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Roy Norris, Chair of Welsh Ambulance Service NHS Trust
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Carys Evans
Richard Commission
Caradog House
St Andrews Place
CARDIFF
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Dear Ms Evans
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SUBMISSION TO RICHARD COMMISSION
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Introduction
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This submission is made as an individual
with experience of working as a Director for Wales in
a UK Non-Departmental Public Body (NDPB) and currently
as Chairman of the Welsh Ambulance Services NHS Trust,
the only all Wales NHS Trust.
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My comments therefore focus more upon
the structures, powers and limitations of the current
arrangements. Comments about the Welsh Ambulance Services
Trust have been reviewed by the Chief Executive, Mr
Don Page. Otherwise the comments are solely my responsibility
and should not be seen as representing the views of
the Trust Board or members of that Board.
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General Comment
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My work as Wales Director for the National
Lottery Charities Board, now called the Community Fund,
demonstrated for me some of the problems caused when
a UK Department found absorbing and understanding the
changes flowing from devolution difficult. I would claim
that these included lip service to consultation with
Assembly Officials, a failure to grasp dual language
issues, and a belief that what was proposed for England
had to be accepted in Wales. This led to particular
difficulties when the Assembly "Communities First" programme
was found to have the same title as proposed for enhanced
lottery distribution to deprived areas. The lottery
scheme is now called "Fair Share" and arrangements in
Wales are not quite the same as those operating in England.
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This contrasts very much with the experience
of the Ambulance Trust. This Trust was formed 5 years
ago, was grossly underfunded and had little support.
Since that time the Assembly has taken responsibility
for health in Wales. The result has been a much keener
interest and concern for trust activities. There has
been criticism, but also there has been support and
this has resulted in an additional £3.5 million being
directed to the Trust in the past two years. There has
been a consequent improvement in our performance despite
a very significant increase in numbers of emergency
calls. Trust Executives and the previous Chair have
appeared before the Health and Social Services Committee;
something that would have been very unlikely when the
NHS was managed by the Department of Health. The expression
of this increased interest, attention to detail and
challenge is demanding but, in my view is leading to
a better service, with increased resources for the benefit
of the people of Wales and our employees.
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Turning to the questions for consultation:
Does the Government of Wales Act provide the Assembly
with the powers it needs to operate effectively and
meet the expectations of the people of Wales. My comment
is that at present the people of Wales seem to have
relatively low expectations of the Assembly despite
the Assemblys responsibility for health and education
in particular. I believe that this state of affairs
exists because the Assembly is perceived to have insufficient
powers. Although time is needed for a new institution
to establish itself, and the experience of Spanish devolution
is that two or three decades may be needed. The limited
powers are lowering expectations and in consequence
devaluing the impact of the Assembly. The Commission
goes on to ask whether and if so how, the powers should
be extended, strengthened or changed and whether they
should include tax varying powers. At present the powers
are circumscribed by the need to obtain parliamentary
time. This time is always in short supply and I believe
that this is limiting the Assemblys capacity and
preparedness to press for new legislation or different
legislation in Wales. The model worth considering may
be that of the European concept of "subsidiary" which
would apply to the extent that where there was no good
reason for legislation not to be made within Wales it
should be permitted.
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It is a curious reversal of history that
where as the normal cry is, "no taxation without representation"
here we are in a situation of representation without
taxation. The possession of tax raising powers would,
I believe, concentrate minds and create a climate in
which it was recognised that the Assembly can have impact
on people in Wales across the spectrum of raising money
and spending money. The Commission seeks views on if
the Assembly were to acquire greater law making powers,
is it inevitable that it would need to be constituted
on the parliamentary model. And if so, what organisational
changes would be needed to support this model and what
would be the gains and losses from making this change.
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There may be a case for Parliament to
have review powers in a fashion similar to those possessed
by the current House of Lords if the Assembly were to
acquire greater law making powers. It seems to me that
there is a case for ensuring that there is the capacity
for review and reflection particularly on controversial
or contentious legislation. In terms of necessary organisational
changes, deficiencies represent some of the weaknesses
of the current model. I do not think there are sufficient
AMs to discharge the range of responsibilities
that one would wish to see devolved to Wales. In many
ways this is not about the size of the country or of
its population but rather more the need to ensure
that there are sufficient numbers of people to discharge
the functions of the broad range of activities of the
modern state. It may therefore be that consideration
should be given to increasing the number of AMs
and their support staff. At present it is common for
Assembly Officials to shadow a great many sections of
a UK department. On occasions this is of great advantage
internecine debate can be transcended. On the other
hand, the sheer volume of resources that a UK department
may bring to bear can have the effect of overwhelming
Assembly Officials who then tend to take the line of
least resistance, and recommend following the UK line.
