i understand she will say these decisions are to be made locally, but will shipley say that she can understand the anxiety of expect the moms who faced a 40-mile journey untypical rose which are often blocked if they have a typical earth. >> can i say to the honorable gentleman that the problems facing our widely recognized and i understand the concerns of local people in terms of services available for them. we have put national support in place to address the long-standing challenges developing a lasting plan on what they rightly expect. he's right in saying they are being taken locally. no final decisions have been taken. i recognize the concern raised previously, particularly services. there will be considerable involvement and we do recognize the long-standing challenges for health service. >> dr. caroline johnston. >> thank you, mr. speaker. i know for my career in medicine that the men and women to a brave job for the people of saving people's lives every day. east midlands ambulance service was on a two-day total of 11,662 9-1-1 calls over the weekend allowed of which thousands of whic