Wycombe Hospital consultation meetings

Steve Baker outside Wycombe Hospital

Outside Wycombe Hospital

A crucial public consultation on the future of Wycombe Hospital began on 16 January. It is being run by Buckinghamshire Healthcare NHS Trust, which runs Wycombe Hospital. This is our chance to have our say on proposals to change how NHS services are provided in High Wycombe.

The exercise runs until 16 April and there are consultation meetings scheduled throughout the area every week in February. I urge everyone who cares about the future of our hospital to take part.

Click here for an explanation of the proposed changes and the schedule of public consultation meetings you can attend.

Ever since I was first selected  as the Conservative candidate for Wycombe, I have been working hard with local supporters of Wycombe Hospital. We are all keen to see services in the hands of the community and removed from further creeping centralisation and losses of service provision. So I welcome the Government’s intent in these current health reforms, which aim to move all NHS Trusts to NHS Foundation Trust status by April 2014 and to pass responsibility for purchasing patient care from Primary Care Trusts to the newly formed GP consortia a year before that.

This is a continuation of Labour Policy under the Blair government. NHS Foundation Trusts were introduced by Labour in the 2003 Health and Social Care Act as legally independent public benefit corporations. They are: 

  • Authorised and regulated by an independent regulator, known as Monitor;
  • Accountable to their local communities through a system of local ownership with members and elected governors – the governors being elected by the members;
  • Not required to break even each year although they must be financially viable. They can borrow money within limits set by the regulator, retain surpluses and decide on service development for their local populations;
  • Free from central government control and strategic health authority performance management; and
  • Required to lay their annual reports and accounts before Parliament each year.

There was a move to switch to Foundation status in Bucks during 2008 that was unsuccessful due to financial constraints. This initiative will be revived and a new submission is to be made in September 2012. I would encourage members of the public to support this move to Foundation status so that local people, as members and governors, can have much more direct control over Buckinghamshire hospitals.

My concerns are that Foundation Trusts may become too large and controlled from remote centres. That would be the opposite of both the Government’s vision and my own of a devolved and cooperative local arrangement. We need to avoid the bureaucracy and lack of accountability which has plagued the NHS locally for so long.

In the meantime, I again urge everyone interested in future of health provision in Wycombe to join in the consultation process. NHS consultations are currently how local voices are heard and I think it vital that hundreds of local people take part.

Localism Bill becomes law

Last week, the Localism Bill was passed into law. I was glad to support its passage.  Through 13 years of New Labour, we witnessed continual moves towards centralised planning and micro-managing of our everyday lives. This new law will see central government interference cut and give power back to citizens, community groups and local councils.

To accompany the Act, the Government have helpfully updated the ‘plain English guide’ that was produced to accompany the Bill. You can read it here.

For councils this will mean: 

  • Clarification of the rules on predetermination in order to free up councillors to express their opinions on issues of local importance without the fear of legal challenge;
  • Abolition of Labour’s discredited Standards Board regime;
  • Greater control over business rates.  Councils will have the power to offer local business rate discounts, which could help attract firms, investment and jobs;
  • Cancellation of Labour’s unfair ‘ports tax’, which threatened to cripple key businesses, it simplifies the process for claiming small business rate relief to help small shops and small firms; and
  • New planning enforcement rules, giving councils the ability to take action against people who deliberately conceal unauthorised development.

For local communities it will grant:

  • The Right to Bid to run local services;
  • The Right to Challenge by putting forward ideas to help their community;
  • The Right to Veto excess council tax rises;
  • The opportunity to draw up Neighbourhood plans;

However, there are caveats. I am an advocate of local referenda so I was disappointed to see that the Lords removed the flagship ‘local referendum’ provision from the Bill. That would have allowed voters to launch local referenda on local issues. Referenda do remain for council tax, right-to-build and neighborhood planning, but I know this will be a disappointment to some people in Wycombe.

Neighbourhood plans must, understandably, work inside some limits. If major infrastructure is decided upon at a national level, such as this benighted high-speed rail line, or if a strategic local plan calls for a certain number of homes to be built, then the Localism Act has safeguards to ensure neighbourhood plans do not override these wider ranging policies. Again, this will be a disappointment.

Nevertheless, I hope that the Localism Act will live up to its initial goal of radically decentralising power and fostering an environment where communities will have a greater say in their local area. We will see…

Simplifying the planning process: Enabling private sector businesses to invest and sustain growth

NB: this guest post is by Mimi Macejkova, my Parliamentary Intern and the views expressed are her own.

In a recent letter sent to MPs, Greg Clark, Minister for Decentralisation and Cities of the Department for Communities and Local Government, introduces a Whitehall draft, which reforms a one thousand-page planning document to only 52 pages.

This move is a step closer to fulfilling one of the Government’s goals towards a decentralised and simplified planning model and a shift away from central government interventions that have not had a positive effect on local business capabilities across the country.

The planning documentation has accumulated complex, perplexing wording in breach of many local governments’ rules and regulations.  It is the result of over a decade’s  ’worth’ of work of the Labour ‘enthusiasts’ who lost the grip of what they aimed to say and kept on creating more and more controversial pages.

The Coalition Government’s  top priority is to restart the economy, generate and sustain growth, and reduce the masses of red tape. Part of the deregulation policy is simplifying the national planning policy, which will be concise, explicit and comprehensible. The draft National Planning Policy Framework is now available here.

