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Local Government and Public Involvement in Health Bill

When we heard that a White Paper was on its way and would be followed by a Bill, some of us thought that it presented a real opportunity for local democracy. We thought that there was a chance to rebuild and restore local democracy, to make it more representative, to empower it, make it more responsive, effective and capable—and, of course, to provide the resources that it needs to deliver the services and responsibilities heaped on it. If local government had those foundations, we would be able to achieve a more equal partnership between local government and local democracy, and central Government and the democracy in this place—perhaps something closer to the balance achieved in the US, the Commonwealth countries or the EU’s larger countries, in which the proportion of spending and service delivery by local government is hugely higher than in the UK, particularly England. We needed a more vigorous engagement and participation with communities and individuals—something that could have sprung from a White Paper and local government Bill. We needed more local services, tailored more accurately to the needs of local communities, delivered and designed by local people. That was the opportunity that we hoped for, and our colleagues in local government certainly hoped to see it as well—but the opportunity has been missed. The Bill is a disappointment, not only because of what the Government have left out of it, but because of what they have put into it. They have certainly gone for quantity rather than quality, with 176 clauses and 15 schedules. Somewhere in all those provisions something has to come out right, but I am reminded of the mythical monkeys who set out to type Shakespeare. How long would it take them to achieve that, and how many failed attempts would be made on the way? It seems to me, having read the Bill, that we have much ado about nothing, but not too much of all’s well that ends well—