Andy MacNae
MP for Rossendale and Darwen · Labour · United Kingdom
“McDermott is building 71 homes in my constituency on a sensitive site in Bacup. The development was originally refused by the council, but was approved on appeal. From the outset, McDermott has been dismissive of planning conditions and residents’ concerns, particularly regarding ecology, site access and road safety.”
House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“Boards and senior leaders must hear what staff are telling them. They must be able to trace concerns from the ward to the boardroom, demonstrate what action has been taken and report back to those who spoke up. Whistleblowers must be protected from retaliation or isolation.”
House of Commons12 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“I agree wholeheartedly, and as the hon. Member will see, I will focus on that significantly later in my speech. On miscarriage data, Scotland is expecting to begin routine data collection on miscarriage from this year. England should match that ambition.”
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“I thank everyone who has spoken and shared their experience, which is not easy. In that regard, I would just reflect on the comment made by my hon. Friend the Member for Lancaster and Wyre (Cat Smith). There are Members who could not be here today because their losses are too recent and too painful.”
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“The test will not be the quality of the plan when it is published, but whether care improves, families are listened to, staff are supported to provide care and, ultimately, fewer babies die. Today, I want to focus on some key areas in which action is urgently needed.”
House of Commons12 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“The national bereavement care pathway already exists and covers miscarriage, termination of pregnancy for foetal anomaly, stillbirth, neonatal death and sudden unexpected death in infancy.”
House of Commons12 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
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“Will the Leader of the House agree to a debate on how we can better support local authorities in such situations, and ensure that developers such as McDermott are held accountable when they repeatedly breach planning conditions?”
House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“McDermott is building 71 homes in my constituency on a sensitive site in Bacup. The development was originally refused by the council, but was approved on appeal. From the outset, McDermott has been dismissive of planning conditions and residents’ concerns, particularly regarding ecology, site access and road safety. The issues persist, despite a stop notice, three breaches of conditions and magistrates fines, which seem to offer no deterrent at all. The council is left managing numerous complaints, despite having refused the original application, and the community bears the cost of decisions made by a remote inspector in Bristol.”
House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“These targets must be ambitious, transparent and measurable. The policy unit’s recommendations include national targets for stillbirth, neonatal mortality and preterm birth, alongside an explicit commitment to eliminating the inequalities in these outcomes based on ethnicity and deprivation.”
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“The test will not be the quality of the plan when it is published, but whether care improves, families are listened to, staff are supported to provide care and, ultimately, fewer babies die. Today, I want to focus on some key areas in which action is urgently needed. First, to underpin the action plan, we need new national targets to reduce baby deaths and eliminate inequalities. Black and Asian babies continue to experience substantially higher rates of stillbirth and neonatal death, while babies born to the most deprived communities also face worse outcomes. We do not need another decade of evidence to know that this demands action. The previous national maternity safety ambitions expired last year and have not yet been replaced, so the Sands and Tommy’s joint policy unit is calling for new targets to take us to 2035.”
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“To everyone who has spoken at the APPG, often at great personal cost, I say, “Thank you. Your testimony must not simply become part of another report; it must shape what happens next.” When I opened last year’s debate, I focused on the national investigation into maternity and neonatal services. Since then, Baroness Amos has published her findings, and a national maternity and neonatal taskforce has begun developing a national action plan. That is progress, but it is not yet delivery. Time and again, families have seen inquiries established, reports published and recommendations accepted, only for the same failures to recur again and again. We must break this cycle, and make this national action plan a watershed moment.”
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“They have trusted us with heartbreaking stories of babies who have died, concerns that were dismissed, parents left without answers and families having to fight the very systems that should have supported them. We have also heard from dedicated healthcare professionals, representative of tens of thousands across the country who are working incredibly hard to deliver great care despite the system, not because of it. Last year I shared my experience of losing my daughter Mallorie. This year I have been spurred on by the stories that others have entrusted to us. Each is different, but the message running through them is the same. We know more than enough about the failures and the problems. We know what good should look like, and families and professionals now urgently need us to deliver change.”
