Local Government and Public Involvement in Health Bill

They will be clamouring for it in the future, of course, but the serious point is that the idea for directly elected executives came from local authorities themselves. Given that that model meets the criteria of providing a strong leadership model with clearer visibility and accountability, it would be wrong to rule it out. My problem with the old committee structure, and with most of the enhanced committee structures that I have seen in practice, is that they do not provide clear leadership. I think that the changes in the Bill will get the balance right.