Mike Penning (Hemel Hempstead) (Con): The St. Julian ward is the only one in that part of Hertfordshire offering respite to carers whose loved ones are desperately ill. Will the Minister therefore ensure that the consultation process considers its proposed closure very carefully? Ms Winterton: I assure the hon. Gentleman that the trust will be made aware of this debate, but I hope that he, and the other Opposition Members present, will agree that it is right for the local NHS to get back on an even keel. The proposed changes are subject to consultation: although difficult decisions will have to be taken, I assure the House that every effort is being made to ensure that there is only minimum disruption to services and to jobs. | 
