NHS Dentistry: South-west

Alex McIntyre Excerpts

Tuesday 12th November 2024 Westminster Hall

[Alex McIntyre (Gloucester) (Lab)]

It is an honour to serve under your chairmanship, Mr Vickers. I extend my congratulations to the hon. Member for Honiton and Sidmouth (Richard Foord) on securing this important debate on NHS dentistry in the south-west.

NHS dentistry stands at a critical crossroads, facing the most challenging period in its history. A recent report from the Nuffield Trust described the threat to NHS dentistry as “existential”. Under the previous Conservative Government, NHS dentistry was put under immense strain, with only enough dentists to serve half the population and a severe shortage of investment. The Tories left Britain with one of the smallest dentistry budgets across Europe. At the start of the year, a staggering 13 million people were unable to access NHS dental care, which is more than three times as many as before the pandemic. Tragically, 7% of adults have resorted to the most desperate of measures: performing DIY dentistry, including pulling out their own teeth.

In the south-west, and particularly in my Gloucester constituency, the situation is deeply concerning. The region is one of the worst dental deserts in the country, as we have heard today, with just over a third of adults in the south-west having seen an NHS dentist in the last two years. In some cases, people are waiting up to four years for an appointment. The effects on children are particularly shocking. In the south-west, only one in two children was seen by an NHS dentist in the last year—well below the national average. That is a disgrace. We see an increasing number of children suffering from tooth decay, to the point that the most common reason for hospital admissions among children aged five to nine is to have their teeth removed due to rot.

In my constituency of Gloucester, two in five constituents are facing significant delays in accessing dental treatment, with many unable to see an NHS dentist at all. I heard some of these challenges first hand on a visit to the Bupa surgery on Painswick Road in my constituency. Sadly, Gloucester falls below the national and south-west averages for children and adults seen by a dentist, and has one of the lowest numbers of dentists in England. Families across Gloucester are suffering.

Plans are afoot to change that, and I have had positive early discussions with the ICB and the University of Gloucestershire about their plans to establish a new dental hub at the university’s new campus in the city centre, which is very exciting for my city. I am also aware that we need long-term change and investment from the Government to ensure that we meet the current challenges in NHS dentistry and reverse the worrying finding that 60% of NHS dentists in England have considered leaving the profession.

That is why I am proud to support the Government’s plan to fix NHS dentistry to deal with the immediate crisis. The Government have committed to providing 700,000 additional urgent dental appointments to tackle the backlog and to provide immediate relief to those suffering in my constituency. I look forward to the Minister’s update on that in his closing remarks. I know that the Labour Government are committed to providing the necessary investment and reform to ensure that our dental services are fit for the future, but these measures are desperately needed in Gloucester and across the south-west.

Access to Primary Healthcare

Alex McIntyre Excerpts

Wednesday 16th October 2024 Commons Chamber

[Alex McIntyre (Gloucester) (Lab)]

May I congratulate hon. Members on their wonderful maiden speeches?

The challenges facing primary care services in our country were set out in damning detail in Lord Darzi’s report after 14 years of Conservative mismanagement. I thank the Secretary of State for bringing that report so quickly to the House and getting on with the job of making our NHS fit for the future.

From knocking on doors in Gloucester, I know that access to a GP and getting an NHS dental appointment remain two of the biggest challenges facing my constituents. I recently held a cross-party meeting with councillors in Tuffley and Grange wards in my constituency about the challenges that residents are facing in getting a GP appointment. I know that we have issues with accessing dentists in particular, with more than 2,500 patients per dentist. That is despite the fact that frontline workers in our NHS are working harder than ever. Retention in our workforce is a key issue, so will the Government look at family-friendly policies to ensure that we retain as many frontline key workers as possible?

I was surprised to hear the shadow Minister speak about prevention, because during 14 years of Conservative health policy they seem only to have prevented my constituents from getting access to the healthcare they needed. Prevention is important to this Government’s strategy for health; it is better for patients and it gets them easier access to the care they need and better health outcomes. It is also better for the taxpayer and far cheaper than going to the hospital when it is too late.

I am pleased to see the Government are already taking action—but we have to get this right. There is a principle in the NHS of getting it right the first time, and I am pleased to see and hear that the Secretary of State and his team are taking time to listen to our health service in putting forward our 10-year plan to get the NHS back on its feet and fit for the future. Our NHS may have been broken by the Conservatives, but it is not beaten. It is always in debt to the frontline staff, and we all owe them a personal debt of gratitude.

