The Parliamentary Under-Secretary of State for Health and Social Care (Andrew Gwynne)
May I start by welcoming you to the Chair, Madam Deputy Speaker? I congratulate you on your election earlier this week. I also congratulate the hon. Member for Twickenham (Munira Wilson) on securing a debate that is absolutely crucial, not just given the specifics of the case in her constituency, but for the precedent that it sets as we plan community pharmacy provision across England. I assure her that although Lyle missed out on his week in London for Whitsun half-term, because somebody called a general election, he is on his way to London as I speak, with Allison, so that we can do London as tourists this weekend.
I am responding on behalf of the Minister for Care, my hon. Friend the Member for Aberafan Maesteg (Stephen Kinnock), who leads in this area. I start by paying tribute to pharmacists. It is a credit to them that surveys show that nine in 10 people who visit pharmacies feel positive about their experience. Colleagues appreciate how accessible pharmacies in towns and villages across our country are, but for too long, Governments have failed to recognise their essential role in safeguarding the nation’s health, not least in my constituency of Gorton and Denton. This Government know that people who work in pharmacies are highly trained specialists, and we are committed to helping pharmacists and pharmacy technicians reach their full potential.
Pharmacies already provide vital advice on prescriptions, over-the-counter medicines and minor ailments, but they do not just dispense medicines and proffer advice, important though that is; they must do much more than that. Many already offer blood-pressure checks, flu and covid-19 vaccinations, contraception consultations and treatment for the seven conditions covered by the Pharmacy First service. I supported Pharmacy First when I was in opposition, as I think the hon. Lady did, and my party pledged to build on the programme by making prescribing an integral part of the services delivered by community pharmacies. For that reason, in the next two years, we will ensure that every newly qualified pharmacist has a prescribing qualification, while we train up the existing workforce.
This year, NHS England is working closely with all integrated care boards on pilots to test how prescribing can work in community pharmacy, because like the hon. Lady, we want pharmacies delivering services that help patients to access advice, prevention and treatment more easily; services that ease the pressure on general practice and in other areas in the NHS; and services that unlock the knowledge and expertise that our pharmacists have to offer. This Government take the view that pharmacies can and should play an even greater role in providing healthcare on the high street. That is why we stood on a manifesto that promised to shift resources to primary care and to community services over time. Community pharmacies will play an important part in moving our health service from hospital to community, from analogue to digital, and from sickness to prevention. But we have only been in office for three weeks; this cannot happen overnight, and colleagues have been absolutely right to raise concerns with Ministers about the closure of pharmacies.
As we speak, well over 10,000 pharmacies in England are dispensing medicines, offering advice and delivering care, and despite closures, access to pharmacies remains good across most of the country. Four out of five people live within a 20-minute walk of their local pharmacy, but as we have heard in this really important debate, that is not the case everywhere in the country. I know, having listened to the hon. Lady, that in Twickenham it is higher than four in five, but in other parts of the country it is below one in two. In the most deprived parts of England there are almost twice as many pharmacies—a good thing—than in the least deprived, but we need better access across the country. To take the example of my own constituency, where access to pharmacies is fairly good, almost the entire population is within a 20-minute walk from a pharmacy. However, in certain rural areas, and in a growing number of urban areas because of the closure programme, that is not the case. In those rural areas, there are dispensing doctors who can supply medicines to patients, and patients across the country can access around 400 distance-selling pharmacies that deliver medicines to patients’ homes free of charge. It is true that experiences vary depending on where people live, but I am aware of the specific problem in Hampton following the closure of the two Boots pharmacies that she described.
Munira Wilson
On the point about the 20-minute walk and the four in five statistic, does the Minister recognise that a 20-minute walk for me or him is actually much longer for an elderly person or somebody with multiple health conditions or mobility issues? We have to work out what measure we are using. Yes, the Twickenham constituency may have many pharmacies, but we must look at that highly localised level. That is why we need the local authority and local health boards to be involved, because actually in Hampton, as a community, the transport links are terrible.