House of Commons12 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“I beg to move, That this House has considered Baby Loss Awareness Week. It is a privilege to open this debate again during Baby Loss Awareness Week. I want to start by recognising the bereaved parents participating in the debate today, whether by watching at home, having shared their story with their MP, or even by speaking in this Chamber. To lose a child is one of the most painful things a parent can experience. I know today will bring back difficult and deeply upsetting memories for many, but we are here today in our children’s memory. Since our debate last October, the all-party parliamentary group on baby loss has heard from countless families, charities and support groups.”
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“Unfortunately, the tragic case my hon. Friend describes is just too common, as is reflected in so many accounts I have heard from families at our all-party group. Yet again, it just adds to the weight of evidence showing that we need urgent and immediate action. We cannot wait. We cannot let those families down.”
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“We must understand where babies are dying, which families are experiencing the poorest outcomes, where learning is taking place and, ultimately, whether changes in policy are actually making a difference. This must include better data on miscarriage. At present, we do not routinely collect the information needed to understand fully how many families experience miscarriage, how those experiences differ between communities and whether outcomes are improving.”
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“I pay tribute to those parents, and to so many parents who have launched campaigns in their children’s names. I hope and believe that that particular measure will be considered alongside many other methods and actions that could prevent the tragedies we see all too often. I thank my hon. Friend for bringing that to our attention. The national maternity targets are vital, because without these clear targets, it is harder to maintain focus, measure progress or hold the system to account. The Government should adopt this call. Progress must be published regularly, and the data must show not only the national picture, but which communities are being failed and where.”
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“Ultimately, families will judge the maternity commissioner role by whether it can ask difficult questions, publish uncomfortable findings and demand proof that change has occurred.”
House of Commons12 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“The commissioner should have a statutory basis, independent publication rights, the power to obtain information and make formal recommendations, and a duty to monitor their implementation. The office will also need protected funding and a dedicated team. The Government must explain how the commissioner will work alongside the taskforce and other bodies, what powers the office will possess and how its independence will be protected. That will be particularly important if the role is to be based within the Department of Health and Social Care. If that is the case, the Government should present a clear rationale as to why it is the best option and provide specific assurances around independence.”
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“The commissioner should report regularly to Parliament on progress against national targets, identify where improvement has stalled and require public bodies to explain what corrective action they will take. That must include being able to challenge the regulators. Long-terms issues with the Care Quality Commission and the General Medical Council are well recognised, but effective, trusted and fit-for-purpose regulators are a crucial element of any maternity safety system and a maternity commissioner should be able to demand better of them. The commissioner’s potential will be realised only if they can act independently of the system being scrutinised. The system cannot be allowed to mark its own homework.”
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“I agree wholeheartedly, and as the hon. Member will see, I will focus on that significantly later in my speech. On miscarriage data, Scotland is expecting to begin routine data collection on miscarriage from this year. England should match that ambition. Linked to that, we also need to address anomalies in how stillbirth is defined and recorded. However, targets and data are only meaningful if someone is responsible for monitoring progress and challenging failure. That brings me to my second point. The maternity and neonatal commissioner, as recommended by Baroness Amos, must be independent, empowered and properly resourced. The commissioner could provide a strong national voice for women, babies and families, monitoring whether recommendations are implemented, holding the system to account and ultimately helping to rebuild trust.”
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“I think this connects to the issue of personalised care. When it comes to bereavement support, it is the care and support that works for that individual. I will talk later about personalised care plans and personalised support plans during bereavement, but it is about reflecting on what the individual needs, not what the system says someone needs.”
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“Too many families have described being dismissed or treated as a category rather than as a person. A safe service cannot be one in which parents are not heard. Nor can it be called safe if assumptions about ethnicity or background influence the care someone receives.”
