mr. speaker: order. i say to opposition members that their honorable friend must be heard. teresa pearcene in four patients is waiting more than a week for a gp appointment, and some in my constituency are waiting two weeks. a third cannot even get through on the phone, but 23% of london gp's are due to quit the nhs in the next five years. will the prime minister take responsibility for the increasing crisis in gp's on his watch? prime minister cameron: what i would say to the honorable lady is that nationwide we have 1,000 more gp's in the nhs. in her constituency, there are eight more gp's compared with 2010, there are 317 more gp's in the london area, and the royal college of general practitioners, which has often criticized the government, has said that there has never been a better time to go into general practice. james morris: the black country economy in the west midlands has been one of the fastest growing local economies of any region in the united kingdom over the last two years, with more investment in manufacturing, new high-skill jobs, more exports and better opportunities