Andrew Gwynne
I completely understand the case the hon. Lady is making. I ask her please to understand that she is pushing on a bit of an open door. It is a completely different subject, but I have had exactly the same arguments about bank closures in my constituency. I am told that as long as the nearest bank branch is half an hour away by public transport, that is acceptable. Unfortunately, computer says no when it is two buses that do not meet up in between. I agree with her that there are complexities around drawing up arbitrary limits, but generally access to pharmacies is good. We need to maximise the use of the pharmacy network so that we get more pharmacists coming in.
Alison Bennett (Mid Sussex) (LD)
I welcome the Government’s support for strengthening the pharmacy sector. The Minister talks about the workforce. Residents in my constituency have raised concerns about the pressure on pharmacists to take on more and more services that might traditionally have been provided by primary care. What assurances can he give me that he will make sure that the workforce plan for pharmacists is robust enough to cope with the extra demand?
Andrew Gwynne
We are very committed, as I hope the hon. Lady knows, to the workforce plan being as robust as it can be, so we do not just get the pharmacists of the future but the doctors, nurses, healthcare workers and so on too. On the journey to a national health service that is much more community focused and much more aligned to prevention rather than to curing sickness—we want to prevent people from becoming ill in the first place—we must ensure that at its heart is how we can deliver medicines and treatments closer to where people live. Having well-trained capabilities in the pharmacy sector to do that is very much a priority for this Government.
Returning to the issue of the two Boots closures in Hampton, the Minister for Care is aware of the closures. He asked me to communicate to the hon. Lady the fact that he will keep a very close eye on what is happening on the ground in her area.
On the hon. Lady’s specific point about bureaucracy, I assure her that the regulatory framework is always under review, and as a new Government we are keen to make improvements wherever we can. I am sure that my officials will have heard the case that she has made.
After the hon. Lady kindly reached out to me prior to the debate, I instructed officials to ask her ICB to consider her concerns again. I hear that she has had a reply that was not particularly helpful. Again, I hope that her ICB is watching this debate, and listening to her case and to me as the Minister saying from the Dispatch Box that we take these issues seriously. Good access to pharmacy services is important to her constituents and to the constituents of Members right across the House. We need to make sure that the network is protected and enhanced.
On funding, NHS England has commissioned an economic analysis of the cost of providing pharmaceutical services. That work is happening right now with the pharmacy sector and we look forward to seeing the outcome. Previous Governments dithered and delayed on finding a sustainable and long-term solution. The consultation around this year’s funding and contractual arrangements with Community Pharmacy England did not make it over the line before the election was called, so we as Ministers are looking at that as a matter of urgency.
All that we are speaking of today is against the backdrop of the most challenging circumstances since the second world war. That is why the Chancellor is carrying out an urgent assessment of our spending inheritance and will be presenting the results to Parliament before the summer recess, so that the findings can inform every spending decision we make.
In the meantime, I am afraid that I cannot update the House on this year’s arrangements. I understand that that will be frustrating to the hon. Lady, but the Prime Minister has asked me and every Minister of this Government to be honest and open about the state of the nation’s finances. I intend to keep that promise, but I look forward to working with pharmacy stakeholders to discuss not just how we solve these problems, but how we seize the opportunities for transformation in the sector, and how we deliver health and social care in the community, closer to where people need it, providing the new, innovative treatments from pharmacies where that is appropriate. This Government will always put patients before politics.
In the spirit of the friendship that we have developed over the years, particularly over the kinship issue, I look forward to working with the hon. Lady on this and other health-related issues, and on making our country a better, fairer and more equal place for her constituents and mine, with better access to health services, including community pharmacy. I hope to work with her in the years to come, and let us hope that we can improve the pharmacy services for Hampton and other parts of England.
Question put and agreed to.