towards a consultation period later on this year in respect of our post-2010
strategy. I know that when we spoke
previously we had a discussion about what shape that might take and whether we
might want to separate out deaths from serious injuries, to have a more
definitive identification of what is happening, and whether we want a five-year
strategy, a ten-year strategy, whether we want to use the Swedish model of
going for zero deaths or the Danish model of sustainable safety, and culturally,
philosophically, trying to work out where we ought to be. We are still very much in the formative stage
of preparing for the consultation and, of course, the consultation itself will
allow us to come forward with conclusions that we can publish next year so that
the strategy, once it is developed post 2010, will have as strong a consensus
behind it as is possible. We are not
prejudging anything and we are certainly not using one year's figures to
reinforce or to deter us from any particular course.
Q415 Chairman: Are there any additional measures that were introduced in 2007 that
you think could have helped to come to this result?
Jim Fitzpatrick: We have had a preliminary look at what might have been happening
out there, and there are a couple of initiatives which were within the period
which may have had an impact. The
campaigns for not using mobile phone whilst driving this was made an endorsable
offence in fabric 2007. There was a high
profile "Think!" campaign. It is
certainly true that mobile phone use appears to have dropped significantly
between 2006 and 2007, by possibly as much as 40%. The campaigns to seize more vehicles which
are uninsured, by the police, or untaxed, by DVLA, resulting in the rate of
150,000 vehicles a year being seized, obviously may be taking off the road a stratum
of people who, if they are not paying tax or insurance, may very well be
breaking other road regulations in terms of the road-worthiness of the vehicle
or speeding, drinking, drugs and all the rest of it. We are not quite clear whether that 150,000
has had an impact but those are two things which clearly were high profile and
out in the public domain in the period previously. Again, until we drill down into a proper
analysis of the figures, it is too early to tell whether or not these aspects
have had an impact.
Q416 Clive
Efford: Minister, can you tell us how much
the fatalities among young drivers have fallen by in 2007?
Mr Fawcett: We have some information which suggests that for car drivers under
17 deaths dropped by 75%, although the numbers there are very small, and there
were large drops in the numbers of car drivers aged 17, but particularly, the
largest drops in terms of numbers were car drivers in the age range 20-24,
where there was a drop of 22% and that was a drop in actual numbers of 45 fewer
people killed. That was one of the
largest single drops across the whole of the deaths in 2007.
Q417 Clive
Efford: What do you put that down to? What do you think has been a key factor in
bringing about that reduction?
Mr Fawcett: As the Minister has been saying, I do not think we can be certain
at this stage. It would be very
interesting to see the drink-drive data.
We certainly know there were fewer drink-drivers caught by the police in
December, and they were doing more checks than in the previous December. In particular, there were fewer drink-drivers
found following injury accidents, a 27% reduction in December 2007 compared to
the previous year.
Q418 Clive
Efford: In relation to young drivers, is
there a similar reduction in deaths and serious injuries?
Mr Fawcett: Looking at the KSIs, there were also quite substantial reductions
in car drivers really throughout the range, quite evenly spread. The reduction in deaths was more marked among
people in their younger twenties. The
reductions in KSIs were quite evenly spread.
Q419 Clive
Efford: Do you think there is still more to
be done in relation to young drivers?
Mr Fawcett: Absolutely. We published in
May a consultation on radical reforms to the whole testing and training process,
which, of course, is still to come.
Q420 Clive
Efford: What about the issue around the
types of cars that they tend to drive?
Is there an issue there? Is there
any way that we can provide incentives or get young people to change the types
of vehicles they drive that might make it safer for them?
Jim Fitzpatrick: We have tended to conclude that it is very difficult to legislate
for what vehicles would be available to young people, whether they are able to
afford them themselves, whether they are being bought for them by their
family. There has been a debate about
whether we should restrict younger and newly qualified drivers to smaller
vehicles, but of course, a small vehicle can do 70 miles an hour in a 30 mile
an hour zone and do tremendous damage.
We have not identified that as an issue.
The debate in Westminster Hall this morning, which was moved by our Honourable
friend from Pendle - and the Chairman was there, as was Mr Hollobone and Mr
Leech and other members of the Committee - did look to have an element devoted
to the types of vehicles that young divers were driving and whether or not,
because they are more likely to be less expensive vehicles because they are
younger people and therefore do not have the latest safety features in terms of
air bags and braking systems and what have you, they are more vulnerable. It was very difficult to see how we could
influence purchasing arrangements, given that it is very much down to every individual's
economic circumstances and family assistance which might be available.
