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It is a pleasure to see you back in your place after the election, Sir David. I thank the hon. Member for Southport (John Pugh) for securing this important debate. I also welcome the Minister, a constituency neighbour, to his place on the Front Bench. I hope that he will be working in the interests of Teesside and the wider north-east. This debate is a good opportunity to start probing the Minister on what he will do for our area.
In the short time available, I want to make four points. First and foremost, and as the hon. Member for Southport established in the course of his excellent opening to the debate, the Government are trying to show their enthusiasm for devolution and letting go of power to local areas by insisting on a one-size-fits-all approach to governance. Areas can have further devolution, but only if they adopt the Government’s way. That seems a pretty odd way of devolving power to local areas in order to ensure that local wishes and circumstances prevail. If devolution is properly chosen by the Government, how on earth can the Minister justify that?
Following on from that, my second point is that the Government, in adopting this approach, are disregarding in a very significant way the wishes of local people. It seems a fundamental principle of British politics that if there is a significant change in the model by which people are governed, the people affected should be allowed a say. Indeed, the House is at this very moment debating the Second Reading of the European Union Referendum Bill.
The principle has been true at national level, with the referendum in 2011 to change the parliamentary electoral system. It has been true at regional level, such as with the referendum in 2004 in my own region of the north-east to determine whether we would have a regional assembly. Significantly, it has also been true at local level in my own constituency. In 2001, the electorate of Hartlepool decided in a referendum that they wanted a mayoral system of governance at local level—and they elected a monkey. In 2012, after a decade of a directly elected mayor, the good people of Hartlepool decided in another referendum that they had had enough of that and rejected the model. Given that my constituents, in recent years, have had their say on which local models of governance they prefer, and given in particular their rejection of a mayoral model, why are their views so obviously ignored by the Government?
My third point is about something that was raised eloquently by the hon. Member for Southport. Much of the economic drive in future decades will be fuelled by cities, but by no means all of it. In my own area of the north-east, Newcastle is a superb city. I used to work there and my eldest son is at university there. I want to see Newcastle thrive and it is in the region’s interests for it to thrive. But I can see my hon. Friend the Member for Houghton and Sunderland South (Bridget Phillipson) at the debate. What about Sunderland and Nissan? What about somewhere closer to home—the Teesside area and the great manufacturing firms there? City regions will not be the sole drivers. What will the Minister do to ensure that smaller towns and cities, such as Hartlepool and Stockton, are able to benefit? That is incredibly important.
Can the Minister confirm that the combined authority for Teesside is working well? Those local authorities are working adequately together and can work together; there is no need for a change in governance, so can he discount here and now a Metro Mayor for Tees Valley?
My fourth and final point relates to the matters that could be devolved. I would wish to see economic development, regeneration, skills and transport devolved, but I would also hope to see health matters devolved properly. My constituents and I want to see hospital services return to Hartlepool—the Minister will know about this issue all too well—but my constituents feel powerless to ensure that that happens. Surely real devolution allows local people to feel empowered.
Of course clinical safety has to be paramount and medical advice has to be prioritised, but decisions on hospital services are made by the NHS foundation trusts that do not have the support of the local population. Hartlepool Borough Council, regardless of political affiliation, is against the changes. I want to see hospital services return to Hartlepool, but there is a lack of real devolution, power and accountability at local level. The people of Hartlepool do not feel that they are being listened to. If we are to have real devolution and accountability, that should always include public services vital to the people of an area, and there is no bigger such public service than the NHS, so will the Minister say something about how local people can have a real say about this?
Does the hon. Gentleman agree that the big prize is not just in transferring the NHS services, but in linking up the NHS with social care, so that they are all under one roof and decisions can be made about both at the same time?
The hon. Gentleman is absolutely right. That integration—ensuring that local authorities are working in conjunction with different parts of the NHS, which are often very silo-like in approach—is the key to ensuring that my constituency, as well as his own, gets the best possible health and social care.
I shall summarise by saying that the people in my area would like more power over their future and their destiny, but the model proposed by the Government is rigid and fixed according to their own agenda rather than that of local areas. The Minister knows our part of the world incredibly well. I hope that he will show some flexibility in allowing proper devolution.