Public Accounts Committee

Debate between Richard Bacon and Anne McGuire

Thursday 16th December 2010 Commons Chamber

[Mrs McGuire]

I am speaking purely of the report that was in front of us, but I accept that there may have been other approaches. I was using the point as an illustration, not a comparison.

[Mr Bacon]

I fully accept the right hon. Lady’s point, whether it was meant as an illustration or a comparison. Another interesting facet of the academies programme, which Lord Adonis pointed out to the Committee in a seminar, was that after a relatively short period it was he, as the Minister, who held the collective memory in the Department. All the civil servants who advised him on the programme had been there for less time than him. What does that tell us about how the civil service manages its people?

[Mrs McGuire]

The hon. Gentleman highlights a recurring concern among Committee members, which is that the tendency to move civil servants around the system so often means that the collective memory is not built up. That was illustrated beautifully in yesterday’s discussions with the people from the MOD. Even in a programme of intermediate length, there had been God knows how many senior responsible officers. That leaves no opportunity to build up the collective memory.

I will take your comments to heart, Mr Deputy Speaker, and will not speak for too much time. However, I wish to highlight one other report that I found outrageous, which was on health inequalities and life expectancy. As the Committee said, the issue of health inequalities is not new. A J Cronin wrote about it in his stories about Dr Finlay and Dr Cameron. We all know about these issues. Although it was officially identified in 1997, our progress in dealing with this problem, which has been staring us in the face, is depressing. There are issues with the approach of general practitioners to those who suffer health disadvantages.

I hope that the new Government will look at the report carefully, because as they reform and change the NHS, they must consider whether they can deal with the inequalities in health across the country, or whether they will reinforce them. For the record, that is one report on which I received positive feedback from people outside this House who are in public health. A colleague in the Scottish Parliament said that it was one of the best reports he had read on the issue.

I will conclude by looking briefly to the future. Parliamentary scrutiny of the taxpayer’s pound will be more challenging. As more services are devolved to commissioning GP practices and thousands of schools, the scale of the audit trail will be breathtaking and value-for-money analyses will be even more complex. I hope that the Minister gives us an understanding of who will be responsible for the spend. Can we expect it to still be the departmental accounting officer, when he or she will have no control once the money leaves the Department? Will we invite school governors and managers, partners in general practices, and chief executives of voluntary organisations to appear before us? This is a question for us all: who carries the can when public money is involved and who pays the price if it all goes wrong? It is bad enough at the moment, when few heads appear to roll even when things go spectacularly wrong. What will it be like when thousands of people are ostensibly responsible for signing taxpayers’ cheques? A taxpayer’s pound is a taxpayer’s pound, whoever spends it. The PAC, along with the NAO and the Government, will have to consider quickly how we will manage our work to ensure that there is still public accountability and that value for money is still identified.