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Vascular Sector Reform

I agree with the Minister that services should be locally commissioned, particularly where there is a high prevalence of a certain type of disease or condition, because it allows for the shaping of those services to local circumstances. There is evidence, is there not, that local commissioning has not given us a consistent level of service across the country. What steps are the Government taking to ensure that that does not become more entrenched as we empower ICBs even more through the Health Bill?