Naushabah Khan:A Channel 4 “Dispatches” documentary recently went undercover at an ambulance centre in my constituency of Gillingham and Rainham. It showed exhausted staff working under difficult circumstances—the result of years of Tory neglect and mismanagement of our NHS. Does my right hon. Friend agree that after the chaos under the last Government, this Administration will put staff and patients first? Will the relevant Minister come to my constituency to meet healthcare providers and discuss our local challenges? \p Karin Smyth: We know that there have been issues with the urgent emergency care response. We are absolutely committed to supporting ambulance trusts to continually improve the patient experience. The urgent emergency care plan for 2025-26 is backed by nearly £450 million of funding. I am happy to discuss that further with my hon. Friend. \p Lindsay Hoyle: I call the Liberal Democrat spokesperson. \p Helen Morgan: Every year we come here to discuss the winter crisis in the NHS, but this summer saw record waits at accident and emergency, with more than 74,000 12-hour trolley waits in June and July. That used to be unheard of. With winter looming and the potential for the A&E permacrisis to be even worse this year, what package of emergency measures is the Secretary of State putting in place to ensure that patients are not left to suffer on trolleys or worse in our hospital corridors this winter? \p Wes Streeting: The hon. Lady is absolutely right to point out that the NHS is already running hot ahead of winter. We brought forward our winter planning for this year to get ahead. We are making sure that all NHS trusts and systems have developed plans that have been tested regionally. The flu vaccination programme is well under way, the autumn covid-19 vaccination began on 1 October, and we are driving improvements in urgent and emergency care. This will be a challenging winter—we are not complacent about that—but we are getting the system ready for it.