(5 years, 2 months ago)
Commons ChamberI congratulate the hon. Gentleman on securing this debate. These are important services that my constituents also access. Clearly, amalgamating these services is of concern to me as it will take away the choice of residents as to whether they want treatment at Coventry or Birmingham. As the population is growing significantly in our area, amalgamating those services may also lead to longer waiting times. Does he agree with me?
The hon. Gentleman makes a valid point, and I will be touching on that a little later on in my comments.
As a bigger hospital in one of the UK’s biggest cities, UHB had a great deal of influence over these discussions. It soon became apparent to the UHCW team that the sacrifices would be one-sided. UHCW felt that it must pull out of the talks, as it was clear that its services would be downgraded and its specialised work would be removed completely—services that it had worked hard to develop. That would be detrimental to the people of Coventry, Warwickshire and beyond.
In November 2018, NHS England served a formal notice on UHCW to transfer specialised liver and pancreas services to UHB in Birmingham or risk decommissioning. UHCW was denied the opportunity to establish the population base required to be an independent centre. There is now a concerted effort from UHB trust management and NHS England to enforce the takeover of the HPB centre at Coventry.
The simple and accepted solution, which is in line with the professional recommendations, is to implement the agreement between UHCW, Worcester Acute Hospitals NHS Trust and Wye Valley NHS Trust to provide the liver and pancreas specialised service at UHCW NHS Trust. It is important to highlight the ongoing capacity constraints at UHB. The realignment from Worcester and Hereford to UHCW would effectively fulfil the required population base to be an independent centre—as per Department of Health and Social Care guidelines—and also reduce the very long waiting times for cancer operations and improve access.
The proposals demonstrate more short-sighted, efficiency-obsessed thinking from NHS England based on the National Institute for Health and Care Excellence guidelines. The findings of the 2015 review, which stated that UHCW’s HBP unit does not serve enough people, totally ignored the good standard of pancreatic care at UHCW. It is of the highest quality and helps to provide patients with the best possible outcomes. NHS England’s proposals threaten the standard of care, which I will raise shortly. The proposals will have a detrimental impact on those in need of this care in Coventry and elsewhere in Warwickshire. Although the 2015 review stated that the HPB unit—
(7 years, 7 months ago)
Commons ChamberAs I said earlier, the hon. Gentleman commands a significant amount of respect in this House in regard to these matters, and, while he does not always realise it, there are Government Members who listen to the suggestions and concerns he raises, but I reiterate to him that we are moving into a different world, and that is why we have chosen to implement the system laid out in the Bill.
Given that the Minister is shifting the emphasis in terms of resources on to local government, how much does central Government expect to save as a result of this exercise?
This situation is fiscally neutral. We expect the current expenditure of local government to be realised from the current local taxes that are raised locally, and there will be an additional £12.5 billion of spending that will also go to local authorities. As I said earlier, this Bill does not look at these items of expenditure—that is a separate principle—but we will certainly be looking to devolve additional responsibilities to local government, in discussion with local government and organisations such as the Local Government Association, which we expect to be fiscally neutral.
The hon. Gentleman, whom I have a lot of respect for, must know that it is not really fiscally neutral, because central Government are saving money as a result of shifting the resources on to local government through the abolition of grants and so forth. Equally, he is asking local government to raise certain sums of money themselves, and we will surely reach a point where local government cannot sustain that. The important point is that central Government must be saving money—not necessarily his Department, but somewhere in the Treasury.
As I said to the hon. Gentleman, an additional £12.5 billion will be going to local authorities. That will be on a fiscally neutral basis. I also point out that the whole principle on which this system is built is such that it will give local authorities the incentive to widen their business rates base and raise additional funding for providing local services as a result.
10. If he will take steps to increase the number of civil servants of his Department based in Coventry.
Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
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Locally elected leaders and members must decide whether they want to be part of any particular configuration of combined authorities. It is for local people to put proposals to us in the Department, rather than having a top-down solution imposed on a county area such as my hon. Friend mentions.
I will respond to some of the points that the hon. Member for Coventry South made. My hon. Friend the Member for Torbay (Kevin Foster) hit the nail on the head—the principle of combined authorities is perhaps being confused a little. Many people want to paint it as an amalgamation of councils and their current governance arrangements. Actually, we are talking not about breaking down the structure of the authorities in the west midlands but about devolving the additional powers that those authorities are seeking. My hon. Friend the Member for Solihull (Julian Knight) made that very point.
