(8 years, 1 month ago)
Commons ChamberWell, we learn something every day. I did not know that, and I am grateful to my hon. Friend for bringing it to my attention. That fact was not mentioned to me in Coventry, where people felt that the new system had been sprung on them completely without trial. When I was a Minister, I was a great supporter of the idea of trialling programmes. After all, we trialled them for a purpose, which was to see whether we were ready for them and whether the contractor was able to provide them. However, that seems to have been ignored in this instance. I shall say a few words at the end of my short contribution about learning lessons. This is not the first time we have been in this position. It is not as though we have suddenly discovered that contracts are not easily transferred, and there are lessons to be learned.
Does my hon. Friend agree that this problem does not just affect GP practices in Coventry? It has also had an adverse impact on individual residents, including people who have requested a copy of a late relative’s medical records from the primary care support service. Partly because of the service’s failure to appoint a medical adviser to deal with such requests in the Coventry area, many of those people have been forced to wait for more than twice the maximum 40 days that it should take to process such a request. It is utterly unacceptable to put anyone through that kind of delay, but it is inexcusable for it to happen to anyone who is already in an extremely vulnerable position following the death of a relative.
I entirely agree with my hon. Friend, who puts her finger on another aspect of the situation that reveals the true motives of private sector contractors. They are not in it to improve the service and make real savings; they are in it for short-term profit. I have nothing against the private sector making profits—I am all for it—but the irony is that the companies cannot make a profit from a proper service, so they turn to such measures as imposing a £40 charge for access to a deceased relative’s records, as my hon. Friend mentions. They do not have to impose that charge—I think it used to be left to the GP’s discretion—but they now insist on it, and people have to pay postage and delivery charges on top, which is a disgraceful pursuit of short-term gain at the expense of the people they are meant to serve.
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I would, but we are all limited by time, and the hon. Gentleman, whom I know very well and share many interests with, will have time to make his own speech in a moment.
Coventry is a proud city in its own right. I have told the House before how some decades ago, when I was first selected as a candidate, my party chairman took me to one side and said—I had just been selected, Mr Brady, and you know what local parties can be like—“Now Geoffrey, you have to understand one thing.” I was fairly new to Coventry at the time. He said, “The most important point you have to understand as a Coventry MP is that there is only one good thing that comes out of Birmingham. Do you know what that is?” I had no idea. I suggested cars, machine tools, motorbikes and so on. He said, “No, no. It’s the Coventry road.” That was a silly, parochial approach, and we are no longer— thank God—bound by those sorts of considerations. I would certainly never dream of giving that advice to anybody who might succeed me in decades to come. However, Coventry is a proud city and I believe that Wolverhampton, which has gained city status more recently, feels as Coventry does in many ways.
I will, but I will make some progress first, if I may.
The point that I am trying to make, in a very unsubtle way, is that we have interests, as proud cities representing proud peoples, in a way that perhaps does not apply to Manchester. We also came late to the game and therefore need more time than Manchester. That does not mean we should not get on with it, and I must say that under the dynamic leadership that Councillor Lucas has brought to Coventry, we are running quickly to catch up and she is pushing the west midlands to get going.
However, one thing is clear: what is behind all this. I want to quote from an article in the Coventry Telegraph this week, following the publication of a remarkable document on the west midlands combined authority on 6 July, which makes a very strong case for going down the route of a combined authority for the west midlands. It is a strong case and we should not ignore it at all, and I am sure that Coventry is right in on the act and pushing to develop it. However, we want to say one or two things to the Government about what is lurking behind all this. Let me quote from the article, which deals with the issue of the metro mayor—the first big thing we have to deal with. The article states:
“The issue has left an unsightly rash on the face of the newborn WMCA, and the sooner it is treated, the better.”
The article goes on to say that Coventry and Birmingham rejected the idea very decisively as recently as a couple of years ago and makes the case that we are looking at the re-imposition of the same formula next year. It could be as early as that, and it just does not stack up. It is not what the people will go along with. We have to get the democratic agreement of all concerned. What Councillor Lucas and we are all saying is: could we just have time?
The Chancellor properly said—I realise we are time-constrained, Mr Brady—that for the moment he thinks it is the best way forward. He made that clear again in the Budget this week, emphasising that he believes that elected metro mayors are the best—if not the only—way forward. However, he is open to us putting our proposals to him, and he has very kindly agreed a meeting in principle with the Coventry Members, so that we can explain Coventry’s circumstances to him. We should take him up on that and put the case for a transitional set of arrangements to him.
We will accept the mayor in principle—I am sure we can do that—but let us have a transitional period in which look at how the thing would work and at balance sheets and financial responsibilities. How will the different units be brought together, in terms of their balance sheets? They are all separate accounting bodies, with immense responsibilities. I am no expert on local government finance or organisation, but I can imagine that the difficulties are enormous when a tier of government above is responsible for some of the funding. The importance of skills was rightly emphasised by my right hon. Friend the Member for Birmingham, Hodge Hill, and there is also transport and other areas where real money is coming to a new authority or a new power—a new channel for it.
The most important thing is the need for properly organised transitional arrangements. We are giving that a lot of thought—sadly, I do not have the time to get into that today—and we will put those proposals to the Chancellor. We should say, “We don’t want to go down the 1970s route again. Give us time. We are going in your direction and we are catching up fast. Just bear with us.” We can put that to him when we meet.