is it lord tebbit or the deputy prime minister?o get through christmas without spending any time with either of them. i would remind my honorable friend that i am closer to all conservatives than i am to anyone from any other party. >> yesterday, the secretary of state for health received a report recommending the downgrading of maternity services and the closure of the a and e department at lewisham hospital. does the prime minister recall the coalition promise to end the forced closures of a and e and maternity services? if this is not to be on the list of broken promises, will he ensure that these closures do not go ahead? >> what the government and i specifically promised was that there should be no closures or reorganizations unless they had support from the gp commissioners, unless there was proper public and patient engagement and unless there was an evidence base. let me be absolutely clear -- unlike under the last government when these closures and changes were imposed in a top-down way, if they do not meet those criteria,