Cities and Local Government Devolution [Lords] Bill

Debate between Dan Poulter and Liz McInnes

Wednesday 21st October 2015 Commons Chamber

[Dr Daniel Poulter (Central Suffolk and North Ipswich) (Con)]

It is a pleasure to serve under your chairmanship, Mrs Main. I rise to make a few brief remarks in support of this clause and the Government amendments. Clearly, the direction of travel that is outlined is desirable in health and care terms. The amendments will put in place clear safeguards to deal with national regulatory structures, which are there to protect patients and to ensure that the quality of care is universally high throughout the whole country.

The importance of devolving health and care at a local level is something that we have often talked about in this place, but we have sometimes struggled to find the legislative mechanisms to make it happen. These powers will be a desirable step forward in encouraging a more integrated model of health and care. We often talk about how we can move the focus in many parts of our health service towards delivering more services in the community and a more preventative approach to healthcare. Clearly, this Bill is a big step in that direction.

By 2018, we know that there will be 3 million people with three or more long-term health conditions. Many of those people will require support not just from the health service, but from adult social care services, local voluntary and charitable organisations and, in the case of some people with special educational needs, education services. It is vital that we properly link and join up the services that are in place to support these people. Personalised care and mechanisms of support are often found at a local level, which is exactly what this devolution is about.

Other measures have been put in place to integrate better adult health and social care, including the better care fund, which was part of the Care Act 2104. The coalition Government also introduced some strong measures to improve the provision for children with special educational needs. But these measures go further and allow more bespoke and personalised local solutions to be put in place to support people with more complex care needs. Importantly, they also recognise that parts of the country are different in terms of not just their geography, but their cultural make up and their demographics. That is particularly important when we talk about devolving health and care. We know that some city areas have high black and minority ethnic populations with specific healthcare needs. These measures will put us in a much better place to help such areas support those communities, as well as more rural areas, in dealing with the challenges of an ageing population and increasing numbers of people with complex healthcare needs.

This Bill is an important step forward, which builds on many strong measures that have already been put in place over the past few years by both the coalition Government and the previous Labour Government. We all believe in integration and in the need to bring healthcare services closer to the individual and make them more personalised. We know that there is too much duplication in the health service and in adult social care, which costs money. That money should be going to the frontline, but duplication often gets in the way of front-line professionals helping patients. This is a big step forward in allowing local health economies and local areas to put in place the right mechanisms to support the people they look after.

[Liz McInnes (Heywood and Middleton) (Lab)]

First, let me echo the words of the Minister and pay my own tribute to my colleague, Michael Meacher, who sadly died today. I was born and bred in his constituency, so he was my MP for a long number of years. He was greatly respected in the constituency and will be very, very sadly missed.

I wish to start by echoing the words of my hon. Friend the Member for Nottingham North (Mr Allen) who said that we need to get this Bill right. The proposals for health devolution raise a great number of questions, which I hope we will deal with in a constructive manner, as we need positive outcomes. Labour Members are concerned about overlapping areas, coterminosity, and cross-border responsibilities, and they have been highlighted by my hon. Friends the Members for Bassetlaw (John Mann), for Denton and Reddish (Andrew Gwynne), for Hemsworth (Jon Trickett) and for Bristol South (Karin Smyth). We need some clarity about how the devolved responsibilities will work in practice.