On whether the west midlands will have a mayor, as I said, that is a bottom-up process. It is for the west midlands to come forward and tell us the level of its ambition. It has set out an initial document, but it is early days. It was implied in the debate that the Government are leaving the west midlands behind. That is certainly not the case, and we are encouraging people from across the west midlands and the wider midlands area to think about how power can be devolved. As I said, my right hon. Friend the Chancellor made it clear in his Budget that he welcomed the initial work being done in the west midlands.
The hon. Member for Coventry South mentioned the devolution arrangements that were previously made for the west midlands. Those arrangements were made many years ago, but funding and powers to carry out the projects that he mentioned were never directly devolved. They were very much directed by central Government, which is why the scenario being suggested now is different.
I think the Minister is referring to the metropolitan council, which I mentioned earlier. That was funded by grants and a precept; I do not know whether he was around then. I refer back to my question to him earlier: if we went ahead with the arrangements that the Government want, would the authority have the power to levy a precept on local authorities?
What the hon. Gentleman refers to is not necessarily the situation that we are discussing. We are considering authorities coming together and taking additional powers and funding from the Government; we are not considering adding to the precept that people will have to pay.
My hon. Friend the Member for Cleethorpes (Martin Vickers) said, I think, that we should go for the jugular. I am afraid I must disappoint him. We are not into top-down solutions; we are very much into bottom-up solutions and local areas coming together to put their packages of ideas to the Government.
The right hon. Member for Birmingham, Hodge Hill (Liam Byrne) was looking for a game-changing deal for the west midlands. If that is what he is looking for as a local MP, I urge him to speak to his local leaders and encourage them to put forward a game-changing package to the Government. As I said, local areas must bring solutions to the Government, not the other way around. We would welcome an ambitious package from the west midlands, because we want it to move forward.
I must disagree with the right hon. Gentleman’s assessment of the west midlands; I think that it is a place on the up. Things are going in the right direction. Unemployment is decreasing, and £5.2 billion in funding for infrastructure is going into the region at the moment. I was glad that my hon. Friend the Member for Solihull backed up that view and was willing to speak up for the west midlands and shout about our achievements in the area. He also mentioned, with some enthusiasm, that he would support such devolution arrangements if they were ambitious and related to skills, infrastructure and the like. That seems to be the type of proposal coming from the west midlands, which I hope will please him.
I was slightly disappointed by the tone of the hon. Member for Salford and Eccles (Rebecca Long Bailey); it did not seem to correlate with the tone of local authority leaders in her area, which is extremely positive. She asked about the structure of health services and how they would work. That will come from her local area in the proposals that it is making to the Government. Obviously, there will be a negotiation process with officials and Ministers; the Secretaries of State for Communities and Local Government and for Health must both be satisfied that the arrangements are strong on accountability. On whether mayors are elected and how much credibility they will have, the hon. Lady will know that although they will be appointed on an interim basis, they will have to stand for election at the end of that period.
(10 years, 5 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
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Thank you, Mr Streeter, for allowing me to make a short speech. I did not intend to speak when I entered the Chamber, but the issue that my hon. Friend the Member for Folkestone and Hythe (Damian Collins) raises is important and we should support his endeavour to get the law affecting football clubs changed.
I am a long-suffering fan of Coventry City football club, like probably thousands of my constituents, who are extremely depressed and disappointed about what is happening to their football club. All football supporters follow their clubs for different reasons, and all experience tremendous highs and lows. Most probably get more lows than highs—unless they support one of the glory teams or are one of what I used to call Alex’s armchair army, supporting a team that might be many miles from where they live. Regardless of football affiliation, we must recognise that football clubs are community-based assets. They are not like any other type of business. If, for example, the customers of a supermarket chain suddenly decided they did not like what it was offering, they would usually abandon it and go elsewhere. Football supporters, however, regardless of how bad their team is at times, stick with it and support the club through thick and thin—or thin and thinner, in the case of my team at the moment. We must realise that; the clubs are embedded in communities.
Transparency has been raised several times. The people who follow clubs week after week, spending money, as my hon. Friend the Member for North Swindon (Justin Tomlinson) said, on season tickets, shirts and all sorts of things to support their club, deserve some transparency. They deserve to be able to hold their club’s owners to account. As to Coventry City football club, we do not even know who owns it. Many of the constituents whom I speak to are mortified that they cannot even find out who is to blame for its present situation. We need more accountability. We should never allow people to take on a football club that is embedded in a community, and then for whatever reason use it as a toy, thinking they can abandon the community, lift the football club up like a moveable commodity, and take it elsewhere.
The hon. Gentleman makes an important point. When we talk about wages, salaries and ownership, we tend to forget that football started with individuals playing in the street. The moral of the story is that it started with the fans, who created the teams in the first place; yet the fans get kicked in the teeth all the time when things go wrong.
