GP Funding: South-west England

Adam Dance Excerpts

Wednesday 25th June 2025 Westminster Hall

[Adam Dance (Yeovil) (LD)]

It is a pleasure to serve under your chairmanship, Dame Siobhain. I thank my hon. Friend the Member for Newton Abbot (Martin Wrigley) for securing this important debate.

GPs are the front door of our health service, particularly in rural constituencies such as Yeovil and many others in the south-west. Despite their hard work, GPs in Yeovil are stretched thin because the necessary funding and support simply are not there. Everyone deserves access to safe and accessible local healthcare, and all of our constituents should be able to see a GP within a week. Unfortunately, 23% of patients in Somerset are waiting more than 14 days for an appointment, and over 7% are waiting more than 28 days. I have heard from too many constituents who have waited that long or even longer, which is also not good enough.

We need to ensure that everyone has the right to see a GP within seven days, or within 24 hours in urgent cases, and we need more GPs to deliver that. We should also ensure that everyone aged over 70 or with a long-term health condition has access to a named GP. Many of my residents and constituents are concerned that they do not know who their GP is, or that they do not have access to a named GP. They find it concerning that they regularly have to see different GPs or locums.

Many of our GP surgeries are struggling with their buildings. As I have previously said, I am grateful to have received confirmation from the Minister that Crewkerne health centre and Church View medical centre in Neroche are set to receive a share of the £102 million to deliver upgrades to their practices, but other surgeries are seriously struggling and feel overwhelmed and overlooked. Ariel Healthcare in Chard urgently needs funding and support to upgrade its services to help local residents with urgent needs.

We cannot support our GPs in isolation. We desperately need to improve public transport in the south west so that people can get to their appointments. The cancellation of the No. 11 bus service in Yeovil highlights that issue, and residents, particularly those who are vulnerable, now struggle to access Preston Grove medical centre and Hendford Lodge surgery.

We also urgently need to fix NHS dentistry, because people are forced to go to their GP or hospital for help. Can the Minister provide a clear timeline and costed proposals for fixing the NHS dental contract? The British Dental Association has only had scoping meetings so far, so I hope the Minister and the Government will push that.

We also need to increase investment in public health. Somerset is 11th from the bottom in public health grant allocation despite having a growing public health crisis, particularly around addiction. I was a public health cabinet member for two years and we had only £100,000 to push dental health. It is just not good enough.

On average, we are £13.6 million short across the country, and public health desperately needs reforming. I hope the Minister takes on board our calls to ensure that GPs in the south-west get the funding they deserve and desperately need to support our residents. Without our fantastic GPs, there is no future for our NHS.

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[Jess Brown-Fuller (Chichester) (LD)]

It is a pleasure to serve under your chairmanship, Dame Siobhain. I thank my hon. Friend the Member for Newton Abbot (Martin Wrigley) for securing today’s important and timely debate. He is a tireless advocate for his local community, and I commend him for shining a spotlight on GP funding and the broader state of healthcare in the south-west. He spoke about the funding model for GPs, which is complex, obscure and outdated, and does not account for rurality.

As the Liberal Democrat spokesperson for hospitals and primary care, I hear all too often from my constituents and from people across the country who are struggling to access the care they need. Our NHS is the pride of the nation, but years of underfunding and mismanagement under the last Conservative Government have left services in crisis.

Nowhere is that more apparent than in general practice, with patients facing increasingly long waits to see a GP, as highlighted by my hon. Friend’s statistics. In 2019, the average GP had 1,900 patients on their books; today, they have 2,400, and some people cannot get an appointment at all. People rightly tell me that they are not included in the Government’s waiting list statistics because they have not managed to get on a waiting list in the first place—or even speak to a doctor.

Those are not isolated complaints. I am sure many hon. Members will recognise those concerns from their own constituency surgeries, or from spending a morning with their local GP, as my hon. Friend the Member for Mid Dorset and North Poole (Vikki Slade) described. We also need to be honest about the scale of the problem. In 2024 alone, more than 2 million people in the south-west waited over 28 days for a GP appointment, and that pattern is repeated across the country. Chichester is not in the south-west, but nearly 30% of patients in my constituency had to wait more than two weeks, and around 8% waited more than a month. That is not acceptable.

The hon. Member for St Austell and Newquay (Noah Law) made an important point about tourism. The population of my coastal communities such as Selsey, Pagham and the Witterings doubles over the summer months with holidaymakers, which can put additional stress on primary care services.

My hon. Friend the Member for South Cotswolds (Dr Savage) made an important point about the role that planning and ICBs play. Too often, developers come forward with large site proposals that include a GP surgery on the site. However, unless they have buy-in from the ICB, so often those GP surgeries that have been specifically designed for that purpose sit empty without a GP practice to go into them.

My hon. Friend also spoke about her village of Sherston. It might not be the centre of my universe—that is my little rural village of Westbourne—but both Sherston and Westbourne face the exact same problems. My village of Westbourne is about to lose its rural surgery; we are waiting for the ICB’s final decision. Residents of Westbourne do not have a public transport link to the GP that they are being asked to go to, across the border in Emsworth.

The Liberal Democrats believe that everyone should have the ability to live a healthy and fulfilling life, which means they must have timely and local access to healthcare, whether that is from a GP, a dentist, a pharmacist or a mental health professional. We must invest in early access to community care, in order to relieve the burden on hospitals and fix the social care crisis that leaves too many people stuck in hospital beds waiting for help that never comes.