Q421 Clive
Efford: How much more expensive would it be
for a new driver to acquire a licence under the Government's learning to drive
proposals?
Jim Fitzpatrick: Our assessments, which we will lay out in the document, is that
given the numbers of lessons which people are having to take at the moment,
with the level of professionalism, the standard and quality of instruction that
they are getting, we are estimating it is £1,500 for a person on average to
pass their driving test, but the vast majority do not pass first time so there are
repeat lessons and repeat test fees. We
believe that with the improved quality of ADIs and recommendations in the star
rating system, the improved quality of lessons, the better structured approach,
it should be around about the same but ultimately, if we can demonstrate to the
satisfaction of the insurance companies that we are producing better, safer
drivers, who have less crashes, that should result in lower premiums as
well. So actually, in the medium term
that should lead to a reduction in the cost of motoring for younger and newly
qualified drivers. We certainly do not
anticipate the analysis and assessment we have made through the learning to
drive consultation paper suggests there will be an increase in the cost. We think it will be roughly about the same.
Q422 Clive
Efford: So you do not think the new
arrangements will add to the cost but how much do you think that those costs
contribute to young people from low income households and socially deprived
areas not getting the training that they require and therefore being over-represented
in the accident statistics?
Jim Fitzpatrick: I am not sure I have an analytical or evidence-based answer to
that. I think it was Mr Leech this
morning who remarked in the debate on how much it costs for insurance for young
drivers, but they still manage, in the vast majority of cases, from all
elements of society to be able to afford the very high insurance premiums for
young and newly qualified drivers. We
are certainly trying to provide a framework for training and testing which
gives greater certainty, clearer understanding, a better quality of learning,
so in that instance breaking the procedure up into models, with the
pre-educational qualification in schools for safe driving, it ought to make it
more attainable for the whole community to achieve a pass in their driving exam
and therefore to be a safer driver on the roads.
Q423 Clive
Efford: Do you think the costs contribute to
the number of unlicensed and uninsured drivers that there are out there?
Jim Fitzpatrick: I am not sure that it does.
Certainly, if cost is a factor, again, I go back to one of the
statistics I quoted earlier. If cost is
prohibiting people from taking lessons and sitting the test, it will also be
prohibiting them from insuring or taxing their vehicle, and the fact that we
now have in place the seizure arrangements, which are relatively new, up to
150,000 vehicles a year being seized, hopefully we are taking these vehicles
off the road which people ought not to be driving.
Q424 Mr
Martlew: Just on this point about young
drivers, there was an intervention by the Government's Chief Medical Officer on
Monday, who said that the blood-alcohol level of young drivers should be
zero. Do you welcome that
intervention? Are you going to implement
that proposal?
Jim Fitzpatrick: As you know, Mr Martlew, we have said that we will be going out to
consultation on the drink-drive regulations later on this year. It is the Department's view, as I think we
are also on record as saying, that we will be leaning that consultation towards
better enforcement. We will not be
recommending a reduction or elimination in alcohol levels but we know that when
we open the door to a drink-drive consultation, naturally that debate will
occur and there will be strong opinions submitted in favour of reducing to 50
or eliminating altogether or eliminating for newly qualified drivers. Professor Donaldson has obviously expressed
his strong opinion. It is not one which
is shared at the moment by the Department and our drink-drive consultation
later on this year will allow that debate to take place.
Q425 Mr
Martlew: So you did not welcome his
intervention?
Jim Fitzpatrick: To be perfectly frank, Mr Martlew, anything, from my point of view,
which gets road safety into the headlines, no matter how perverse, is good news
because if it is raising the question of safety, notwithstanding, with the
greatest of respect to the Select Committee and the disagreement we have about
restrictions for younger drivers, having that debate itself is a good thing
because it gets the media interested, it gets us some headlines, it gets us
some coverage in the written and the electronic media, and it means people are
discussing road safety. In that way we
welcome it but in terms of the Department welcoming it as something it might
support, that is a different proposition altogether.
Q426 Graham
Stringer: One of the essential explanations
for peaks and troughs in the accident statistics is, I suppose, the
weather. Do you record your statistics
against snow, mist, blizzards or whatever?
I am just asking whether that is an explanation.
Jim Fitzpatrick: I am afraid I do not know.
