It is a pleasure to serve under your chairmanship, Mr Hollobone. I thank my hon. Friend the Member for Isle of Wight (Bob Seely) for securing this really important debate. Small hospitals are often the Cinderella service of the NHS, and their value is not always recognised. We have heard cross-party support from Scotland and Northern Ireland, and if Welsh Members had been present I am sure that they too would have recognised the challenges that unavoidably small hospitals face. I reassure colleagues that the ministerial team recognises the worth of small hospitals. As my hon. Friend the Member for St Ives (Derek Thomas) said, it is not just about the value they bring to their local communities, but the pressure they take off the wider health service in their regions, which we have seen particularly clearly in recent months and years. When we had covid hot and cold sites in the NHS, smaller hospitals were able to work and function and take some of the pressure off larger hospitals that had large outbreaks of covid. I acknowledge that small hospitals are more expensive to run, but their added value cannot be underestimated. My constituency does not have a hospital, so my constituents have to travel. We do, however, have the Lewes Victoria Hospital—it is a small community hospital, not an unavoidably small hospital—and my constituents really value its work. My hon. Friend the Member for Thirsk and Malton (Kevin Hollinrake) and my right hon. Friend the Member for Richmond (Yorks) (Rishi Sunak) touched on this. When trusts run a portfolio of hospitals, it is often tempting for them to move services to a much more cost-efficient, bigger site, but what then tends to happen is that, once the consultant-led maternity service goes, it becomes difficult for the anaesthetists to keep up their skills, and all of a sudden the hospitals become unsustainable. The quality of care can be significant. The ambulance handover delays on the Isle of Wight are minimal with an average handover for emergency conveyancing less than 15 minutes and their record on 60-minute breaches often better than that of some larger centres. Health Education England is working to change training programmes, introducing blended learning and apprenticeship models. Funding for smaller hospitals can be a challenge due to higher costs in rural areas. The funding formula has been adjusted to reflect these costs more accurately, but I am happy to sit down with colleagues if the changes are not delivering as hoped. Urgent and emergency care is crucial locally, but small hospitals see fewer trauma cases or cardiac arrests requiring highly skilled staff such as anaesthetists. We need to support them in maintaining their skills. I want to reassure colleagues that we are committed to keeping smaller hospitals, with investment in the Friarage surgical hub and North Devon, and a commitment to the 40 hospitals programme. This is about more than just services technically on site; it's about quality of care. Smaller hospitals often know their patients well and provide high-quality service. I am happy to write to all colleagues detailing this information and encouraging them to meet with integrated care boards for discussions on smaller hospital funding and services. We must ensure that small hospitals are successful.