Certainly, as far as north-west Wales is concerned, part of my region, Blaenau Ffestiniog and now in Porthmadog as well, we have a situation where things are actually getting worse, because patients do not feel that they have a personal relationship with an individual doctor, because they can't develop that sufficiently with a locum by definition, because they're not necessarily going to be there permanently. 

There is another problem that this brings about as well, because when Betsi Cadwaladr takes a practice in-house, it withdraws the My Health Online internet tool that allows patients to make online GP appointments, and that makes it more inconvenient for patients as well. So, why is it that one of the features of directly managed practices is the withdrawal of useful technology that is vital to improve healthcare? Surely, this is not absolutely necessary. As Betsi Cadwaladr is still in special measures, perhaps the heath Secretary could enquire of the health board whether they can reverse this retrogressive policy.