Mr Fawcett: I think the answer is that we do not in a terribly detailed or
systematic way, but you are absolutely right. We do look at that as one possible factor
influencing the figures. For instance,
in 2007, in the first quarter we saw the figures were really not terribly good,
and in particular, there were a lot of accidents to children and pedestrians,
because the weather was so unusually mild in that quarter, but then in the later
quarters of 2007 the figures got better and better, and particularly in the
final quarter the figures were the best of all.
So in terms of individual quarters, yes, the weather certainly does have
an effect, and we try to look at that as one possible factor.
Q427 Graham
Stringer: Do you think it was a significant
factor in the 2007 improvement?
Jim Fitzpatrick: As Mike was just saying, it may very well have been a factor. Of course, in the police investigation of fatalities,
road conditions, weather and visibility, et cetera, would be a feature but
whether or not that is extrapolated and used as a particular aspect of
analysis, I must say I have not seen it.
Q428 Graham
Stringer: What percentage of the Department's
budget is currently spent on road safety?
In the capital budget we have a figure of 16% of your budget is on
security and safety. How much of it is
safety? This is getting to be a more and
more complicated question. How does the
capital budget relate to the revenue budget in these things?
Jim Fitzpatrick: I certainly do not have that figure off the top of my head and, of
course, determining what the aggregated total would be is a determination of
whether or not the money that the Department gives to the Highways Agency and to
roads agencies for normal maintenance, routine maintenance, which may
incorporate improved signage, improved road layout, safety measures such as
proposed by the Road Safety Foundation in its examination of better engineered
solutions to reduce accidents, whether you are talking about the "Think!"
safety publicity campaign, which was about £17 million a year. I am not sure, Mike, if you have a
departmental total or a total for your section of the Department as to what that
budget might be?
Mr Fawcett: No. As the Minister says, it
is quite a difficult question to answer, particularly relating to the agencies,
where very large expenditure by DVLA and DSA - DSA clearly very largely about
safety, DVLA quite a large part, Highways Agency quite a large part. In terms of our particular bit of the budget,
we give grants to local authorities for some demonstration projects but these
are on quite a small scale. The big
spending comes from local authorities' mainstream budgets, where the Department
allocates very large sums for transport expenditure, with safety being the
determinant of quite a large part of that but local authorities are free to
spend that on their priorities. There is
evidence that their spending on capital projects has gone up substantially over
the last five years or so compared with previously but, as a percentage of the
Department's total budget, it is very difficult to put a precise figure on
that.
Q429 Graham
Stringer: The Road Safety Foundation claim
that you can get rates of 300% return from investing in safety schemes. I just wondered how many schemes you are
aware of or you keep listed that have positive rates of return that are waiting
to be invested in. That would be an
interesting figure.
Jim Fitzpatrick: We supported the Road Safety Foundation's launch of its reports in
the Lords last week, and the evidence and the data which they published and
spoke to on the morning was very impressive.
I do not think we fully accepted perhaps all of the calculations but
there certainly was a very strong cost-benefit analysis case put forward, which
is why, as I mentioned earlier, we are looking very closely at that, and
looking at what has happened in Sweden, because it could very well be a key
plank in the post-2010 strategy as well as looking at what can be done in the
short term to improve roads. There is a
very clear need for us to look at that and to see how strongly we place it in
our future strategy.
Q430 Graham
Stringer: This is the last question. Will you be in a position with the next
annual report, or the next time you visit this Committee, to give us a list of
schemes across the country with positive returns?
Jim Fitzpatrick: I am not sure if we will be able to. I am certainly happy to take that away and
see if that is possible. The money that
we are passing on through road safety partnerships, through local authorities,
through the Highways Agency - there are schemes being developed all the
time. Again, I suspect in terms of
determining whether or not these schemes will be as a direct result of the Road
Safety Foundation proposal or whether they are developed on the basis of a
better understanding, that engineering solutions can give better benefits, I am
very happy to take that away and look at it and perhaps respond to the Committee
with a better perspective.
Mr Fawcett: Could I just add something?
We are following up with the Foundation as a matter of priority. I think it would be unlikely, to be honest,
that local authorities would have the manpower resources to devise a complete
list of all the schemes that they might want to introduce over - I think the Foundation
was suggesting a seven-year period - within a matter of months. I think this will be more likely take the
form of a rolling programme that will be developed over the years, tackling
first some of the big, obvious problems on stretches of road that have very
high casualty levels, and then moving on progressively to roads that are
serious but with not quite such dramatic problems.