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“I join my hon. Friend in paying tribute to Sands—indeed, we are joined today by staff from Sands in the Gallery. There are so many charities, such as Tommy’s and others, that are vital. It is a fact that so many parents rely on voluntary services and voluntary support to get through what is one of the most difficult times in their lives. Those charities are indispensable, but at the same time they are often plugging gaps that exist in the system that maybe should be providing that support. The third point I want to focus on is on the question about personalised family-centred care. Every pregnancy and every family is different. Good care depends on seeing the person in front of you, listening carefully, and understanding their history, circumstances, concerns and individual risks.”
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“We must recognise, celebrate and share what works. We must have structures that identify best practice and effectively propagate it throughout maternity services. That brings me to my fourth point. Supporting and empowering staff must be central to reform. Throughout the all-party parliamentary group’s work, we have heard from healthcare professionals who care deeply about families and take great pride in their work, but goodwill cannot compensate for a lack of time, training, capacity or appropriate facilities. Safe care requires the right staff with the right mix of skills and the right resources and facilities needed to deliver it. Staff need time to listen properly to families, undertake training, reflect on difficult cases and learn from colleagues.”
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“In designing this change, we should recognise that there are midwives, doctors, nurses, support workers and bereavement specialists throughout the country delivering extraordinary care every day, often under immense pressure. We must learn from that and build on it. To give just one local example, we have the Lancashire Women and Newborn Centre in Burnley. Speaking with staff and patients there, we can see what good practice looks like. It is a high-quality environment, with a triage unit to catch early issues. There is mutual respect among staff and personalised care for patients. They take time to listen and to provide compassionate bereavement support when needed. This same high standard of care is replicated in many units throughout the country, so reform must not simply identify what has gone wrong.”
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“I thank John and Holly for raising that question. Of course, I agree that listening to parents, listening to families and listening to mothers is crucial to a good service. To me, it is the thing that defines a good service: the personalisation and individualisation of care. Building on that, families must be genuinely involved in decisions. Information must be clear and accessible. Risk must be assessed individually. When a mother or parent says that something is wrong, that concern must be taken seriously. The national action plan should establish what every family is entitled to expect throughout the maternity and neonatal pathway: physical and psychological safety, dignity, informed choice, and compassionate care and communication.”
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“She has now had her NHS career terminated on ill health grounds and she is back on another waiting list for therapy. Vanessa’s experience is far from unique. Time and again, I have heard from mothers and fathers about how the system was incapable of responding to their individual circumstance, and the timing and depth of trauma.”
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“We also received good emotional support in the immediate aftermath from hospital staff, but trauma can take time to kick in. The impacts of losing a child do not end after a week or a month or a year. They stay with us. My wife, Vanessa, suffered depression and post-traumatic stress disorder in the years following Mallorie’s death. For 11 years now, she has had consistent difficulties accessing specialist and sustained mental health support. Instead, she has been bounced between short-term interventions and generalists, and often reliant on limited voluntary services. At no point was she able to get support from a mental health professional who actually specialised in birth trauma. She was never able to return to her role as a senior health visitor.”
House of Commons12 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“Boards and senior leaders must hear what staff are telling them. They must be able to trace concerns from the ward to the boardroom, demonstrate what action has been taken and report back to those who spoke up. Whistleblowers must be protected from retaliation or isolation. No healthcare professional should be forced to choose between remaining silent about unsafe care and risking their livelihood by raising it. If staff are trusted, supported and heard, they are far better placed to listen to families in turn. Fundamentally, we should empower staff to provide the standard of care they entered the NHS to deliver. Finally, we must deliver compassionate and equitable bereavement care. Our daughter Mallorie died at five days old. Nothing could have been done to prevent that, and we received exceptional care throughout our time in hospital.”
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“I fully agree. I am so glad my hon. Friend raised that point, because she has, wonderfully, set up the next passage of my speech. Staff must be able to raise concerns without fearing damage to their careers. The figure in the NHS staff survey is, I believe, that 43.5% of midwifery staff felt confident that concerns would be addressed. Staff are often the first to recognise when a system is becoming unsafe. If they believe speaking up will make no difference, an opportunity to prevent harm may be lost. Improving culture must therefore mean more than asking staff to attend another programme or complete another exercise. It must mean creating an environment with time to listen and time to care. Speaking up should be welcomed, concerns taken seriously and those who raise them protected.”
