Healthcare Provision: East of England

Adrian Ramsay Excerpts

Tuesday 3rd September 2024 Westminster Hall

[Adrian Ramsay (Waveney Valley) (Green)]

I thank the hon. Member for Norwich South (Clive Lewis) for securing this crucial debate. Our region is rural and many Members have talked about the decline in health services in rural areas. I want to talk about some issues that particularly affect my constituents in Waveney Valley, which straddles the Norfolk-Suffolk border.

Whether it is the long waiting lists for surgery, long delays in getting assessments for mental health or the difficulty in accessing a GP or a dentist, we have seen a decline in our health services and it is becoming harder and harder for people in our villages and market towns to access them. At the Budget in a few weeks’ time, I very much hope the Government will look at all options for increasing funding to the NHS, including being willing to ask the very richest in society to pay a little more in tax—modestly more—in a way that could enable us to get the funding needed to keep pace with demand.

I want to raise three specific issues on the decline of rural health services that particularly affect my constituency. I would appreciate it if the Minister addressed them in summing up the debate. The first is the lack of hospital services in rural constituencies, which others have already referred to. For example, Hartismere hospital in Eye is a wonderful building that has had a lot of investment, but lacks the services that the local population, particularly older people and people without a car, would really like to be able to make more use of.

The League of Friends at the hospital showed me round the excellent facilities a couple of weeks ago. The hospital runs a range of clinics that people really value. However, both the league and local doctors would like to see facilities such as an X-ray scanning unit, the return of a community consultant, particularly in services for older people, and a GP walk-in surgery. Will the Minister consider how hospitals in rural areas, such as Hartismere hospital in Eye, can be given the resources and support to provide a greater range of services?

[Victoria Collins (Harpenden and Berkhamsted) (LD)]

The hon. Member talks about hospital services, especially for the more elderly in society. Will he join me in calling for more cross-party talks on social care, which is often the back door to the support that a lot of people who go into hospital need?

[Adrian Ramsay]

I totally agree with the hon. Member’s point. I have had family experiences in recent months that have shown me, starkly and at first hand, just how much we need to address the crisis in social care and the lack of integration with the health service.

I want to highlight that on the Norfolk-Suffolk border, in towns such as Eye and Diss, people are 20 miles from the nearest big hospital in Norwich, Bury St Edmunds or Ipswich—and in towns such as Halesworth, which does not have a local community hospital at all, people are even further away. I ask the Minister to consider what support can be given to rural hospitals to provide more services, and particularly to encourage cross-county border working in the health services that will enable us to look at how services can be provided in a way that benefits communities straddling the county border, as they do around Diss and Eye in my constituency.

Secondly, is no surprise that we have heard about dentistry from nearly every hon. Member who has spoken in this debate. We have the Sahara of dental deserts in the east. In the winter, I conducted a survey of residents in Waveney Valley to which more than 800 people responded. A quarter had given up on dentistry treatment altogether because of lack of NHS provision, others were driving long distances to access a dentist and some had even pulled out their own teeth. That is just not tolerable in the 21st century.

I welcome the Government’s commitment to reforming the dental contract. From my discussions with dentists and dental organisations such as the British Dental Association, it is clear that reform of the dental contracts is the root cause of the big exodus of dentists from the NHS. Dentists are not being paid appropriately for the work they do. Can the Minister set out the timescale for reviewing that contract? Health organisations have told me that for every effort they put in to getting new dentists into the NHS, dentists are leaving at a greater rate. We must address the root cause of the problem.

Thirdly, I want to highlight optometry. I received correspondence from an optometrist in Norfolk concerned about the lack of post-operative aftercare, particularly for operations such as cataract surgeries. They highlight that private companies are operating services of that kind and then discharging members to the community without aftercare, which is having a knock-on effect on A&E. Can the Minister ensure that, where private companies provide such services, the proper aftercare is also provided? Will she commit to looking at whether that highlights the problem of relying on private companies, which might seek to cut corners in the name of profit, to provide services?

To conclude, our rural services, particularly in market towns and villages, are severely affected by the decline in health services. Whether it is dentistry or a lack of local hospital services, we need urgent action and I would welcome the Minister’s addressing my specific points.

[Sir Christopher Chope (in the Chair)]

Mohammad Yasin, you have one minute.