Give cities more power over their destiny

The new City Deals are a step in the right direction

Throughout July and August all eyes will be on London. Whether it is the unveiling of the Shard or the opening ceremony of the Olympic Games, London is demanding the attention of the nation. It is therefore no surprise that last week’s announcement of new powers for England’s eight cities was met with little fanfare. Yet, these "City Deals" represent the most significant devolution of power from Whitehall in decades and are deserving of more attention. This is not just the summer of the capital; it is very much the summer of the cities.

England’s eight core cities and their surrounding areas are forecast to add £71bn to the economy over the next decade. But evidence suggests that they have the potential to achieve much more. That is why the City Deals, that include transport infrastructure funds, new investment for SMEs, and apprentice hubs to support NEETs, will play a crucial role in the nation’s future growth.

The first clear indication of a new relationship between central government and England’s cities was the creation of a Minister for Cities last year. Greg Clark was appointed to this role, with further support from Nick Clegg and ministers and officials in BIS, CLG and HMT. The Deals are the result of an almost year-long negotiation between Clark and his team in the Cabinet Office, Whitehall and the core cities.

Arguably of most significance are the new transport infrastructure funds. They have a combined value of over £5bn and should have significant impact on the ground. Transport has been the policy area that the Mayor of London has had most influence over; the congestion charge, tube upgrades, a bicycle hire scheme and even a cable car over the Thames, have been the result. Getting around the capital is now easier and the same could soon be true for England’s core city-regions.

Better connections will support economic growth. Leeds City Region, for example, hopes that its £1bn West Yorkshire "‘plus" Transport Fund will create a 2 per cent increase in the region’s economic output and 20,000 extra jobs. Strategic investment in new stations, roads and public transport networks could have a dramatic impact on the daily commute.

People’s daily lives and commutes do not reflect arbitrary council boundaries, so another positive to have emerged from the Deals has been councils which are increasingly willing to work together to make investments. Greater Manchester’s councils combined strategy for a new Metrolink is a demonstration of the benefits of this approach. Such collaborative governance arrangements will prevent the jam-spreading of funds that can harm local areas.

The next step for the core cities will be to ensure they deliver on the ground. There is more work for central government to do as well. Greg Clark has said that this is just round one of City Deals. 142 upper-tier councils don’t have a Deal. A devolution bill could package up some of the powers in the City Deals allowing all areas to invest for local growth.

Greg Clark, the minister in charge of City Deals. Photograph: Getty Images

Joe is a senior researcher at the New Local Government Network

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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear