Oral Answers to Questions

Lord Brady of Altrincham Excerpts

Wednesday 18th November 2015 Commons Chamber

[The Prime Minister]

I think it is important that we do the best we can to help low-paid people. That is why we are taking people out of income tax: 3 million of the lowest paid taken out of income tax since I became Prime Minister. We are going to be setting an £11,000 threshold before people have to start paying tax at all. We are helping working families with childcare. We are helping with a national living wage of £7.20 starting next year, something I suspect President Obama would love to introduce in the United States. We are doing it right here.

[Mr Graham Brady (Altrincham and Sale West) (Con)]

Q10. Integrating health and social care will be a great prize for devolved cities and regions, but without effective democratic and clinical oversight things can go badly wrong. Already, in Manchester a major hospital reorganisation is awaiting judicial review. May I urge my right hon. Friend to ensure that proper safeguards are in place so that local authorities retain a last resort power to refer NHS changes for independent clinical review?

[The Prime Minister]

I will look carefully at what my hon. Friend says, but I think this does go to a larger point, which is that we are currently changing the way our country is run. These big devolution deals, first to Greater Manchester but now, with the announcements yesterday, to Liverpool and to the west midlands, mean that we are going to have powerful metro mayors who are accountable to local people for the decisions they make. That is a very direct form of accountability and that is why we can be confident of devolving health and social care to those authorities. For too long, our country has been too centralised. The great cities of Manchester, Birmingham and Liverpool—and soon Leeds, I hope—will benefit from these massive devolution deals, but if we devolve the power and we devolve the money, we have to devolve the trust and the accountability too.