The hon. Gentleman and I do not often see eye to eye, but we probably do in this instance. Coventry City were a factory team, and started in the 19th century as a group of people from the Singer factory, who came together to play football. From that a great club was formed, which has lasted more than 125 years. We need to make sure we can see that the people running football clubs are fit and proper people. The clubs are not just commodities that can be shifted from person to person and area to area. They are organisations that communities depend on, particularly in a financial sense. When Coventry City left Coventry, it left a huge hole in the city, and that has particularly affected the local economy.
I support my hon. Friend the Member for Folkestone and Hythe, who is doing a fabulous job of raising the issues. He deserves every support, and I hope that the Minister will show him that she is in touch with the issue and willing to take action on behalf of millions of football fans throughout the country.
(11 years, 8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
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We do not have a breakdown of those figures. We do not know how many people are part-time workers or are in temporary jobs. I want to know more about those figures.
Budgetary pressures on the council are made all the more damaging in light of the financial pressures individual households face. For example, I am extremely concerned about the coming introduction of the under-occupancy penalty, or bedroom tax—in other words a new poll tax, but no one has grasped that. It will cut the housing benefit of working-age tenants in the social rented sector who have spare rooms.
The Government say that if people do not want to face the benefit cut, they can simply move into a smaller property. However, there are simply not enough smaller homes available in the current housing market. There is a national shortage of one-bedroom houses, particularly in the social housing sector. Furthermore, there are concerns that tenants are not being sufficiently prepared for the changes and do not know anything about the penalty.
The Department for Work and Pensions estimates that the introduction of the social sector size criteria measure is likely to affect 60,000 working-age housing benefit claimants living in the social rented sector in the west midlands at the time of its introduction in 2013-14. The change will mean that anyone in social housing with a spare bedroom will lose 14% of their housing benefit, or 25% if they have two spare rooms. Most people with a spare bedroom are pensioners who live in two or three-bedroom houses. There is a national shortage of one-bedroom houses, particularly in the social housing sector. In many areas, moving is not an option, because there are not enough smaller places to move into. I have long been concerned about that issue and want to prepare those who will be affected in Coventry as much as possible.
Another factor that is putting pressure on households is fuel prices. Petrol prices have fallen by less than 4p a litre, despite a 10p drop in wholesale prices—almost mirroring what happened six months ago.
No. I want to finish my speech, and my colleagues want to come in.
The average pump price of diesel has fallen, but only by 40% of the fall in the wholesale value. The Government should be doing all they can to try to mitigate the impact of high prices, and doing all in their power to make the prices at the pump fairly reflect any drops in the wholesale price.
I have a number of serious reservations about High Speed 2. I wish to be given all possible assurances that Coventry will not lose out from the development of HS2. We have had a meeting with the Secretary of State for Transport, who will look at the situation and at how to ensure that Coventry does not lose out. I am concerned that HS2 might drive up prices in existing services to Coventry and reduce services on the west coast main line, which could blight inward investment in Coventry.
European attempts at high-speed networks are concerning. There have been criticisms that the high-speed route in France has meant that towns near but not on the route have suffered, as investment was sucked into the cities on the route. Coventry’s proximity to Birmingham is making me anxious that a similar loss of investment to Birmingham may occur.
Furthermore, I am extremely concerned about the compensation package being offered by the Government. I understand that the existing package does not cover all who will be negatively affected by HS2, particularly those at the fringes. Households may experience negative equity on their properties but will receive no compensation, therefore making it difficult to sell the properties on the periphery. I have been having meetings, but will seek more to gain every reassurance that Coventry households, as well as the local economy, will not be negatively affected by HS2.
In conclusion, I want to know what the Government intend to do to support Coventry. The city is working extremely hard to encourage investment and regeneration and to free up land to provide space for manufacturing facilities and many other projects. The council is doing all it can to continue providing essential services, particularly for Coventry’s vulnerable people, despite difficult budgetary pressures. The people of Coventry want reassurance that such hardships are not going to continue without the Government also taking action to stimulate growth in the region.
(13 years, 7 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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Thank you for allowing me to speak today, Mrs Brooke. I congratulate the hon. Member for Coventry South (Mr Cunningham) on securing this important debate, although some of his opinions on the overall situation in local government in Coventry and the west midlands may well differ from mine. Despite what the hon. Gentleman said and the synthetic rage from Opposition Members, local government had known for some time that whichever party formed a Government following the last general election, budgets for councils in the west midlands and for most councils across the country would reduce dramatically. That is not a hidden fact and not something that we should forget. Nor should we forget that the public know that the country has a massive deficit. We can talk about how that was caused. Obviously, the bankers are very much at fault, but the previous Government were also very much at fault for not having a proper system of regulation in place for the banks. The banks failed on their watch. They cannot get away from that point.
