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Local Government and Public Involvement in Health Bill

My hon. Friend once again takes the opportunity to promote the case for Stoke-on-Trent, and I commend her for that. Only two local authorities in this country present separate cases. Stoke-on-Trent is the only one to have adopted the elected mayor with the city manager model, and that is different from the one in Doncaster to which the hon. Member for Shipley (Philip Davies) referred. In addition, the council in Brighton and Hove also has separate arrangements. The Electoral Commission will shortly make an announcement about Stoke-on-Trent, and I am grateful to my hon. Friend for her support in that process. Of course, there are caveats. Just as other councils face restrictions on what they can and cannot do, if the commission proposed to create a kibbutz for governance in Stoke-on-Trent I would not accept it. However, on a more serious note, the answer to the question poised by my hon. Friend the Member for Stoke-on-Trent, North (Joan Walley) is yes, very definitely. Part of my argument is that Stoke-on-Trent needs that model of governance, but it has its limits. I am not making a cause and effect argument. The evidence is that the most likely improvements are made when strong executive arrangements are in place.