Northern Ireland (Executive Formation and Exercise of Functions) Bill — House of Commons, 2018-10-24
Topic: Health
Andrew William Murrison (Conservative, Centre-right): With respect to the right hon. Gentleman, he is a little harsh on the Northern Ireland civil service, because of course civil servants will act as civil servants always do. They are not politicians, they do not do policy and they are acutely aware, all the time, of legal challenge. I take my hat off to David Sterling and his people for doing what they have managed to do since January or March 2017, but the fact is that key decisions have to be made. We have already heard about the distinction between policy and decision making; some of the decisions are policy, but some are simply nuts-and-bolts decision making. I fear that there will come a point when the line will be crossed, and the Secretary of State may very well come back here to seek further guidance from this House on what she can legitimately do to prevent the backsliding to which I have referred and hopefully start making progress on some of these key public service areas Reading through the guidance, I am heartened because it seems to give the Secretary of State really quite a lot of scope. She will have heard—and, I suspect, will continue to hear in the balance of this debate—a great deal of support from across the House for her being pretty proactive in issuing guidance to the civil service so that it can do what is necessary to advance the day-to-day living experience of the people of Northern Ireland. In particular, I note the enjoinder in the guidance that "particular weight" must be given to the avoidance of "serious detriment to the public interest, public health and wellbeing" In response to the point made by the right hon. Member for East Antrim (Sammy Wilson) a few moments ago, I will reflect briefly on one example, which I mention as an exemplar more widely applicable to the whole piece. At the Royal Victoria Hospital on Monday, we heard from a group of cardiologists—people who are leaders in their field—how the inability to share data with the rest of the United Kingdom was proving to be an impediment because there was a failure of a particular decision that had to be made by a Minister. That has clear implications for healthcare in Northern Ireland, because if Northern Ireland cannot compare and contrast its performance and what it is doing with other parts of a similar healthcare service, it cannot really make improvements. That is just a small example of the kind of thing that we are talking about today which I hope will be covered in the guidance. I urge the Minister to ensure that the guidance that she issues is much more specific than that laid out in the framework published today. I think that she will end up having to issue really quite a lot of guidance, and I urge her very strongly indeed to push the limits as far as she possibly can I was particularly taken with the remarks of the hon. Member for Rochdale (Tony Lloyd), who speaks for the Opposition. It is actually quite rare in this place that there is much in the way of consensus. Mercifully, reaching it tends to be easier in matters to do with Northern Ireland than in most public policy areas. The hon. Gentleman’s remarks, which I very much welcome, were exceptionally positive in regard to our sense that the Secretary of State really will have to issue guidance that is as prescriptive as possible, within the scope of the Bill, in order to move things along in Northern Ireland. That is the sense that I got from the hon. Gentleman’s remarks I do not wish to go on too much longer, but I want to mention another point. In the Brexit context—there is always a risk that a debate like this will be overtaken by the issue of the moment—a great deal is going on in Northern Ireland at the moment that is of a unique nature. I have mentioned healthcare, but much of the economy in Northern Ireland is pretty unusual and has a uniqueness that needs to be reflected by those who are currently dealing with Brexit. Of course, it is a perfect storm in a sense, because not only is there a uniqueness regarding the various sectors; there is also a lack of an Executive—of a body advocating specifically for Northern Ireland. Now, the Government will say, "Well, it’s for us to negotiate in Brussels", which is perfectly true, but we know full well that Scotland and Wales are separately making their points to our interlocutors in Brussels. That is not the case for Northern Ireland.