I welcome the plan to tackle red tape in primary care and ensure that we focus on patient care and delivering the best care. I welcome the work towards recruiting 1,000 newly qualified GPs. We are bringing back the family doctor and we are ringing in 700,000 more urgent dentist appointments. We will fix the mess that we inherited from the Conservative party, but it is important to my constituents that we get it right the first time. The Government are getting on with the job of doing that.

Maternity Services: Gloucestershire

Alex McIntyre Excerpts

Wednesday 9th October 2024 Westminster Hall

[Alex McIntyre (Gloucester) (Lab)]

It is a pleasure to serve under your chairmanship, Sir Christopher. I congratulate the hon. Member for Cheltenham (Max Wilkinson) on securing the debate and bringing attention to the challenges that our maternity services face in Gloucestershire. I must declare that as well as being an important subject for my constituents, this is a personal subject for me, and I am privileged to contribute my family’s experience to the debate today.

My little boy, who turns one later this month, was born in the county and spent his first night at Gloucestershire Royal hospital. While it is clear that there are challenges facing our maternity services and that improvements are required, I want to start by sharing the positives of our experience.

First, the support and care provided by the community midwifery team was second to none. Our midwife Lynsey was with us throughout our journey, and was even on call the day my wife went into labour, so she was there to deliver our little boy. Lynsey looked after us throughout my wife’s pregnancy, answering our questions and signposting us to courses that would enable us to become advocates for the birth we wanted. From the outset, our experience was positive, although I know that is not the case for all families, and it is essential that their voices are heard in this debate.

Being able to choose where you have your baby is important. Having conducted our own research, we decided that we wanted to give birth in a midwife-led unit. There are of course differing views on that, but that was our choice as we had read that midwife-led care can lead to fewer interventions. At the time in Gloucestershire, Stroud was the only reliable option, as Gloucester’s midwife-led suite was frequently closed due to a lack of available midwives. As part of our maternity care, we were invited to Stroud maternity unit to visit the birthing suite so that it was familiar on the big day. I understand that is very important, as stress produces hormones that can actually stop or slow down labour.

Once my wife was in labour, however, our plans were nearly changed at the last minute due to a lack of midwives at Stroud maternity unit—stress we could have rather done without. That highlighted to me the great reliance currently placed on midwives working overtime to cover shifts across Gloucestershire. However, with Lynsey on hand and with minimal intervention, the birth itself was relatively quick and our baby boy was born. It was truly the best moment of my life.

Unfortunately, my wife needed an operation after the birth, so we were transferred to Gloucestershire Royal hospital: wife and baby in an ambulance, me following behind on what was, following the best moment of my life, the scariest car journey of my life. The care we received that night was exceptional. Not only were my wife and baby looked after, the unbelievably compassionate team looked after me too. Something as simple as a cup of tea and a reassuring chat when I had been up for 48 hours and left on my own with a newborn baby was transformative.

Unfortunately, things were not so positive the following morning. All was well with mum and baby, and we were told we would be going home in the afternoon. I went home to grab a quick shower, get some shopping in and make sure the house was ready for our new arrival. I was gone for at most two hours. When I got back, my wife told me she had been visited by over 10 different people in those two hours: pharmacy assistants, nurses and midwives, each adding new information about her discharge. She had just had a baby and undergone surgery under general anaesthetic. There were instructions for her and our baby. None of them were written down. For her, it was overwhelming, and something as simple as written discharge notes would have made a huge difference.

After we got home, our baby unfortunately developed some issues with his breathing. That can be quite normal, I understand, as babies are used to breathing fluid and getting oxygen via the umbilical cord. But as first-time parents who had been awake for 60 hours, we were worried, and there was no one to turn to. We phoned Stroud maternity unit, where we had given birth, but their post-natal unit is closed due to a lack of midwives, as the hon. Member for Cheltenham rightly pointed out. They advised us to call 111, and they told us we had to call Gloucestershire Royal’s delivery unit. They told us we had to call Stroud maternity unit because that is where we had given birth. We went back to Stroud, then back to 111, and no out-of-hours GP service was available. The only solution was to go to A&E.

Taking a newborn baby to A&E on a Saturday night is an interesting experience. The staff in A&E were wonderfully friendly, but their procedures limited what they could do. Our baby could not be seen by the neonatal unit as we had been discharged from the hospital. He would have to go to the paediatric unit, which the staff warned us was rife with covid. All we wanted was someone medically qualified to listen to his chest and let us know he was alright. There must be so many parents in a similar position, learning the art of being a parent for the first time and needing that little bit of assurance that their baby gasping for air is going to be okay. We need to find a better way for those parents to access that care.