Obviously, the hon. Gentleman is entitled to his point of view, but he certainly was not in the House, although I and my colleagues were, when the issue of Northern Rock arose. The then Opposition—the hon. Gentleman’s party—had no solution to that. In fairness, the Liberal Democrats said that we should nationalise Northern Rock. We said that we would have a look at that. Equally, if we look at the record of the last Parliament, we see that the hon. Gentleman’s colleagues always argued against regulation. Whether we were talking about banks or the private sector, they argued against regulation, and the only regulations that they are talking about abolishing now are those on health and safety.
I thank the hon. Gentleman for his comments, but we cannot get away from the fact that his party were in government; the banks failed on his party’s watch. We saw the first run on a bank for more than 100 years. That happened on his party’s watch. His party, not my party, was responsible for regulating the banks and it failed. The public know that and know that we must deal with the deficit. It is running at such a level that we are paying £120 million a day in debt interest alone. If we do not deal with that, not only will public services and the amount of money that we have for public services be vastly reduced, but the point also needs to be made that we risk putting this country in a situation like that which we have seen in Ireland, Greece, Spain and, probably, Portugal.
Let me return to the Government settlement in relation to councils. The better councils, including those across the west midlands, have been planning for several years for how they would deal with the inevitable cuts in local government funding. We should acknowledge that there have been reductions in formula grants for many councils over a number of years. The public have been looking to councils to show some leadership and show how they can deal with the very difficult situation that we all know we are in.
The previous Conservative administration at one of my local councils, Nuneaton and Bedworth borough council, did an enormous amount of work before the elections in May with Rugby borough council. That was about saving money through merging back-office functions, reducing the amount of management and sharing management. They were on course to save in excess of £2 million to £3 million. Unfortunately, the current—now Labour—administration in Nuneaton and Bedworth has politically abandoned that work and decided not to pursue saving money by reducing back-office functions. I am surprised by that because the previous Labour Government advocated it as a way for councils to save money in what they knew would be difficult times, and the current Government also advocate it.
I fear that Nuneaton and Bedworth council will look to make up its budget through massive rises in parking charges, as it has already shown by implementing a 25% rise in charges in the past couple of weeks. Inevitably, it will also make large increases in fees and charges elsewhere and, I am sure, huge cuts to front-line services through lack of foresight and forward planning.
On the grant settlement and the formula grant, I would like to discuss the disparity in settlements across the country that the hon. Member for Coventry South mentioned. Disparity is nothing unusual, because under the Labour Government, Warwickshire county council, for example, was particularly disadvantaged by its grant settlement year after year when compared with councils in areas such as the north-east. They received huge increases in grant funding while Warwickshire’s funding decreased and was continually behind the curve.
Looking beyond the grant settlements, we have seen some positives from the Government recently, which I welcome, such as allowing councils more freedom to deal with the issues that they face. Performance indicators have been the bane of many councils over a number of years—the comprehensive area assessment and the local area agreement. In reality, performance indicators have done very little either to improve the quality of local services to the people or to increase and improve outcomes, and particularly to reduce the gap between rich and poor. We now know that during the Labour Government, inequalities between rich and poor increased—they got worse, not better. Millions of pounds, even in very small authorities, have been wasted. Hopefully, authorities can put that into front-line services, rather than into writing a ridiculous number of plans or strategies, which have little or no effect.
The formula grant is a complex animal. It offers no transparency to local people over how local services are provided. People in local government, and possibly people in the Department, do not have a great understanding of the formula grant and how it is arrived at. What can be done to simplify the minefield of local government finance to make things more transparent for local people, so that they understand fully how taxes are raised to pay for local government and how its finance is allocated?
One area of concern within the current grant settlement is the transfer of concessionary travel from borough and district councils to county councils. That affects us in the west midlands in two-tier authorities, and particularly affects the two local councils in my constituency—Nuneaton and Bedworth and North Warwickshire borough councils—which is obviously of great concern to my constituents. With the recalculation of the grant, Nuneaton and Bedworth is likely to be disadvantaged by the loss of about £200,000 and North Warwickshire by about £300,000. I would like to know what the Minister can do to mitigate the effect that the transfer of the responsibility will, potentially, have on local services in Nuneaton.
I conclude by reiterating that this is a tough settlement. We all know that we have a tough settlement and it is incumbent on local authorities to work with local people and to ensure that they deliver on the priorities for those people. There are also certain anomalies that the Government need to mitigate, particularly the transfer of responsibility for concessionary travel. I look forward to hearing the Minister’s response.