My Lords, the reason why we are facing this huge Crisis in Health and Social Care is the amazing advance that has been made, mostly in medical care, in controlling a lot of acute conditions that used to kill people.

We are marching towards a real Crisis in Health and Social Care, and at the moment, I do not think that any of us are confident that we really know the way through.

Does the Secretary of State begin to understand the dismay that there will be over today's announcements, which will put at risk school crossing patrols, deepen the growing Crisis of Health and Social Care in the city and threaten dozens of community groups supporting the most vulnerable in Birmingham?