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Agenda item 2 is stage 1 consideration of the Health Boards (Membership and Elections) (Scotland) Bill. I welcome the Scottish Government officials, who will answer questions. We have with us Kenneth Hogg, the deputy director of health delivery; Robert Kirkwood, the bill team policy officer; and Beth Elliot of the Scottish Government legal directorate.
I thank the officials for their response, which explains that the Government wishes to be able to ensure that national policy issues are addressed across health boards. I suppose that some people might think that it is quite a big leap from that statement to saying that the bill must confer a power to specify when there is discretion to dismiss members. Could you explain your thinking? Why does the need to ensure that national policy issues are addressed lead to putting all that into subordinate legislation?
We intended that the measure would put all health board members on the same footing. We already have a power to remove appointed members of health boards if it is in the interests of the national health service to do so. The proposal is to extend the power to cover elected members.
We are trying not to get into the policy substance of the point, but a lot of people will feel that elected members are in a slightly different category and that dismissing one is quite a serious and new thing to do. Given that that would be controversial, people will ask whether it would not be appropriate for those circumstances to be included in the bill and agreed by Parliament.
To the best of my knowledge, the existing power to remove members has never been used, so I agree that it is something of a nuclear option. For example, it might be used in circumstances in which it was felt that a health board member was acting to subvert the accountability links between the health board, ministers and the Parliament. The rationale is to extend the provision to cover all health board members equally.
That would not necessarily lead you to the conclusion that the provision has to be in subordinate legislation. You gave an interesting general explanation of the circumstances in which someone might be dismissed, but is there not a strong argument for putting that in the bill? In a way, your explanation leads to a lot of the big policy issues of the bill and, although we are not here to discuss those issues today, one would think that when Parliament debates the bill, members will want to discuss that kind of situation. It is one of the issues that is thrown up by having directly elected members, traditional accountability arrangements and ministerial powers.
The view that has been taken to date is that it would be serious if the power to dismiss an elected member of a health board were ever to be used, and it would be equally serious if it were to be applied to an appointed member of a health board. We have sought not to distinguish between the two types of member in terms of their obligations and responsibilities as members of a health board.
Even following that line of argument, your response talks about the
The existing power on which the proposed power is based is in subordinate legislation. The power to remove an appointed member, if the Scottish ministers consider that to be in the best interests of the national health service, is in subordinate legislation, which is why we have decided to put the proposed power into subordinate legislation. There is always a balance to be struck between what should be in the bill and what should be in subordinate legislation.
Your final comment was useful. You are saying that you might well want to use the particular form of words that I mentioned in subordinate legislation, but your thinking is that if the current situation is governed by subordinate legislation, then the new situation should be.
That is one factor that was taken into account.
That clarifies what you are saying, but I do not think that it will remove people's concerns. At least we are a bit clearer about what you are thinking.
I want to progress along the same lines as Malcolm Chisholm. An open power to set out any circumstances in which ministers would have discretion to dismiss members is broader than the
We are not seeking to broaden the circumstances in which a member could or should be removed, but simply to extend the provision to include directly elected members.
The committee needs to consider carefully how powers could be used, in addition to how the Government indicates that it would use them. Is it not possible to restrict the power in some way to address such concerns?
It would be possible to legislate to change the basis on which all members could be removed. That, however, is not the primary purpose of the bill, which is simply to include directly elected members in health board membership.
Would the Government consider, as an alternative means of addressing those concerns, making the exercise of the power to specify the limits of ministerial discretion subject to affirmative procedure?
The exercise of the power is currently subject to negative procedure, but we will take into account any comments from the committee in relation to that. The Government currently intends it to be subject to negative procedure, as the current regulations that apply to appointed members are subject to negative procedure.
We move to section 2. Apropos of what Beth Elliot has just said, we are pleased that the Scottish Government has confirmed that it intends to amend the power to make election regulations so that it is subject to affirmative procedure—that is good news.
Your response mentions the need to provide flexibility for changing circumstances with regard to the franchise. Can you explain what is envisaged? Is setting the franchise for the elections not a matter of principle that should be decided by Parliament?
Do you mean by altering the balance between secondary and primary legislation, or by some other route?
It is in regard to whether affirmative or negative legislation should be used.
I will begin, and ask my colleague to pick up on the detail in a moment. One of the points that we have borne in mind throughout the bill process is that we want to introduce the provisions through pilots. Following the responses to the consultation in advance of the bill, we are keen to test the provisions in practice in pilot areas.
We have specified in the bill that the franchise includes those who are aged 16 or over. Certain key policies that relate to the way in which the elections will be held, such as the use of single transferable voting, are also prescribed in the bill. The other criteria that will be used to identify the franchise are set out in the regulations, a draft copy of which has been sent to the committee. That is our view on the appropriate split between what should be in the bill and what should be included in subordinate legislation.
Under the current draft, affirmative procedure would be required if the Government of the day wanted to change its mind about the use of STV, single wards or extending the franchise to 16 and 17-year-olds in rolling out the proposals.
I want to clarify that when I referred to negative legislation, I made a slip of the tongue—I should have been talking about primary and subordinate legislation.
I am sorry, I am not sure that I follow your question.