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“I will come on to the full package of support that is needed, but what the hon. Member raises is indicative of how care is not available when people need it most—we hear that time and again.”
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“Bereaved families have given us their testimony, time and trust. They should not be asked to return in another year—or in another decade—to tell us that the same failures continue. We cannot bring back the babies who have died, but we can honour their short lives through what we do next.”
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“We need care that sees and listens to every family as individuals. We need to give staff the training, time, capacity and protection they need to provide safe care and to speak up when something is wrong. And when a baby dies, we need compassionate, high-quality bereavement care for every family. Last year, I said that we had the opportunity and obligation to act. That obligation is now greater, because the actions we must take have been laid before us. Families have heard promises before, they have watched recommendations accepted, and they have been assured that lessons would be learned, only to see another family experience the same failures. We owe them something different now, not another expression of good intent, but evidence that care is changing and lives are being saved.”
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“When loss has occurred, every family should have a private space to spend time with their baby, make memories and begin to process what has happened. Specialist bereavement support services should be there to support them through personalised support plans, and in the longer term they need to have specialist mental health support available to respond as trauma manifests, even if that is years later. The question is no longer whether maternity and neonatal services require fundamental change—report after report has answered that. The question is whether we have the determination to deliver it. We need targets to reduce baby deaths and eliminate inequalities by 2035, supported by good data to show that policy is working. We need a commissioner with the independence and authority to hold the system to account.”
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“The national bereavement care pathway already exists and covers miscarriage, termination of pregnancy for foetal anomaly, stillbirth, neonatal death and sudden unexpected death in infancy. Every NHS trust in England has voluntarily adopted it, but implementation remains inconsistent because services have not always received the resources or prioritisation needed to deliver it. We must address that and require that all bereavement pathways are considered within NHS planning and resourcing. Effective bereavement support should be integral to all maternity services, with identified bereavement leads. All staff who may care for bereaved families should have access to appropriate bereavement training during working hours, and they must themselves receive the support they need in dealing with the losses they have seen.”
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“Supporting charities is vital; they do so much incredible and brilliant work, and I would encourage any support that could be given. I will now attempt wrapping up and not take any more interventions —my eye has been caught by Madam Deputy Speaker. The care received after losing a baby stays with a family forever. Kindness, dignity and privacy cannot remove grief, but poor and absent care after loss will deepen trauma and cause long-term harm. To be clear, good bereavement support must include fathers. Only 29% of services offered basic assessments to fathers in 2024—that is simply not good enough. Services must recognise that fathers and partners will also grieve. We need to do better, and we can. We know what needs to be done.”
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“To deliver that, we need the resource, the institutional capacity and the leadership to drive through that change with urgency and practicality. So next year, let us be celebrating what we have done, not talking about what needs to be done. Question put and agreed to. Resolved , That this House has considered Baby Loss Awareness Week.”
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“I thank everyone who has spoken and shared their experience, which is not easy. In that regard, I would just reflect on the comment made by my hon. Friend the Member for Lancaster and Wyre (Cat Smith). There are Members who could not be here today because their losses are too recent and too painful. As many others have reflected, baby loss affects far more of us than we actually realise. I thank all Members present, and I thank the Secretary of State for being here throughout—it means a lot; it really does matter. Her commitment and passion for getting this right shine through. There has been clear consensus across the House about what needs to be done. We should all be very clear that in a year’s time—and we will be back here in a year’s time—we need to be talking about what has been done and real, tangible, concrete actions.”
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“My right hon. Friend the Member for Makerfield (Andy Burnham) has made it clear that reindustrialisation will be a key priority for this Government, but in order to be meaningful this must be done with true ambition, delivering good jobs, hope and opportunity in every part of the country, including the small towns of Rossendale and Darwen. To achieve that, we need to move beyond city-centric economics and the outdated assumption that our future is simply as a service economy. We must recognise that national renewal and resilience come from making more things in more places. Will the Leader of the House agree to a debate in Government time on how we can achieve that?”
