Cities and Local Government Devolution [Lords] Bill
Debate between Lord Mann and Alistair Burt(8 years, 6 months ago)
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John Mann
Is there anything in the Government’s proposal that would impact on a district such as Bassetlaw —the hospital trust crosses the border into south Yorkshire, but the clinical commissioning group money remains entirely within the district—electing to join Sheffield city region, in another region, where other decisions will be needed? Are there any hidden nasties we should be aware of?
Alistair Burt
No, I do not think so. There are neither hidden nor unhidden nasties. Local decisions will still be made, and CCGs will still be monitored for quality, effectiveness and the like. I am just coming on to talk about the regulation.
Clause 19 provides that the regulatory functions of national bodies held in respect of health services will not be available for transfer to a combined or local authority. This makes it clear that local devolution settlements will not devolve the regulatory functions of Monitor, the Care Quality Commission or other health service national regulatory bodies as defined. This means that a transfer order may not change the way in which our national health service regulators operate to protect the interests and safety of patients. Amendment 38 inserts a provision clarifying that a “health service regulatory function” means a regulatory function within the meaning given by section 32 of the Legislative and Regulatory Reform Act 2006, in relation to the health service. Amendment 35 omits the word “supervisory” but clarifies that the supervisory functions of NHS England in relation to CCGs are also expressly protected from transfer.
The safeguards set out in clause 19 would support the Secretary of State in ensuring in a transfer order that where a combined authority or local authority was to exercise transferred health functions, using the Bill’s new powers, that authority could be held to account as to the exercise of its health service functions, just as NHS commissioners are currently held accountable. Amendment 36 amends clause 19 to require that in a transfer of functions to a combined authority or a local authority, provision must be made about standards and duties to be placed on the authority.
Amendment 38 provides further explanation of the national service standards to which the Secretary of State must have regard when making such provision. These include, for example, those in the standing rules set for NHS England and CCGs, recommendations and quality standards published by the National Institute for Health and Care Excellence, and of course the standards set out in the NHS constitution, which sets out pledges and codifies requirements, statutory duties and rights that NHS services in England must, as a minimum, meet. These include national access standards, including waiting times. Amendment 38 also provides definitions for “national information obligations” and “national accountability obligations”.
As amended, clause 19 provides further clarity about the role of the Secretary of State for Health and what will and will not be included in any future transfer order giving local organisations devolved responsibility for health services. This clear statement in legislation, making provision for the protection of the integrity of the NHS, is intended to provide further confidence for future devolution deals. In essence, they will be underpinned by the basic core duties of the NHS, and that cannot be shifted. Amendments 32 to 38 give further definition and clarity to support the valuable principles behind this clause.
New schedule 1, which inserts schedule 3A in the Bill, provides for amendments to the National Health Service Act 2006, and new clause 8 is a clause to introduce that schedule. These amendments concern the making of arrangements with combined or local authorities for the exercise of health commissioning functions under the 2006 Act, including provisions allowing greater flexibility over how partners to such arrangements may work together. This will enable greater integration of health and care services and support local leaders to take collective steps towards better health and care for their local population.
New schedule 1 also makes small amendments to the 2006 Act concerning the provision that may be made in regulations concerning local authorities’ social care information.
Places such as Greater Manchester and Cornwall are calling for the ability to design and deliver better health and care services, and the ability to make decisions at a level that works best for their communities—locally or, where it makes more sense, at a regional or sub-regional level. As we know, devolution deals will be tailored to the needs and circumstances of a local area. The Bill will already allow the Government to make orders to devolve to a combined authority or a local authority a range of powers and functions currently carried out by Whitehall Departments or bodies such as NHS England.
Holocaust Memorial Day
Debate between Lord Mann and Alistair Burt(10 years, 3 months ago)
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Alistair Burt
My hon. Friend makes an extremely valid point. Colleagues will appreciate that when opening a debate it is not possible to cover everything, but the role of the righteous gentile, appropriately recorded at Yad Vashem and other places, is an honourable one. Year after year we hear more stories of people who did extraordinary work, putting themselves at risk, and those in Poland who did that are to be as well thought of as any, bearing in mind the horror of Nazi occupation.
John Mann (Bassetlaw) (Lab)
I congratulate my right hon. Friend—I see him as a Friend in this—on securing this debate. Does he agree with me about the Jobbik leader and the problems originating from that? I am going shortly to see the Hungarian ambassador about that matter. Does my right hon. Friend agree that inter-parliamentary co-operation in dealing with racism and anti-Semitism is essential in stopping the spread of that kind of vehemently racist party?
Alistair Burt
My hon. Friend’s record on this issue is one of great courage and hard work over many years, and he again makes a good point. Parliamentarians need to work with each other to prevent abuse of parliamentarians and loss of their rights in certain places—the right hon. Member for Cynon Valley (Ann Clwyd) does an invaluable job in the Inter-Parliamentary Union on that—and I and other colleagues would be interested to hear more about how co-operation between parliamentarians, particularly in Europe, can counter that scourge.
I am conscious of time, so let me move to a conclusion. Anti-Semitism also pains the people of France, who saw three Jewish children murdered in Toulouse in May 2012, and where we currently see public demonstrations of support outside synagogues for an entertainer of clear anti-Semitic views, who has allowed a holocaust denier to share his stage. This man is associated with a salute—the quenelle—made notorious in this country through its use by the footballer Nicolas Anelka. It is for Mr Anelka to answer the charges laid against him and I do not intend to make him the subject of our debate, but I would contrast his behaviour with that of the English football team who, with the support of the Holocaust Educational Trust, made a journey to Auschwitz during the European Championships of 2012. Captain Steven Gerrard spoke of the impact of that visit on the players, their awareness of their privileged life and their position as role models, and their understanding of that. I think those are the footballers whose views we should note today, and we should watch the film of their time there made by the Football Association and the Holocaust Educational Trust. That is what schools should look at as representing role models in this country.
Last January I attended the commemoration of Holocaust memorial day at the London Jewish Cultural Centre in north London, at the request of one of my longest standing and much loved friends from college, Mandy King. I took part in a moving morning of music and verse, with predominantly young people drawn from diverse communities. I was proud to follow at that ceremony a young girl from the Islamic Foundation. What a statement from both Jew and Muslim that they could stand together, because in my recent role I have been more acutely aware than ever of the pain in the Islamic world from so many sources, of the misery inflicted every day through sectarian violence, of that evil which flows through too many human hearts, and the pain of unresolved injustice, which perhaps this year might finally be addressed. All could be put aside in remembering the uniqueness of holocaust, while the generosity of the Jewish community in sharing the pain now has powerful resonance throughout the country.
With many thanks to those who work so hard around the country to remember this weekend and involve so many, let me conclude with Primo Levi’s haunting poem, “Shema”, which echoes the pain of his existence in Auschwitz:
“You who live secure
In your warm houses,
Who return at evening to find
Hot food and friendly faces:
Consider whether this is a man
Who labours in the mud
Who knows no peace
Who fights for a crust of bread
Who dies at a yes or a no.
Consider whether this is a woman,
Without hair or name
With no more strength to remember
Eyes empty and womb cold
As a frog in winter
Consider that this has been:
I commend these words to you
Engrave them on your hearts
When you are in your house, when you walk on your way.
When you go to bed, when you rise.
Repeat them to your children.
Or may your house crumble.
Disease render you powerless.
Your offspring avert their faces from you.”