Overall, I have to say a huge thank you to the team who looked after us from the early days of pregnancy right up until our son was born. How lucky were we to have our community midwife there at the birth—the person we had grown to know and trust? But in a way, that points to another problem: Lynsey is just one of many midwives across the county being pulled from the community to fill gaps in midwifery services.

Across Gloucestershire, vacancies and turnover rates in midwifery services remain high. The increased workload is causing low morale, and the workforce is struggling with the level and pace of change required for the service. Community midwives such as Lynsey regularly find themselves on call when too few midwives are available at midwife-led units in hospitals. Right now, there are vacancies for 32 midwives in Gloucestershire, which is 13% of the workforce. When we take into account sickness and maternity leave, that figure rises to 63 full-time equivalent vacancies. It is no wonder that midwives such as Lynsey are being asked to fill the gaps.

As the hon. Member for Cheltenham pointed out, the Royal College of Midwives estimates that across the UK, midwives give more than 100,000 hours of unpaid time to the NHS every week to ensure the safe running of services. While no one could doubt the dedication and compassion of those incredible midwives, that cannot be right. We cannot continue to rely on the commitment of midwives to their vocation to fill those gaps. If midwives are working more than 100,000 hours of unpaid overtime a week, it is inevitable that services will be affected, and that the safety of mothers and their babies will be put at risk. Midwives are being driven from the profession because the work and the pressure of work is just too much. It is no wonder my wife left hospital with no written discharge notes—where was the time left to write them?

While our experience of Gloucestershire Royal was largely positive, others have not been so fortunate. Many will have seen the harrowing instalment of “Panorama” that aired on the BBC in January this year, which focused on maternity services in Gloucestershire. The programme included the tragic deaths of the mother and two babies at the hospital between 2019 and 2021. Feedback from staff suggests that chronic staffing issues and a poor culture where midwives felt unable to speak out about unsafe conditions played a large role in what were avoidable deaths.

We also need to ensure that in a diverse city such as Gloucester, all residents—including those for whom English is a second language—can access the care they need. The recent CQC inspections of services in Gloucestershire have been very concerning, and Gloucestershire Royal hospital was issued with a section 31 enforcement notice by the CQC earlier this year. I raised this with the chief executive of the trust in my meeting with him in my first few weeks as the new MP for Gloucester. I understand that the trust has already made progress on its improvement plan, and I will keep a close eye on that on behalf of all Gloucester residents.

Earlier this year, the CQC published the national review of maternity services in England. It reviewed 141 units across the NHS and highlighted widespread issues with staffing, buildings, equipment and safety management processes. There are many deeply troubling takeaways from this report, but what stuck with me was the CQC’s stark warning that across our maternity services, preventable harm is at risk of becoming normalised. The last Conservative Government pushed our maternity services—our midwives—to the point where preventable harm could become a routine consequence of understaffing in units and on wards up and down the country. We cannot accept this for the future of maternity services in Gloucestershire or the UK.

I urge the Government to ensure that maternity services are given due attention when considering the Secretary of State’s 10-year plan for our NHS. Staff shortages are not the only issue we need to address, but it is clear that they are fundamental to the challenges our maternity services face in Gloucestershire and across the country. The Government have committed to training thousands of new midwives. We must honour that commitment to ensure that giving birth in the UK is safe, that parents have choice, and that midwives feel supported and valued for the incredible work they do.

NHS Performance: Darzi Investigation

Alex McIntyre Excerpts

Monday 7th October 2024 Commons Chamber

[Alex McIntyre (Gloucester) (Lab)]

I congratulate my hon. Friends the Members for South Norfolk (Ben Goldsborough), and for South West Norfolk (Terry Jermy), and the hon. Member for Esher and Walton (Monica Harding), on their wonderful maiden speeches.

I first wish to pay tribute to my predecessor, Richard Graham. Richard represented Gloucester and its residents for 14 years, and I thank him for his service. In the last Parliament, he worked to make spiking a specific criminal offence—something I am proud that this Government will deliver.

