Access to Primary Healthcare

Alice Macdonald Excerpts

Wednesday 16th October 2024 Commons Chamber

[Alice Macdonald (Norwich North) (Lab/Co-op)]

I congratulate the hon. Member for Harrogate and Knaresborough (Tom Gordon) on his cultured and moving speech—and on delivering it without notes, which is always very impressive.

I am pleased to have the opportunity to speak in today’s debate. I come from a family that is rich with GPs—primary caregivers who are the bedrock of our NHS. My grandad, aunt and uncle were all GPs, and my cousin is a qualified GP too. Over the generations they have served, times have got harder and pressures have grown. Under successive Conservative Governments, we saw decades of under-investment and mismanagement, and a lack of long-term planning, which has left primary care on its knees. Indeed, during the election campaign we had to fight to save our NHS walk-in centre, which has become important for so many people in my constituency —I am glad to say that we succeeded. However, as the Health Secretary said when he visited Lionwood medical practice in Norwich North, “The cavalry is coming”; in fact, it has arrived. We know that the task is monumental, but as the party that created the NHS, Labour knows how to fix it.

I welcome our 10-year plan, which has primary care at its heart. It will make sure that we shift from hospital to community, and from sickness to prevention. Because of the black hole in funding that we have been left by the Conservatives, we know that money is tight, but we have already taken action by investing £82 million to recruit 1,000 newly qualified GPs.

Of course, primary care refers to dentistry too. My county of Norfolk has been allowed to become a dental desert—or, as the Secretary of State has said,

“the Sahara of dental deserts”.—[Official Report, 23 July 2024; Vol. 752, c. 506.]

A recent ONS dentistry report states that 99.7% of new patients in East Anglia cannot access NHS dental care, which is shocking and totally unacceptable.

I note that many pregnant women are unable to access the free NHS dentistry care to which they are entitled. In fact, brand-new data from the British Dental Association and the Women’s Institute shows that nearly 1.5 million NHS dental appointments for pregnant women and new mums have been lost since the start of the covid pandemic. I ask the Minister to focus on what we can do to improve women’s access to dental care, because dentistry is a feminist issue too. I welcome our plans to rescue NHS dentistry, and I will continue pushing with colleagues across Norfolk—I can see the hon. Member for North Norfolk (Steff Aquarone) in the Chamber—for the dental school that we so desperately need.

Let me finish with the Health Secretary’s own words: “The cavalry is coming.” We will fix the NHS and make sure it is fit for purpose.

Oral Answers to Questions

Alice Macdonald Excerpts

Tuesday 23rd July 2024 Commons Chamber

The Secretary of State was asked—

[Alice Macdonald (Norwich North) (Lab/Co-op)]

1. What assessment his Department has made of the effectiveness of the NHS dental contracting framework.

[Lewis Atkinson (Sunderland Central) (Lab)]

17. What assessment his Department has made of the effectiveness of the NHS dental contracting framework.

--- Later in debate ---

[Alice Macdonald]

I welcome my right hon. Friend to his place. Norfolk is a dental desert and my constituents are suffering. As well as reforming the contract, we need to train more dentists. In the east of England we do not have a dental school, but the University of East Anglia has put forward proposals for one. Will he meet me, other hon. Members from Norfolk and representatives from the University of East Anglia to discuss this important proposal?

[Wes Streeting]

It is appalling that Norfolk and Waveney are so poorly served in terms of dentistry. There are only 36 dentists per 100,000 people, compared with the national average of 53, so when my hon. Friend says that her community is a dental desert, Members should know that it is the Sahara of dental deserts. We will work with partners to ensure that patients across the country can access a dentist when they need one. I am aware, not least thanks to her advocacy and the advocacy of other Labour MPs across Norfolk, of the University of East Anglia’s proposal, and I would be delighted to meet her and my colleagues.