Dr Allison Gardner

One of the advantages of this Government’s plan for devolution is that it offers the opportunity to address the country’s many regional inequalities. Indeed, strategic authorities, particularly those with mayoralties, have the ability to address inequalities within individual regions. The Bill’s original clause 43 addresses health, wellbeing and public services reform, and it is Government amendments 116 and 118 and amendment 172 that I wish to discuss. This section of the Bill confers a new duty on all combined authorities and combined county authorities to have regard to improving the health of persons in their area and reducing health inequalities between persons in their area. Amendment 172 outlines the requirements for a health inequalities strategy, which may include the metrics for healthy life expectancy, infant mortality rates and poverty, including child poverty. My constituency of Stoke-on-Trent South and the villages has the interesting profile of sitting across a number of councils: the two unitaries—Stoke-on-Trent city council and Staffordshire county council—as well as Stafford borough council and Staffordshire Moorlands district council. I was also a councillor in neighbouring Newcastle-under-Lyme for several years, so I have the advantage of a broad view across the long-recognised area of north Staffordshire. I should add that there is a road in my constituency, Uttoxeter Road, that has five lots of bins from five different councils, which is quite an achievement. There are clear inequalities across all areas, and of course there are pockets of wealth and deprivation in all. However, the health statistics outline a harsh reality. When we compare Staffordshire county council and Stoke-on-Trent city council’s female healthy life expectancy, we see that in Staffordshire it is 63, compared with the national average of 61.5, but in Stoke it is just 55. Men in Stoke can expect a healthy life until they are 56, compared with 63 in Staffordshire, with the national average being 61. We see the same for overall life expectancy, with Staffordshire above average and Stoke below average. I have on many occasions raised the shocking fact that Stoke-on-Trent routinely scores highest for infant mortality rates, and the shocking statistic that a baby born in Stoke-on-Trent will have half the chance of surviving to their fifth birthday than the national average.