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Mrs. Browning: I wrote it all myself. Hon. Members should not worry about that.

It is not very honest for the Liberal Democrats to pose--as they have today--as an independent party seeking to distance itself from its coalition partners across the Chamber. They have responsibility, and we see that responsibility in practice in the council chamber. Increasingly, we see that Liberal Democrat councils cost people more. There is no mention of caveats such as that given today by the hon. Member for Southwark, North and Bermondsey about the need to raise taxation being dependent on an annual budget. Raising taxes at local government level is the Liberal Democrats' stock in trade.

Mr. Adrian Sanders (Torbay): Has the hon. Lady not realised that when the Labour Government introduce Liberal Democrat policies we support them, and that when they do not we oppose them? That is surely the responsible position of a constructive Opposition party.

Mrs. Browning: Given the power that the Liberal Democrats now have at the Cabinet table, they have every opportunity to ensure that the subjects that we are debating today are put on the agenda for the next Cabinet meeting that they attend. We shall be interested to learn what progress is made. The Liberal Democrats are not bound by collective Cabinet responsibility, but the right hon. Member for Yeovil and four of his colleagues sit around the Cabinet table with Labour. I take it from the intervention of the hon. Member for Torbay that we can expect health, education, social services and local government expenditure to be part of the programme of issues that the Liberal Democrats consider important, and on which they can influence their Labour Cabinet colleagues.

In 1996-97, Liberal Democrat-controlled councils charged nearly 30 per cent. more on average in council tax than Conservative-controlled councils. For a band D home, that meant £139 more tax than under the average Conservative council--more than £2.50 a week. The slavish policy whereby they say, "Yes, tax more, tax more for local services," would be a little more intellectually justifiable if in areas controlled by Liberal Democrats and with increased taxes the provision of services was better than, or even comparable with, that of Conservative councils. Up and down the country, however--in Essex, Kent, Waltham Forest, Cambridge, Mid-Suffolk, the Vale of White Horse, Windsor and Maidenhead--Conservative councils have proposed alternative budgets.

My constituency contains two district councils, East Devon and Mid-Devon. Mid-Devon, which is controlled by the Liberal Democrats, imposes higher taxes and

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provides less good services for those who live in my patch. By their actions the Liberal Democrats can be judged. Increasingly, we find that theirs is simply a knee-jerk reaction: they are constantly wringing their hands and constantly begging for more money; yet when they have the authority, the way in which they use the money can be called into question.

Mr. Menzies Campbell: If Liberal Democrat councils are so inefficient and think that the solution to every problem is to raise taxes, why are the Liberal Democrats running so many more councils than the Conservative party, and why has the Conservative approach to local government been in retreat in the United Kingdom for the past 10 years?

Mrs. Browning: That is not what we have found recently. We have found that in local government by-elections Conservatives are winning seats. Council seats that Liberal Democrats considered safe are either being lost or being run extremely close.

The hon. and learned Gentleman will find, now that he is in coalition with Labour, that where there is a partnership between Labour and Liberal Democrats--as well as where the Liberal Democrats control a council themselves--they must expect more disappointments in the future. I hope that the salvation for people will be that in local government by-elections the trend will increase--as it has since 1 May--for Liberal Democrat councillors to be rejected in favour of Conservatives.

Mr. David Heath (Somerton and Frome): The hon. Lady talked about an average among Conservative authorities. As there was only one Conservative local education authority last year, it is not difficult to find an average. Does she agree that when local education authorities such as mine in Somerset wanted to spend more, and to put it into education to produce decent services for our people, we were told no by the Conservative Government and we have been told no by the Labour Government?

Mrs. Browning: Those at the Cabinet table will just have to try harder.

Mr. Bercow: Did my hon. Friend notice the hon. Member for Southwark, North and Bermondsey (Mr. Hughes) flailing in a pitiful fashion when challenged on the subject of Hampshire education finance? He could not deny that £2.8 million more is being spent under a Conservative-controlled county council than was spent when his party was in office. Would it not be good if the Liberal Democrat party were capable of practising partnership politics within its own ranks?

Mrs. Browning: Indeed--and that brings me to the subject of health. The Liberal Democrats want to apply the same expertise to health care as they do in county halls. It is Liberal Democrat policy to put more councillors in control of health authorities--a policy which, on analysis, they have stated is barmy. It fills me with horror that the way in which bureaucracy and

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mismanagement lend themselves to Liberal Democrat thinking at county hall should become the way in which our health authorities and health trusts are run.

Dr. Peter Brand (Isle of Wight): Is it the hon. Lady's experience in May that makes her so distrustful of the democratic process? Should there not be some democratic accountability at local level in the health service?

Mrs. Browning: There are many ways in which local people can make their views known on health matters--for instance, through community health councils. The wider consultation conducted by trusts, with public meetings, is right and proper--local people should have input in that way. However, if the Liberal Democrats' only health policy is that they want more money, as they do in local government--without defining how they would use the extra money or minimise bureaucracy--more money will go simply into administration and less will go in at the sharp end.

Dr. Brand: Will the hon. Lady give way?

Mrs. Browning: I have given way to the hon. Gentleman. If he wishes to catch your eye, Mr. Deputy Speaker, he will have an opportunity to expand on his thesis later.

We have already heard that there is anxiety about the way in which the Labour Government are managing the health service. Many of us share that concern. I listened with interest to the point that even the hon. Member for Southwark, North and Bermondsey conceded: in real terms--I re-emphasise that--the present Government are not spending what the Conservative Government spent or pledged to spend. Indeed, during our tenure in office we not only increased health service spending in real terms but pledged, again at the last general election, to continue to increase spending in real terms.

That is what has caught the Secretary of State off balance because since 1 May inflation has increased--the interest rate rises from the Bank of England are testimony to that. Figures are bandied about by hon. Members on both sides of the Chamber, but I repeat to him: it is spending in real terms that matters to patients, because that is what provides additional treatment and underpins existing provision. Where there is a shortfall, as there is this year because of inflation--the figures for next year do not look too encouraging either--it is incumbent on the Secretary of State, if he is to claim that the health service is safe in his hands, to increase funding in real terms.

Mr. Blizzard: Is the hon. Lady aware that this year, North and East Devon health authority has already had £157,000 extra to treat breast cancer, is receiving £1.8 million more to see it through the winter and will receive nearly £9 million more next year, which is £5 million more than was provided for in the Conservative budget?

Mrs. Browning: I am fully appraised of the position in North and East Devon health authority because on Friday I attended a one-day conference in which it participated and where the whole region was discussed, not just that part appertaining to my constituency. The Secretary of

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State washes his hands of community hospitals. It is all very well for the Government to say, "We will take the credit and thank you very much when a new one is built, but we do not think that it is our responsibility when one is closed," but that is not responsible government. In my constituency, the community hospitals help to alleviate peak demand in winter when elderly bronchitic patients often need to leave the general hospital and go into their community hospital.

Mr. Blizzard: Is the hon. Lady not grateful for the money?

Mrs. Browning: The hospitals in my constituency are not under threat, but hospitals in other parts of the health region are. It is no good the Secretary of State saying that that has nothing to do with him. If under the health service budget community hospitals in the south-west are being threatened, and no doubt other Members will make their case for their constituents, no one in the south-west will view that as an improvement in health care under this Government.


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