I agree that that issue could become a road block to achieving what most people in this Chamber, and certainly in the other place—I have read the debates—want to achieve.
A number of people have raised concerns about health, and I think there are some misunderstandings about that. Health issues in Greater Manchester concern an agreement for the combined authority to exercise powers that have already been given to local government in a more effective way. I hope that in future more power will be given to local authorities to deal with health because, as my hon. Friend the Member for Sheffield South East (Mr Betts) says, our health service is not evenly spread out, and there will always be differences. The key issue here—as in the entire devolution debate—concerns whether key decisions on health are taken by elected people, or by non-elected people in Whitehall and elsewhere. I support such decisions being taken by elected people.
The power of devolution is that there are always tough decisions to be made, whether in times of cuts or times of growth, and being an elected politician is a tough business. Let us consider the most difficult decision that a politician, whether the Secretary of State, the Prime Minister or a local councillor, has to take: the closure of a hospital. Is it better for that decision to be taken by the Secretary of State in central Government
with advice from civil servants in Whitehall, or would that decision—however difficult—be better taken locally? I come to the conclusion that such decisions are always better taken by local people.
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