In the past 4 years according to Anna Walker of the Health Commission there has been a 20% increase in attendances at Accident and Emergency Departments. How odd. How very odd. Are people getting ill more often? Surely not. Perhaps there are fewer alternatives than there were. No. It can't be that. We now have NHS Direct and NHS Walk-in Centres. We never had those before. Or could it be that these new government initiatives make more work for A & E departments? Or could it be something to do with the new GP contract? Which is it Mr Brown? This is not something medical. There are no diseases that increase by 20% in 4 years. It must be something the government has done. So tell us, Gordon, what is it that your government has done that has made things so much worse? Dr Grumble would like to know. And could you undo what you have done please?