(1 year, 1 month ago)
Commons ChamberI do not propose to detain the House for long, but I want to refer specifically to Lords amendment 22B. Part of me wants to be sympathetic towards it, especially after the measured speech by my hon. Friend the Member for Waveney (Peter Aldous). However, I have a concern about the understanding on which it is predicated, namely, that councils do their job properly. Unfortunately I have experience of Soviet Sandwell Council, which does not do its job properly.
I remember the pandemic, and I remember the lack of accountability that we saw when virtual meetings cut out halfway through and the public were seemingly unable to access meetings at which key decisions were being made. It therefore frightens me that we might consider potentially giving a local authority—I am sorry to say this—as corrupt as Sandwell Council any possibility of hiding itself behind virtual meetings. The fact that my right hon. Friend the Secretary of State had to intervene on this local authority some 12 months ago because of the utter failure in its governance processes is one reason why I hesitate to support the Bill.
I recognise that local authorities broadly can and do get this right, but where it goes horribly wrong, we have seen it and we have lived it, and it terrifies me. Even today, when we are back in physical meetings, let me give Members an example of what might transpire if the amendment were passed. If a monitoring officer fails to advise that a council is in breach of section 31 of the Local Government Act 2003, that effectively allows councillors to vote on a pecuniary matter in which they have an interest, which, as Members will know, is against the law. I believe that this local authority would use the provisions in the amendment to hide itself and mask itself, and to allow even more of the inept and, in fact, borderline corrupt behaviour that we have seen. Unfortunately, officers at a high level—I do not mean all officers, but certainly the officers in the local authority with whom I have dealt—seem quite happy to be complicit in some of that behaviour at times. That is why it would terrify me to allow this amendment to be passed.
The core of the amendment, however, involves accessibility. The hon. Member for Greenwich and Woolwich (Matthew Pennycook) touched on that, and I agree with him: I think we need to get better at accessibility, and to consider broader ways of doing that. Although the amendment may not be passed, I think it has drawn out something that we have to do. Whatever the colour of our Government, we need to get more people into council meetings to talk about their experiences. However, I am terrified by what this amendment would do to my constituents. Effectively, it would allow the authority to mask itself even more.
I have come to one conclusion on this. I think there is a way in which the amendment might work. Sandwell Council is, ultimately, an embarrassment for the Black Country and a stain on local government in the west midlands, and we are undergoing a review of local government in the west midlands at the moment. The only conclusion I can draw is that it is now time to abolish Sandwell Council, and subsume the towns that make it up into other parts. I am thinking particularly of my communities in Tipton and Wednesbury. They need their identity back, but, more important, they need that accountability. It is time for Sandwell to go, because it has been an embarrassment for the last 50 years. It is time to put it in the bin.
I support some of the underlying aims of the Lords amendments, which I think we must take forward. I think we can all agree on that, across the House. However, owing to the experiences I have had for the last four years as a Member of Parliament, this particular mechanism concerns me a great deal, and I can only support it if there is some sort of guarantee that Sandwell Council will be put in the bin.
(1 year, 11 months ago)
Commons ChamberFinally, with the prize for patience, I call Shaun Bailey.
Thank you, Mr Deputy Speaker—I am last but I hope I am certainly not least. Some 700 beds are due to come online thanks to the Midland Metropolitan University Hospital and there is a new primary care centre in Wednesbury, so when my right hon. Friend’s Department delivers, we see the benefit. Clearly, however, that means nothing if we cannot get the processes right. The most pressing issue for my constituents during the winter has still been access to their GPs, as I am sure hon. Members on both sides of the House will agree. I welcome what he has said about the use of technology to ensure that people are seen, but fundamentally, people still want face-to-face appointments, because if they are digitally disconnected, they cannot access that technology. It is as simple as that. I ask him to commit—just after he commits to come to Wednesbury to see our new primary care centre—to work through his good offices with GP practices where there is best practice, particularly in the Black Country ICB, to ensure that we enable people who are digitally disconnected to access GPs.
We are working actively with the primary care community. Indeed, that was a key focus of the Prime Minister’s summit in No. 10 on Saturday and it is part of the work that the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien) is leading through the primary care recovery plan. Last year’s GP patient survey suggested that continuity of care and face-to-face appointments were extremely important for two fifths of patients, but that suggests that for three fifths—often younger patients—speed of access is more pertinent. Continuity of care is important for those with multiple conditions, particularly elderly patients.
Alongside that, my hon. Friend is right to raise the Midland Metropolitan University Hospital. Four years ago, when I visited as a Minister of State in the Department, it was near completion. As he knows, it has taken a significant amount of time since then to get to its opening, which is why we need to look at doing things differently when it comes to value for money. Looking at the hospital estate programme, nine of the last 10 hospitals were built over time and over spec, so we need to look at modular design, modern methods of construction, and standardisation, which deliver a 35% unit-on-unit reduction in cost and much quicker operational performance, and would enable us to get hospitals up and running earlier.
It is important to do things differently and the new hospital building programme is part of that. We have listened to the concerns of those on the frontline and today’s statement addresses the immediate issue of bed occupancy in hospitals and the pressure on emergency departments.