Q431 Mr
Hollobone: The reduction in road casualty
figures is most welcome; nobody would disagree with that, but the numbers of
people involved is still huge: one quarter of a million road casualties every
year, one and a quarter million over a parliamentary term, and motor vehicle
accidents are the most common cause of death for people dying in Britain aged
between five and 35. Do you think that
this should be made a health issue rather than just a Department of Transport
issue?
Jim Fitzpatrick: I think we skirted around this discussion the last time I was in
front of the Committee. I think the view
that I expressed and articulated at that point is certainly in agreement with
the fact that we have a horrendous number of casualties and that the carnage ought
not to be allowed to continue. We are
doing what we can in terms of treating it as an issue, back to the territory we
covered before, when public health questions like stopping people smoking is a
health issue, we are stopping people drink and driving, we are stopping people speeding,
we are trying to make sure that people wear seat belts - we are interfering in
social and cultural activities in a way which is quite invasive in respect of
individual freedoms, but when the evidence is that is demonstrated to have been
beneficial, more often than not people come round to accepting it, and even
supporting it and being advocates for it.
As I said earlier on in response to Mr Martlew, if making it a public
health issue, in the sense of trying to make sure it is featured prominently
all the time, constantly, and that is not something we would move away from, I
know that officials within the Department through police and enforcement
agencies are working extremely hard to get every health message across and
every safe driving message across that we can.
Q432 Mr
Hollobone: A hundred and twenty-one children
died on the roads, an impressive 28% reduction on the year before. It is the lowest ever recorded figure. Why do you think the figures dropped so much?
Jim Fitzpatrick: I would go back to our answers previously. It is very difficult to make a snapshot
determination on the basis of how recently we have received the figures and the
analysis which does have to be done.
Clearly, we do have the evidence over the past eight years. In the 2000-2010 strategy to reduce KSIs by
40% for adults and 50% for children, we have achieved the 50% early on. Whether the 20-miles-an-hour zones may be
having a greater impact because they are being rolled out by many more local
authorities across the country... We are
looking specifically at the evidence in respect of that, seeking data from the local
authorities which have introduced it wholesale, like Hull
and Portsmouth,
trying to measure how far the roll-out has been and what the success rates have
been. We often quote the figures in
support of the guidance that the Department issues to local authorities that
where a 20-miles-an-hour speed limits have been introduced effectively, with
physical restrictions, there has been a near 60% reduction in crashes and a
near 67% reduction in child accidents.
So 20-miles-an-hour zones may very well be one of the reasons why the
child accident figures have gone down as strongly as they have, but we do not
have that data to hand yet. Obviously,
as soon as we have, were it to be the case that they would be mainly
responsible as part of this minor success, that would only reinforce the
guidance that we issue to local authorities.
Q433 Mr
Hollobone: Why not ban male drivers from
carrying passengers until they are aged 20?
Jim Fitzpatrick: We have outlined previously our reasons why we do not think
restrictions on young and newly qualified drivers is the appropriate way
forward. We believe it would signal
failure, that we would be indicating that we are not training people to an
appropriate level. There would certainly
be an element of challenge to policing the age of passengers in a vehicle by
the police authorities - not that that would be insuperable, but obviously it
would be difficult. Our view is that the
vast majority of young and newly qualified drivers are safe and responsible
drivers and that it is the minority who are irresponsible or who are involved
in these crashes, and to introduce that blanket, across the piece, we are not
persuaded to, but the consultation, again, will bring that forward and I know
the Committee has very strong views on it.
Q434 Mr
Hollobone: Is it true that a
disproportionate number of the vehicles involved in road accidents are either
untaxed or uninsured or both? What are
the latest figures for the number of vehicles on Britain's road which are (a)
untaxed and (b) uninsured?
Jim Fitzpatrick: I can answer on the untaxed, in that with he survey that we
published recently we got into trouble with the Public Accounts Committee
because they thought we were being unfair to them, because they had published a
report criticising the poor collection rates, when we were saying it was
something like 90-92% for cars and much lower for motorcycles. Last year we introduced a new system for
collating, using the automatic number plate recognition cameras that we have
across the country, and then physically double-checked those figures and the VED
rates were up at 97%. I will double-check
that figure for you. The numbers evading
VED were much lower, and in terms of motorcycles, where there was a suggestion
it was as high as 30%, that was down to about 9% because we had much more
reliable data, although it is the first year's figures, so again, we put a
health warning on those. In terms of
uninsured vehicles, I think, off the top of my head - forgive me again - the ABI
estimate that there are between 2-3 million uninsured vehicles which cost the
rest of us an extra £30 or £40 per annum in premium to cover the cost of those vehicles
which have accidents. But, as I also
said earlier, the seizure rate for vehicles that we are now seeing across the
country of 150,000 vehicles which are being impounded by the authorities may be
a clear explanation as to why those numbers evading VED are going down as well.