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“We are good at making the best of things, so I ask the Secretary of State to work with me and us to bring in the much more significant capacity and capability funding that we need to reverse that deprivation and catch up with neighbouring places, such as Manchester. Will he meet me and east Lancashire colleagues to drive this forward with urgency?”
House of Commons16 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“I have long been a proponent of the principles of LGR, which Lancashire and my constituents have desperately needed for a long time. It is a chance to reinvent local government. However, today, in respect of a decision made by the Secretary of State, I have to associate myself with the comments made by my parliamentary neighbours, my hon. Friends the Members for Burnley (Oliver Ryan) and for Hyndburn (Sarah Smith). I cannot accept the suggestion—the claim—that these boundaries match the natural economics of Lancashire. It will leave us with the most deprived local authority area in the country.”
House of Commons16 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“There is the 70-year-old lady with spinal cancer who was stuck there for 72 hours; the young woman who was a historical sexual assault victim, physically shaking with fear at being left in a corridor surrounded by men; or the 90-year-old with dementia and double incontinence, reliant on her daughter to change and clean her, and desperate for privacy, comfort and reassurance. I too have been there, unable to walk after a fall, for 13 hours overnight in a corridor that felt like a war zone, next to an old lady who was in constant pain, fearful and alone, crying out for her family—just one voice among many. Corridor care is at best undignified and at worst heartless, heartbreaking and cruel. Its normalisation is a scandal and is one of the starkest examples of a health system failed and broken by Tory austerity.”
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“I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for securing this debate and all my esteemed colleagues for covering the issue so brilliantly and with such expertise. You will be glad to hear, Madam Deputy Speaker, that that allows me to be brief and to focus on Blackburn A&E. Blackburn A&E is one of the busiest in the country, serving east Lancashire. It has been one of the starkest examples of corridor care, and I could tell so many stories of constituents suffering the indignities and poor care that are the inevitable consequence of that.”
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“That means there is a long way to go, and myself and fellow east Lancashire MPs are working with the trust both to challenge progress and to argue for the resources needed to do the job.”
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“The investment in prevention and in repairing the massive damage done by the previous Government to our valued health system is crucial and fundamental. We are finally seeing progress in Blackburn, and that is because of additional resources and support from NHS England and the Government’s getting it right first time initiative. East Lancashire Hospitals NHS trust and the leadership must be praised for that. They have been working hard and with real focus to address the underlying drivers of corridor care, such as safe and timely discharge, and the presence of senior clinicians. This is not about quick fixes but about looking to end the practice for good. So far, waits of 12 hours-plus have reduced by 18%.”
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“The crucial thing is that we recognise the scale of the challenge and work together to solve it. This needs to be a shared mission on behalf of our residents, our friends and our families. In a year’s time, I intend to be standing here after we have together ended corridor care in Blackburn A&E for good, and I hope the Minister and the Department of Health continue to share this commitment. This is a moral imperative, and together we must deliver the care and dignity that our residents deserve.”
House of Commons8 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“I hugely welcome the report and join in the thanks to all those who made it possible, but most fundamentally the families who shared their experiences and showed extraordinary courage through the whole process. Many of those stories were shared with us in the all-party parliamentary group on baby loss, and I assure those families that we will carry on listening to and being a voice for them through this process. The reports makes many powerful recommendations—I welcome the action plan and the maternity commissioner—but the Government must retain responsibility for the ultimate outcomes. Following the expiration of the national maternity safety ambitions in 2025, will the Secretary of State recommit to meaningful targets to reduce stillbirths and neonatal deaths and introduce a target to finally fully eliminate inequalities in baby loss?”
House of Commons30 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“We need to recognise there are systematic, structural barriers that too often put prevention into the “too hard to do” pile, as has been said. We cannot continue to accept that. We must recognise the absolute imperative of reducing demand on health and welfare budgets through effective prevention. The only way we can do that is by committing to investment to deliver sport, physical activity and other prevention measures at true scale, while ensuring that we break down the very barriers that stop us delivering that across Government.”