I will re-read it. If the intention is to follow the local government election model—apart from the age limit, which is to be reduced to 16—would it not be possible to restrict the power to make future changes to the franchise to any that are made in relation to local government elections?
The intention is to follow the local government model, with the exception of age. One reason that we have put further detail in the regulations rather than in the bill is because of the need to have a young person's register to try to capture information about 16 and 17-year-olds. We considered that we needed a certain amount of flexibility in addition to the pilot process in order to see how that worked in practice.
Would you agree that that could be made a little clearer in the bill, apart from what you say about the age aspect? The fact that we asked the question means that we had not understood what you have just referred to.
That it is based on the local government model?
Yes—would you take the opportunity to examine that and think about it?
Certainly.
We move to section 4 and the pilot order.
I am on the Health and Sport Committee as well as this one, and it is a bit like groundhog day, seeing the same witnesses about the same bill.
Yes.
I will move on to the procedure for revoking the pilot order. A revocation that takes effect before a roll-out order is made has the effect of repealing the election provisions in the bill. Are we correct in understanding that such an order would be subject to no parliamentary procedure?
Yes.
Why is it considered appropriate that ministers should be subject to no parliamentary control or sanction in choosing to revoke the pilot and repeal the bill? Is that not a matter for Parliament?
We touched on that issue in our response. The pilot order allows for pilots to take place—it is akin to a commencement order in that respect. Once the pilot order is made, we do not consider that it is possible to uncommence the pilot process merely by revoking the pilot order.
I yield to your greater experience in these matters, but is it not unusual to repeal a bill simply by revoking the pilot order and without giving Parliament a say?
The issue arises because the bill sets out a pilot procedure—which is, I suspect, something that is fairly unusual to most bills. If the Parliament approves the bill's principles, it will in effect approve the principle of pilots and the pilot scheme set out in the bill.
So the Parliament would actually approve the minister's ability to repeal the bill without Parliament's further approval.
Yes, if that was what Parliament did.
If Parliament passes the bill, that is what it will do.
Yes.
As a new member on the committee, I do not know whether my questions will be appropriate, but describing a bill's repeal as a tidying-up procedure sounds odd to me.
I was referring not to the repeal of the bill, but to the revoking of the pilot order.
I know, but revoking the pilot order has the same effect as repealing the bill. Once the order is revoked, no directly elected health boards will be planned. In effect, such a move kills off the bill.
Parliament certainly has a role with regard to roll-out, as the roll-out order will be subject to the parliamentary process. However, it is up to ministers to determine whether there will be a roll-out.
Perhaps I can amplify that point. The issue perhaps arises because the provisions almost have a sole purpose: creating the pilots. It would take the Government of the day to decide that it positively wanted to roll out pilots across Scotland for that to happen. Equally, if the Government of the day did not want to roll out pilots across Scotland in line with its existing policy, or if Parliament did not ratify the provisions through the relevant procedure, the exercise would not happen. As I say, the point arises because of the focus on pilots in the first instance and the fact that two sets of decisions will be needed for roll-out to take place.
I am speaking purely theoretically here—I am certainly not speaking on behalf of my party—but would it be the case that, if a new Government that did not support the idea of directly elected health boards came to power, it could simply revoke the pilot order and end the whole thing without Parliament being involved in any discussions or decisions?
Yes, because ministers decide on the roll-out. If ministers did not want the pilot to be rolled out or wanted to stop the provision, they could revoke the order.
I am sure that that will be discussed when the bill is debated.
We have probably gone as far as we are allowed to with this extremely interesting discussion. The committee has fulfilled its role as custodian of the parliamentary interest with regard to the bill; it is now for the Parliament and the relevant subject committees to take a view on the matter. The bill sets a most interesting precedent and will certainly be of interest as a mechanism that might be used in other legislation, but I will go no further than that in my comments.
You have given a welcome commitment that any roll-out orders that amend or modify legislation will be subject to affirmative procedure. However, the power is pretty wide, as it allows ministers to make any changes that they consider "appropriate". Is it possible to restrict any such modifications to those that drive the bill's purpose?
Our intention is that any provisions that modify enactments to the bill—in practical terms, textual amendments—should trigger the affirmative procedure. For example, any decision to use STV and not a first-past-the-post system, to extend the franchise to those aged 16 or to move to multimember wards would trigger the use of affirmative procedure, as it would modify the enactment in the legislation.
So, if a minister considers it appropriate to make any textual change at all to the bill, that change will be subject to affirmative procedure.
That is correct.
Good.
The bill specifies a period of seven years, but that is very much a long-stop provision. It provides for the making of only one pilot order, which means that, once the order is made, we must move either to rolling out the scheme or to doing nothing further with the bill. If the Government of the day decides to roll out the scheme, all territorial health boards would have to be included.
So, if you decide that the pilot has been successful and that you want to roll out the scheme, the decision will automatically apply to the whole of Scotland.
Yes. Such a decision and any textual amendments to the act would be subject to parliamentary procedure.
But under the long-stop provision the process could take seven years.
Yes. That is the long stop set out in the bill.
As the bill allows for more than one roll-out order to be made, it could allow for a staged commencement of the process in different health boards according to the bill's provisions. Of course, the policy question whether we do that or not is a different matter.
As members have no other questions, I thank our three guests for their responses. We will complete our consideration of the bill at stage 1 next week, before we issue our report.