English Devolution and Community Empowerment Bill

Debate between Allison Gardner and Mike Reader

Report stage
Monday 24th November 2025 Commons Chamber

[Dr Allison Gardner (Stoke-on-Trent South) (Lab)]

One of the advantages of this Government’s plan for devolution is that it offers the opportunity to address the country’s many regional inequalities. Indeed, strategic authorities, particularly those with mayoralties, have the ability to address inequalities within individual regions. The Bill’s original clause 43 addresses health, wellbeing and public services reform, and it is Government amendments 116 and 118 and amendment 172 that I wish to discuss.

This section of the Bill confers a new duty on all combined authorities and combined county authorities to have regard to improving the health of persons in their area and reducing health inequalities between persons in their area. Amendment 172 outlines the requirements for a health inequalities strategy, which may include the metrics for healthy life expectancy, infant mortality rates and poverty, including child poverty. My constituency of Stoke-on-Trent South and the villages has the interesting profile of sitting across a number of councils: the two unitaries—Stoke-on-Trent city council and Staffordshire county council—as well as Stafford borough council and Staffordshire Moorlands district council. I was also a councillor in neighbouring Newcastle-under-Lyme for several years, so I have the advantage of a broad view across the long-recognised area of north Staffordshire. I should add that there is a road in my constituency, Uttoxeter Road, that has five lots of bins from five different councils, which is quite an achievement.

There are clear inequalities across all areas, and of course there are pockets of wealth and deprivation in all. However, the health statistics outline a harsh reality. When we compare Staffordshire county council and Stoke-on-Trent city council’s female healthy life expectancy, we see that in Staffordshire it is 63, compared with the national average of 61.5, but in Stoke it is just 55. Men in Stoke can expect a healthy life until they are 56, compared with 63 in Staffordshire, with the national average being 61. We see the same for overall life expectancy, with Staffordshire above average and Stoke below average. I have on many occasions raised the shocking fact that Stoke-on-Trent routinely scores highest for infant mortality rates, and the shocking statistic that a baby born in Stoke-on-Trent will have half the chance of surviving to their fifth birthday than the national average.

[Mike Reader]

I thank my hon. Friend for raising this, because we have a similar issue between in Northamptonshire. We have a 15-year difference in life expectancy between Northampton town centre and rural areas such as Brackley. We are talking about an area of 20 or 30 miles. Does she agree that, although it is positive to see changes already in the Bill to address this, more could be done in the other place to improve the Bill further?

[Dr Gardner]

I agree with my hon. Friend. It is with great sadness that I see this fight between cities and rural areas that demonises the city areas. Around Stoke-on-Trent we have a doughnut economy. Stoke generates wealth for north Staffordshire and it filters out to the rural areas, yet we hear people saying, “No to Stoke, no to Stoke.” People need to understand that we are all one in north Staffordshire.

I offer a new fact: the under-75 mortality rate from all causes for Staffordshire, as of the 2023 statistics, was 319.5, compared with an England national average rate of 341.6. However, in Stoke the under-75 mortality rate from all causes was a whopping 474. It is understandable that any devolution has to address this disparity, and I look at this broadening to help us to do that. I stress that this does not mean that improving Stoke’s outcomes means we are going to take away or reduce Staffordshire’s. This is often a knee-jerk fear reaction for some, and a tool for the Conservative and Reform parties to use for political scaremongering. I am saddened to hear the views on this of the right hon. Member for Staffordshire Moorlands (Dame Karen Bradley), who I greatly respect and personally like. I wish that there could be some understanding and cross-conversation on this issue.

I also wish to speak in support of Government amendments 116 and 118, which address health improvements, health inequality duties and health determinants. The Government are right to add environmental factors including air quality and access to green space and bodies of water. We have talked about boundaries. In my own constituency, the Meir tunnel has high levels of poor air quality in an area with high levels of chronic obstructive pulmonary disease, but fixing that issue is extremely difficult as it is on a boundary with neighbouring councils.

The value of green space is also an issue close to my heart. When Meir park, a much-loved green space, had all its trees knocked down, out of the blue, it caused some residents genuine fear, upset and hurt. Also, Trentham gardens are in the border area covered by Staffordshire county council, Stafford borough council and Stoke-on-Trent city council, with ensuing traffic problems. It has the most beautiful lake, and I one day I hope to find the time to go paddle boarding on it again. The quality of our environment is vital to mental and physical health, and I hope that the value of green space, good air quality and access to the advantage of bodies of water will always be central to any policy.

In Stoke-on-Trent and Staffordshire, we are looking to achieve an enhanced north Staffordshire unitary authority under local government reorganisation, and I am particularly supportive of the broader proposal submitted by Staffordshire Moorlands district council, which sensibly outlines travel-to-work areas, economic functional areas, cultural links and transport links. We sit at the beginning of a north midlands growth corridor to Derby and Nottingham that offers this country a huge opportunity to create a strategic centre for growth across the middle of England.

While we have still to decide a devolution model for North Staffordshire, southern Staffordshire and Staffordshire as a whole, I ask that we think radically and consider our east-west links to the east midlands and the potential of a north midlands strategic authority. Whatever we end up with, I ask the Minister for more details for Stoke and Staffordshire as to the plans and timelines for devolution.