Cities and Local Government Devolution [Lords] Bill Debate
Full Debate: Read Full DebateBob Stewart
Main Page: Bob Stewart (Conservative - Beckenham)Department Debates - View all Bob Stewart's debates with the Department of Health and Social Care
(9 years, 1 month ago)
Commons ChamberAs the hon. Gentleman knows, we can plan to review things at any stage. For devolution to work, the different models that may be put in place, whether big urban city models or more rural models, must of course pass the test of whether they are doing something qualitatively different and better for people. It will certainly be possible and necessary to review that. I think the concern has been to make sure that national standards are not dropped in the process of innovation. That is why the ultimate duty and responsibility of the Secretary of State remain. That was much discussed in another place. The reason for tabling these amendments is to confirm that, under the overall umbrella of wanting greater innovation, national standards will be preserved and cannot be threatened. That is the idea.
Would it be fair to say that local authorities rule on these matters, but that the Secretary of State might occasionally reign?
We must be clear. The Secretary of State’s overarching duty and responsibility for the NHS will not mean a definitive touch. The whole point of devolution, as indeed the whole point of integration of services between local authorities and the NHS, is to give people the powers to make their decisions locally. There will be much discussion between different constituent parts. In that, the Secretary of State will have no part. It will not be possible, however, for a devolved authority to neglect or remove a core part of the NHS and say, “Oh well, we’ve got the power to do so.” That is the reason for the safeguard to which the amendments and new clause 19 refer.