Q435 Mr
Leech: I would like to move on to
motorcycles, if I can. Unfortunately,
the number of people killed or seriously injured on motorcycles rose between
2006 and 2007 by 4%. There was a 4%
increase although the number of people who were actually killed went down. Is there a particular reason why you feel the
number of casualties where the person died has gone down, and can you explain
why the Department thinks that the number of casualties overall is still
rising?
Jim Fitzpatrick: I am not sure that we can rationalise it at this point. We certainly are concerned about motorcycle
casualties given the proportion that they are of the driving population and the
disproportionate number of those who are being killed: 599 in 2006 and 588 in
2007. We have set up the National Advisory
Committee for the motorcycle fraternity, incorporating both the industry and
user groups, which is working through a whole series of issues, and dealing
specifically from the point of view of the motorcyclist and how better we can
make sure that we are mainstreaming motorcycle issues into the Road Safety Strategy. We also have initiatives such as the Sharp
scheme, where we are rating by a star system the safety and validity of
motorcycle helmets. That was published
last month and was welcomed by the industry and the trade. Our estimates say that that initiative on its
own, by producing a star rating system to advise motorcyclists of the best
helmet which is suitable for them and their pocket - because some of the most
expensive helmets that one would think might be the safest does not appear to
the case - we could save up to 50 lives a year if people get a helmet which
suits them and which is going to be better to protect them. So at the micro level we are dealing with the
equipment and at the strategic level we are dealing with motorcycling
generally, both people who are motorcycling as commuters because it beats congestion,
or because it is less expensive, or born-again cyclists, men in their thirties
and forties, who are rediscovering the thrill of riding at weekends.
Q436 Mr
Leech: Just on that last point, do you think
one of the problems with motorcycle casualties is men going through mid-life
crises returning to their youth and getting on motorcycles that they are not
any longer qualified to drive?
Jim Fitzpatrick: I am not entirely sure.
Certainly, the increase in the population, the increase in the numbers
of men - I am not sure it is a mid-life crisis but perhaps it is the ability to
have more disposable income and free time and the ability to enjoy themselves -
certainly, putting themselves at some risk, because we know that motorcycling
is more dangerous than driving a car; you do not have the safety features to
protect you. We are changing the testing
arrangements for motorcyclists; from September the test will be more
robust. We hope that that also will have
an impact and an effect. Certainly,
motorcyclists by and large are victims of road crashes as opposed to killing
themselves, although, obviously, their own failures do result in deaths and
serious injuries. So we are trying to
arrive at a holistic approach in terms of how best to protect motorcyclists
from themselves but also from other road users, who in the main may not see
them coming.
Q437 Mr
Leech: One last question: is there any evidence
that the cost of driving a car is persuading more people to use a motorcycle
instead, and therefore having an impact on accidents involving motorcyclists?
Jim Fitzpatrick: I am not entirely sure. I
suspect the answer to that anecdotally is probably yes, just the same as
congestion is probably persuading more people to use motorcycles rather than
cars, in terms of what the congestion scheme costs. Equally, more people are taking to cycling
and, as you know, we are investing a lot of money in that over the next three
years. Cycling rates across the country
do seem to be rising for the first time in many years, with in London an 83% increase
over the past five years. Cycling is
becoming more attractive. Motorcycling
is clearly more attractive to some people because the numbers over recent years
have been going up. Proportionately,
although the figures are very depressing, the numbers going up as high as they
are, the figures remaining roughly about the same possibly could be interpreted
- and I am not trying to spin figures here - as a reduction.
Q438 Chairman: Are fewer people dying because of better hospital care?
Jim Fitzpatrick: I think the answer to that is that we do not think that is the
case. We value the Health Service, we know
there is better treatment available, but the evidence does not suggest that better
A&E is having an impact on the figures.
Chairman: Thank you for your evidence.
Thank you very much for coming.