Power to the People

NB: The author is Tim Hewish, who I am glad to welcome as a local contributor. — Steve

Next week, the Conservatives will announce their new policy document on raising public participation in politics. It is true that we live in a representative democracy whereby MPs are elected with the responsibility of acting in peoples’ interests, however declaring our vote every 5 years and walking away from the political process often causes a disconnect between voter and representative.

This perception is something that we want to alter. With regard to the notion a ‘safe seat’, Conservatives will empower local people to cast a vote of no confidence in their elected representative if any MP fails to deliver on issues close to the constituency’s heart. This proposal will make MPs directly answerable to their constituents over the whole of a Parliament – not just every five years.

This sentiment is echoed by our local candidate, Steve Baker:

I am delighted that the concept of the ‘safe seat’ would come to an end under a Conservative government. People deserve better than Parliament has given them over recent years and this measure is an essential component of restoring trust in democracy. I welcome it.

Building on this theme of political breakdown between the People and Parliament – new forms of media as well as old have a distinct role to play. Take for example, the gladiatorial confrontations with Jeremy Paxman and John Humphrys, they are often too indigestible for all but the political obsessive. There are valiant attempts to appeal to a wider audience such as The Daily Politics and This Week, however it is acknowledge that pressure to appear jokey and fast moving can discourage exploring subjects in length.

The Conservatives are proposing a new type of service that would offer ‘Radio Three Politics’, allowing ministers a good ten minutes to explain their proposals, followed by ample responses from opponents, professionals, and members of the public. There is nothing unbearably highbrow about such an approach. It is, after all, the staple fare in any decent conference or seminar.

At present, the case for Parliamentary debate is being marginalised by the media as they are terrified of being thought boring. In fact intense and prolonged discussion can be much more absorbing than the routine trading of sound-bites.

From the Conservative Democracy Task Force:

The cheapest and easiest solution would be to establish a full-scale on-line presence for Parliament: interspersing clips from speeches in the Chamber or from Select Committees with round-table discussion and a suitably monitored chat room. For instance, The Daily Politics often becomes more entertaining when a sheaf of emails from viewers are read out whose instant responses often vary quite markedly from those of his studio guests.

Another key sea-change should be the returning value of the public petition. The public petition is an ancient tradition of Parliament but one which has fallen into disuse. Scotland and other northern European nations are using public petitions as a way of remedying their perceived remoteness and inaccessibility of their respective political culture. This isn’t a call for mob mentality to enter politics, but rather that channelling public clamour towards its proper destination: a debate in the nation’s forum.

Currently, we have Downing Street petitions which many millions will sign, but will often get an arms length response from Government spokesmen and nothing in reality gets done. A satisfactory procedure needs to be devised for the collection and assessment of petitions on subjects worthy of debate, with a view to finding time to debate them in Westminster Hall.

These ideas laid out above are just a small selection of what can be achieved with real dedication and drive to re-calibrate politics towards the public and away from political centralisation. In light of this, I urge voters to take time to read our People Power manifesto document next week for more details.


David Cameron: We can’t go on like this

Via David Cameron: We can’t go on like this:

A decade of big government and blunt, bureaucratic control has undermined responsibility and made our social problems worse, not better.

We are determined to forge a new direction.

We will use the state to help remake society by encouraging people to take responsibility for themselves and for one another.

We will provide new opportunities for community groups, neighbourhood organisations, charities, social enterprises to help rebuild our civil society.

We will create incentives and use the best technology to encourage and enable people to come together, solve their problems together, make this society stronger together.

As we do this we will redistribute power from the political elite to the man and woman in the street.

Within months of a Conservative victory there would start the most radical decentralisation of power this country has seen for generations.

Government will enter a new era of transparency.

And a strong, unbroken line of democratic accountability will be restored between the people and those that make the decisions that affect their lives.

It is a future barely recognisable from the present, but this party is determined to take us there.

A Conservative Government will send the clearest possible signal to everyone in Britain…

…if you take responsibility, we will back you; if you aspire to a better life for you and your family, we will support you; if you play your part in building the big society, we will reward you.

I recommend the entire speech.

Recommended reading: “Freedom for Public Services”

Freedom for Public ServicesThe latest publication from the Centre for Policy Studies arrived today: “Freedom for Public Services” by William Mason and Jonathan McMahon. Better services at lower cost, and more fulfilling jobs for public servants, are quite possible.

As ever, this CPS report is intelligent, brief, clear and insightful. The sheer scale of central regulation is shocking even as one who has begun to study the situation. Consider for example the list of regulators for the NHS:

Furthermore, healthcare professionals are individually regulated by, variously, medical schools, Royal Colleges, the Postgraduate Medical Education and Training Board, the General Medical Council and other professional organisations.

As you would expect, the paper makes a number of practical recommendations for simplification, efficiency and greater accountability in health and in the other public services, including the police, local government, schools and higher education. One summary point is particularly telling:

Central control is not working. Leading politicians of both main parties recognise that public services in the UK today are too large and complex for effective central management. In particular, David Cameron’s advocacy of the post-bureaucratic age is based on the premise that freedom of information can “make possible a new world of responsibility, citizenship, choice and local control.”

I recommend the report.