Research by the House of Commons Library that was commissioned by the Liberal Democrats found that funding for GP practices was cut by £350 million in real terms between 2019 and 2024. Those cuts have hit communities hard, and the impact is being felt not only by patients but by the hard-working professionals trying to keep the system going. GPs who I speak to are burnt out and overburdened, and GPs in general are leaving the profession in record numbers. The result is a vicious cycle, with fewer staff, longer waits and growing public frustration. I know some incredible GPs, and New Zealand is really lucky to have them, but I would rather they were here. Despite a 2019 Conservative pledge to hire 6,000 more GPs, by the general election last year there were 500 fewer GPs than when that pledge was made. In fact, the UK has 16% fewer qualified GPs per capita than comparable high-income countries.

It does not have to be that way. Healthcare is not a luxury. It is a fundamental right and not a privilege. Everyone should be able to see a GP when they need to, and that is why the Liberal Democrats are calling for a legal right to see a GP within seven days, or within 24 hours if the situation is urgent. To make this a reality, we are calling for the recruitment of 8,000 more GPs. We would achieve that by supporting junior doctors to specialise in general practice and by introducing new schemes to help experienced GPs to return to the workforce.

As my hon. Friend the Member for Yeovil (Adam Dance) said, we also believe that everyone over 70 and those with long-term conditions should have access to a named GP. Such continuity of care is not only vital for building trust and supporting staff morale; it also improves health outcomes and saves money in the long term. As my hon. Friend the Member for Oxford West and Abingdon (Layla Moran), who is the Chair of the Health and Social Care Committee, has said, continuity of care is key. Patients who have had the same GP for more than 15 years have a 25% lower chance of dying compared with patients who change GPs regularly. Continuity of care builds trust, improves outcomes and reduces hospital admissions. It is good for patients, good for staff and good for the system as a whole.

We must also address the broader picture. Community pharmacies are closing at an alarming rate when they should be playing a bigger role in delivering frontline care. Fairer and more sustainable funding is needed to keep these services open, to relieve pressure on GPs. I am a big fan of Pharmacy First and I know that the Minister is, too; I have heard him talk about his passion for it. But pharmacists in my constituency tell me that with the regular increase in targets, they are struggling to keep up.

[Adam Dance]

I spent an evening with one of my local pharmacists, and it was so shocking that people were coming 20 or 30 miles to his pharmacy, because it was the only one open near my village of South Petherton. He was struggling so much because he could not get the medication that people needed, despite the fact that they were travelling so far to try and get medication from him. Does my hon. Friend agree that that is just not good enough and that the Government need to support pharmacies a lot more?

[Jess Brown-Fuller]

I am sure the Minister will talk about the hub and spoke model that the Government are championing, but my hon. Friend is right about the difficulties in rural areas especially. Many constituents have talked to me about the distance they are having to travel to get basic medication that means they can function, go to work the next day or get their children to school.

This is why we have been calling for a fairer and more sustainable long-term funding model for community pharmacies. They play a vital role in relieving pressure on GPs, yet they are being squeezed out of existence. Since 2017, 1,200 pharmacies have shut their doors. Community Pharmacy England has warned of real-terms funding cuts of at least 25% since 2015, leaving the network on the brink of collapse.

This is not just a failing system; it is a broken one. This Labour Government have a responsibility to act. They were elected on a promise of change, but that change must begin with fixing our NHS. I am sure the Minister will celebrate the budget increase, but as my hon. Friend the Member for Melksham and Devizes (Brian Mathew) said, this has been swallowed by the increased costs and national insurance contributions. That is why the Liberal Democrats tabled an amendment to exempt healthcare services from the NICs rise, which the Government chose not to accept.

General practice is the front door to our health system. If we do not invest properly in GP services, everything else suffers. We must not let that door remain closed to so many. As my hon. Friend the Member for Newton Abbot rightly said, we do not have to accept broken systems—we can fix them, and now is the time to prove that we will. Will the Minister commit to the Liberal Democrat proposal of a legal right for patients to see a GP within seven days, or within 24 hours in urgent cases? Does he agree that everyone over 70 and those with long-term health conditions should have access to a named GP?

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[Stephen Kinnock]

I thank the hon. Gentleman for his intervention and for that fun fact. I will come on to it a bit later in my speech, but the £102 million primary care utilisation fund will make a major contribution to upgrading the creaking primary care estate. He is right to identify that as a major challenge. It is also major drain on productivity. We must ensure that our GPs have the tools at their disposal to do the work they need to do.

[Adam Dance]

Will the Minister visit Ariel Healthcare in Chard in Somerset, where the building is really not fit for purpose, and meet the GPs to talk about their concerns?

[Stephen Kinnock]

I am impressed by the way the hon. Gentleman did that and I congratulate him on it. If he would care to write to me to set that out, I will have a look at it and get back to him.

I want to take this opportunity to briefly outline what we have done since July 2024, and what we intend to do, to ensure that GP funding and services in the south-west are fit for purpose and capable of meeting the needs of the local population. In February, we concluded the annual consultation between the Department of Health and Social Care, NHS England and the general practitioners committee of the British Medical Association. For the first time in four years, GPC England voted in favour of the GP contract package, which illustrates the progress we are making to rebuild our relationship with the profession.

The 2025-26 contract is already improving services for patients and making progress towards the Government’s health mission. It supports the three key shifts the Government want to achieve: from analogue to digital; from sickness to prevention; and from hospital to community care. Patients across the country can expect online GP services to be available throughout the day, and better continuity of care for those who would benefit most. Patients can also expect a stronger focus on prevention, in particular to tackle the biggest killers, such as cardiovascular disease.

In 2025-26, we are investing an additional £889 million into the core GP contract to fix the front door of the NHS. Despite the difficult financial situation this nation faces, we are backing our health workers with above-inflation pay rises for the second year running. We are accepting the Doctors and Dentists Review Body’s recommendation of a 4% uplift to the pay element of the GP contract on a consolidated basis.