It is the most incredible privilege to stand here on behalf of Gloucester residents and to make my maiden speech in this debate, and it is particularly appropriate for three reasons. First, my local NHS hospital, Gloucestershire Royal, has played an important part in my family’s life. It was where my wife and I spent our first night with our little boy, who turns one later this month. I have also spent much of my professional career representing NHS trusts up and down the country, and I have heard at first hand some of the challenges they face, particularly in the recruitment and retention of frontline key workers, to whom I am sure we all owe a personal debt of gratitude. It is also appropriate because I know how many families in my constituency are struggling to get the NHS care they need and will recognise many of the findings in Lord Darzi’s report. Seeing a GP, going to the dentist for a check-up or arriving at A&E in an ambulance and going straight through the doors—those might seem like the basic requirements of a functioning health service, but for my constituents they have become a luxury.

Gloucester is a city rich with potential. We are a city small in size but giant in stature. We have a proud history stretching back to the Roman colonia of Glevum, one of the administrative capitals of Roman Britain. We are one of only three cities in the UK to have hosted a coronation, and our mighty cathedral soars above the city skyline. Younger Members of the House will recognise the cathedral’s cloisters as part of the magical world of Hogwarts, while older Members may recognise our city and our tailor as part of the magical world of another famous Potter—Beatrix.

Last month, we celebrated Gloucester Day, which marks the end of the siege of Gloucester, in which our city stood tall when all hope appeared lost. You can still find brilliant examples of our wonderful heritage across the city, perhaps on a visit to the Folk of Gloucester or on a tour with the Gloucester Civic Trust. We also have a proud military history, from the Glorious Glosters to RAF Quedgeley, which is now Kingsway; and our historic docks, recently designated a heritage harbour by the Maritime Heritage Trust, are home to the brilliant Soldiers of Gloucestershire Museum.

Gloucester also stands out as a place of great innovations: the vacuum cleaner, the ferris wheel, the first jet aircraft and, of course, Viennetta were all pioneered in our great city. But our potential to be great is not confined to the history books—and no, I am not just talking about the country’s finest rugby team, Gloucester-Hartpury, who have won the premiership women’s rugby title two years in a row. The seeds of change were sown in recent years—first under Parmjit Dhanda, Richard’s Labour predecessor, and then under Richard—with the regeneration of the Quays, the Forum and the exciting new university campus, which is due to open next year. But we can and we must go further; plans for the redevelopment of Podsmead and Matson must be brought to life, and brownfield sites across the city turned into the social housing of the future. This Government’s mission to get Britain building can and should unlock our city’s potential.

However, it is not in development that our city’s greatest potential lies; that potential is, of course, in our people—the brilliant people of Gloucester, who are community-minded, fiercely proud and quite happy to tell me exactly what they are thinking. As the new MP for Gloucester, I know that although potential is found in all residents in our city, opportunity is not. I entered politics because I see the potential of every child in Gloucester, and I want to fight to ensure that opportunities like the ones I had growing up in a working-class family under the last Labour Government are open to every single family like mine in our city. When I visit schools in my constituency, I see the next generation of solar and wind engineers, the next cohort of developers and cyber-security experts, and the carers, nurses and doctors who will look after me when I am old.

Gloucester is a diverse city, with over 70 different languages spoken on Barton Street alone—a city that stood united during the uprising of racism and Islamophobia we saw elsewhere in the country this summer—but more needs to be done. At a recent meeting of the Gloucestershire Race Collective, I promised to use my position in this House to give voice to the concerns of our diverse communities in Gloucester, and to work with this Government to tackle rising levels of racism and Islamophobia in our country.

As I work with this Government to deliver on their mission to provide opportunities for everyone in my constituency, regardless of their background, I hope that those opportunities will strengthen the already incredible bonds that bring our city together. Those bonds are best demonstrated by some of the amazing community organisations and charities working in our city, like Gloucestershire Gateway Trust, whose Bridging the Gap programme helps break down barriers to work and gets local people into sustainable employment; like Gloucester Feed the Hungry, whose warm welcome, hot coffee and delicious samosas put a smile on the faces of so many in our city; and like the Holly Gazzard Trust, which is tackling domestic abuse and stalking, turning that family’s personal tragedy into a safer future for all. There are many more such organisations—I could go on all day, but I am conscious of time—that demonstrate the very best of our city: a community that is driven to help others to achieve their potential.

In closing, I make a simple promise to the constituents of Gloucester and the community that I am so proud to serve: I will work tirelessly to deliver a better future for our city. It will be a future in which everyone can access the NHS care they need and every child has the opportunity to thrive; a future that celebrates our heritage, our potential, our diversity and our community—our Gloucester.

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I call Ian Sollom to make his maiden speech.