The current size of the Assembly means that there are
good internal and external networks which are often
wider than those operating in Whitehall. This is a benefit
that should not be lightly relinquished, on the other
hand the sheer volume of work and the need to create
time to think through the implications of a separate
Wales policy needs to be resourced.
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A number of questions are asked about
the relationship between the Assembly in Cardiff and
the Parliament in Westminster. My experience of the
UK NDPB tend to highlight the weaknesses of the process
where Whitehall departments do not feel the need to
grasp the changes that have occurred in Wales. Sometimes
there is an advantage in being part of a UK organisation.
Where the NDPB is relatively small there can be economies
of scale in, for example, the Finance and Human Resource
areas which can be better managed when there is a critical
mass. There may be political advantages and disadvantages
of having a law making process shared between AMs,
MPs and Peers dependent on party position. It
does not seem to be necessarily to be an advantage when
all parliaments are controlled by the same party nor
necessarily would it be a disadvantage if the three
chambers were politically opposed. I suspect that Westminster
would find itself forced to concentrate on broad strategic
issues if fundamental policy for Wales was determined
in Wales. It may well be that 635 MPs would be
too many for a reduced role and this will be something
that needs to be considered, perhaps by another Commission.
It is interesting to note that the role of MPs
in Wales has already been reduced by the institution
of the National Assembly. I noticed in my work with
the Community Fund that we were dealing as much, if
not more, with Assembly Members even though the formal
responsibility for activities lay with MPs. This
highlighted the inappropriateness of an activity that
was Wales based but had an even more local impact being
the responsibility of a UK department. I am not sure
whether Welsh interests would be more or less adversely
affected if the role of MPs as a whole were reduced
as a consequence of devolution throughout the UK. It
would clearly be important to ensure that any reduced
representation fairly reflected the constituent component
of a "new" UK Parliament.
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Similar comments apply to the question
about the reduction in the Secretary of States
role. I believe this reduction has already occurred
within the popular conception of the Secretary of State
and indeed there can be occasions when the office and
role appear "colonial", although I recognise and appreciate
that this is not the intention. Changes in the relations
between the Assembly and Whitehall already demand work
so that we can be assured that officials in Whitehall
do indeed understand the effects of devolution and how
the things they propose might impact upon Wales. It
is possible to argue that economies of scale and opportunities
for career development would be lost if there was a
sharper separation between England and Wales in policy
development and its implementation. It seems to me that
part of the resolution or minimisation of this issue
is to recognise that Civil Servants are servants of
the Crown and that devolution is a development of the
power of the Crown across the United Kingdom. The first
loyalty of Assembly Civil Servants would be to their
employing department, as indeed is the case within the
rest of the UK, and the sharing of values, of common
understanding and recognition of issues, should be fostered
by considering the career structure of the Civil Service
as a whole and working to counter trend towards compartmentalisation.
Indeed experiences of multi functional departments such
as the Welsh Office, Scottish Office and the Northern
Ireland Office, was that officials were able to bring
to bear a very broad view and were so able to exploit
opportunities that might not have been recognised in
a monolithic department. It seems to me important that
this quality and ability is retained. Opportunities
to work in devolved administrations should be promoted
as very much a career enhancing move. In terms of gain
Wales would need to recognise that it will have to understand
and accept the responsibility for taking different decision.
It will no longer be sufficient to compare the situation
in England with that in Wales. This may present party
political difficulties or indeed opportunities, but
the people will need to take responsibility for doing
things differently where that is the right thing to
do.
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The cost benefit analysis for democracy
seems to be often framed within individual and personal
values. It is easy to claim that a devolved administration
is more costly to operate than a centralised one. That
may be true, but by that argument no doubt a dictatorship
would be cheaper still! I think it is possible to argue
that where it is possible to take account of the needs
of more people at the outset, albeit that this may incur
additional initial expenditure, this will save the costs
of challenges, reviews and changes that otherwise take
place after the event. Unfortunately it is easy to quantify
the initial cost but much harder to quantify subsequent
costs that have not been incurred.
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Conclusion
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I recognise that this response is outside
the time limit but I hope that it will be possible to
take some account of some, if not all, of the points
offered. I apologise for the lateness of this submission.
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Roy A. Norris.
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16 April 2003.
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