House of Commons30 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“The NHS is currently unable to pay for social prescribing and physical activity courses in the same way that it pays for pills. Surely we need to have parity between pharmaceutical and non-pharmaceutical interventions. Hon. Members have also mentioned schools. Physical education plays a crucial role in schools—the White Paper is very clear about that. Yet within the Ofsted measures, do we actually properly judge schools on the quality and quantity of their physical education? We do not. It is a huge opportunity that we are missing out on. Sport and physical activity can clearly play a massive role in the prevention of ill health. We know that that can save a lot of money, not just from the health budget but from welfare as a whole. We know that that is an imperative, and yet we are not grasping the opportunity.”
House of Commons30 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“First, I have a question for the Treasury. We seem to be stuck in our approach and attitude towards prevention spending. It is time to ask some fundamental questions about how we address that, looking at the mechanisms that the Office for Budget Responsibility uses to measure spend and how it scores those initiatives, and how we think about prevention within the fiscal rules. Fragmentation has been mentioned. We spend £3.8 billion across Government on sport and physical activity, but that is across the Department for Culture, Media and Sport, the Department of Health, the Department for Education, local government and so on. Surely we need to bring this together and co-ordinate it through one single, accountable body.”
House of Commons30 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“As we have this debate about budgets and the figures being spent on sport, one key question keeps leaping out. As has been said by colleagues, we know that sport and physical activity is one of the things that can best maintain good health and prevent ill health. However, when we look at the numbers—hundreds of millions spent on sport, and hundreds of billions on the costs of ill health and welfare—we realise that we are stuck in a cycle of spending billions on ill health and worklessness and hardly anything to prevent it. The points set out in the “Game On” report and by the Chair of the Culture, Media and Sport Committee, the hon. Member for Gosport (Dame Caroline Dinenage), are well made, so I will leap past the questions on the quantum of spend and instead ask about the barriers that prevent us from doing what we know we should.”
House of Commons30 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“One key to creating opportunities in places like Rossendale and Darwen is reindustrialisation—making more things in more places, and creating good jobs close to home. To make this real, we need economic policy that truly understands the particular constraints facing our small towns and rural communities. We need to be connected, and to have a policy that works for all parts of the country, not just places with a mayor. That will require a truly ambitious industrial strategy that gets behind every business, and a Government fully committed to buying British. Will the Leader of the House agree to a debate in Government time on how we can make that happen?”
House of Commons25 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“Will the Leader of the House join me in calling on Lancashire combined county authority to think again, and agree to a debate on this specific topic?”
House of Commons4 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“As we look forward to the Railways Bill, it is worth reminding the House that Rossendale remains the only local authority area in the north without any sort of commuter rail link, despite being only 15 miles from central Manchester. The line exists; it just needs reinstating as a commuter line. That would be a game changer for Rossendale and east Lancashire, and it is exactly the sort of project that would maximise the economic impact of Northern Powerhouse Rail, yet when Lancashire combined county authority published its transport implementation plan last month, the project was missing from the list. I find it incomprehensible. No explanation was offered. It feels like, once again, the leadership in Preston have forgotten us in Rossendale.”
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“It is about the everyday journeys that define people’s lives: how they get from their front door to work, to school, to the shop or to the doctor.”
House of Commons3 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“I beg to move, That this House has considered transport links for small towns. It is a pleasure, Sir Roger, to serve under your firm chairship. I thank the Minister for attending today. He has been a keen advocate for small towns, and I am sure a lot of the issues we will talk about today will be familiar to him. Connectivity is not a luxury; it is a necessity. It underpins economic growth, but it also shapes something far more immediate and personal: our health, our independence and a sense of belonging. For our small towns, the quality of connection sends a powerful message about whether we are seen, valued and included in our national story. It would be a mistake to think of this as a question simply of how towns connect to cities.”
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