THE report ''Pledge by Labour to ban NHS trusts'' (February 15) can

only be read with dismay both by staff working in the NHS and, very

importantly, by patients. The last thing the NHS in Scotland needs is

another reorganisation, with all its turbulence and uncertainty. (By my

count we have had five restructurings in the past 20 years.)

There is a real danger that patients' needs are not being addressed in

this debate. NHS trusts were set up to improve patient services. There

is real evidence this is starting to happen in the trusts already

established. I am confident the new trusts will do likewise.

To indicate that trusts will be brought back into the NHS is

misinformation on a grand scale. Trusts are firmly in the NHS and

provide treatment free at the point of need -- the founding principle of

the NHS.

D McNeill,

Chief Executive,

South Ayrshire Hospitals

NHS Trust,

Ayr.