Cities and Local Government Devolution [Lords] Bill

Debate between Alistair Burt and Jon Trickett

Wednesday 21st October 2015 Commons Chamber

[Alistair Burt]

I think between the hon. Gentleman’s right hon. Friend, me and the Secretary of State we have probably got where we need to get to in relation to this. I wanted to make clear that there will not be a confusion of who is responsible for what; someone is ultimately responsible for each bit, but who is responsible in each particular case depends on where the breach is.

[Jon Trickett]

I want to return to the question of coterminosity, which my hon. Friend the Member for Denton and Reddish (Andrew Gwynne) referred to. In west Yorkshire, which is where I am from, the local Pontefract hospital goes across from west Yorkshire as far as York, almost—into Selby. If a combined authority with an elected mayor emerges in west Yorkshire, some of the hospital services for which that person will be responsible will be provided to people who have not had the opportunity to vote for him or her as mayor or for the combined authority. Where does accountability lie? Here is a situation where somebody is responsible for services outwith the area that has elected him.

[Alistair Burt]

If the mayor was to have responsibility for the services—that is not the proposal for Greater Manchester—the mayor would only have responsibility for the services within the combined area. Anything beyond that would still fall within the remit of those who commissioned services in that area. The decision as to—[Interruption.] That is right: the hospital in that circumstance may well have two bosses because the CCG would be responsible for the whole lot and it would have to come, by agreement, to a decision as to what was being provided within the combined area as well as outside the combined area. So the CCG remains responsible for what it is delivering, but it decides as normal with those to whom it is answerable—in one area it has become a different authority and in another it remains the original one—what services they should provide. The overall security for the quality of what the CCG is providing is maintained by the national regulator, which supervises, and it is ultimately for the Secretary of State to make sure the NHS guidance and duties are not breached, but it is a matter for local decision how this coterminosity is dealt with, because it will occur in more than one area. Certainly, however, I cannot see that legally a CCG outside a combined authority could have any direct line of responsibility to somebody inside the combined authority who is making decisions not about their area. That is how that would work.

--- Later in debate ---

[Jon Trickett]

If there are two adjacent mayoral operations, both taking responsibility for a hospital that is crossing the mayoral boundaries—which is now quite possible it seems to me—is not that a recipe for complex management for the people managing the hospital, and how would those contradictions be resolved?

[Alistair Burt]

In the first place, they could decide not to devolve at all. Part of the process will involve those in the combined authority and in those authorities next to each other deciding how to deliver the services. There is a choice. This is all voluntary, and if people want to do it they will work out a way. It is not very different from what has driven the authorities in Greater Manchester together in the first place. These are places that work across boundaries, and agreement will have to be reached on the delivery of the services. Constituents in one area could say, “Hold on a minute! Are we going to lose out over this?” They will make their decisions collectively on what they will pool and what they want. That is no different from what will happen in the areas that will be split. If people cannot agree, there will not be an order that could possibly be signed off. This will work only when there is a conviction that people have made the appropriate decisions. That is a matter for local agreement, and that is where all of us, as local politicians, get involved. So unless people are convinced that the processes are right, there will be no point in signing anything off.