Open Public Services White Paper

Baroness Royall of Blaisdon Excerpts

Monday 11th July 2011 Lords Chamber

[Baroness Royall of Blaisdon]

My Lords, our public services face significant challenges over the coming years—cuts that are too far and too fast; an aging population and ever rising expectations—yet it appears from today’s White Paper that the Government are simply obsessed with presenting an argument rather than providing the reform that our public services need. The Government have certainly not lacked ambition in the way they have heralded the White Paper, referring to it as bringing a complete change in public services, where power will be placed in people’s hands. The Government may believe that the narrative is there, but the content appears to be lacking.

The White Paper contains few new ideas and even fewer new proposals. In many cases the Government are lagging behind their earlier rhetoric and the actions of the previous Labour Government. Indeed, some of the proposals are already being implemented as a result of our legislation—for example, the provision of data on health outcomes.

On personal budgets, to which the Minister referred, the Sunday Times newspaper was told several weeks ago that the right to a personal budget, now used by approximately 250,000 adults, was to be extended to those with long-term conditions and to children with special needs—and yet there is nothing of this in the White Paper.

The Minister also referred to the expansion of mutuals. Back in November, the Minister for the Cabinet Office said that every department would put in place rights to provide for public sector workers to take over the running of services. Almost nine months later, only the Department of Health has obliged and no timescale for any other has been forthcoming.

Ahead of today’s White Paper we set out three tests for public services reform. First, will these reforms make services more accountable and responsive to the needs of service users? Secondly, will there be clear accountability for the way in which public money is spent and members of the public are protected? Finally, will the proposals strengthen the bonds of community and family life? So far the Government are failing that test of reform. Their policies are inconsistent between departments and sometimes within them. Little has been done to put service users and their communities in control.

It is now clear that the Government have lost their way on public service reform. After the incompetence that characterised their failed approach to the NHS, the Government’s pace of reform is slowing. They are all over the place on public service reform and the White Paper does nothing to change that.

Perhaps I may ask the Minister, first, are the Government still planning to bring forward proposals for personal budgets and mutuals? Can the Minister give any indication of the timescale on which they are likely to proceed? Secondly, given that the White Paper has little to say on these two important issues and many others, will there be another White Paper with a set of proposals, which are so apparently lacking in this one? Thirdly, in relation to what has been for the employees concerned a major issue about reform—staff pensions and employment conditions—can the Minister assure us that this is being taken seriously and that those members of staff transferred out of the public sector will retain access to the same pensions and conditions of employment that they currently have? Fourthly, if the public will not wear competition by price in the NHS, will the Minister guarantee that this will not form the basis of proposals elsewhere? Finally, we are particularly concerned about the report in today’s Guardian that Ministers have been privately advised that schools and hospitals should be allowed to fail. On the day that Southern Cross has closed down, does the Minister agree that the education of children and the treatment of the sick should not be treated as a commodity to be traded and that these proposals should never see the light of day?

In conclusion, I quote what the independent think tank Reform has said about the Government’s proposals so far: It states:

“The Coalition Government are failing the test of practical reform. Viewed as a whole, the Government’s public service reform policies are all over the place”.

This is a difficult and damaging conclusion for the Government, and there is nothing in the White Paper today which will change that judgment.

[Baroness Verma]

My Lords, this process is signed up to by all government departments and it has had wide consultation. We are building on what the previous Government were doing—ensuring that there was proper reform and that public services were able to deliver the best possible service and outcome to individual users. I do not accept the noble Baroness’s premise that the White Paper is going nowhere and that it has not responded to the needs of individuals. What we are trying to do is very significant. This is about building accountability and transparency into the processes. As with social care, which is a sector I know well, personal budgets are available to some but this is about ensuring that personal budgets are available to many more. It is also about making sure that people are aware of what they are buying into, and that process takes time.

I have not read the Guardian article so I cannot comment on it. However, I will say that for us it is really important that children who come from disadvantaged backgrounds and are followed by the pupil premium will be able to get better outcomes and go on to enjoy social mobility and rise up, rather than remain stagnated as some children have become through—I am sorry to say to the noble Baroness— policies that were not delivered well under the previous Government. We need to find a way of working together to ensure that our public services deliver the best outcomes for those who need them the most. We have to agree that this will not come through sitting doing nothing. We must ensure that delivery of our public services is done in a way in which everyone has choice and power over how their services are delivered, and this White Paper goes towards that.

[Baroness Royall of Blaisdon]

Before the Minister sits down, I remind her of the very important question that I asked towards the end of my response to her Statement about the fact that it is said that the Government are willing to allow educational and health establishments to fail. That cannot happen, and I would like a guarantee from the Minister that this will not be allowed to happen.

[Baroness Verma]

I apologise for not responding to that. I have not seen any evidence that we would allow schools to fail. It would not be in the interest of children who are growing up today for us to allow failure: they have been failed for far too long. We need to ensure that every child growing up in this country today has an opportunity to achieve their best potential.