Energy Security

Anna Sabine Excerpts

Tuesday 19th May 2026 Commons Chamber

[Anna Sabine (Frome and East Somerset) (LD)]

One of the many challenges facing rural constituencies such as mine is the rising cost of fuel. When the war in Iran pushed up prices, I had constituents telling me they could no longer afford their planned orders of heating oil and would try to manage without heating for as long as they could. As we might expect, residents in Frome and East Somerset rely heavily on car use, and therefore fuel such as diesel and petrol, to access health services. I am very concerned about the lack of community input into decisions being made about health services, which disproportionately affect those in communities who have to drive or get the bus, or run patient transport services in rural areas.

The King’s Speech brings forward plans to abolish NHS England, but in my constituency of Frome and East Somerset, NHS Somerset has been running what it calls a test and learn exercise at Frome community hospital. For six months the number of beds was temporarily reduced from 24 to 16, and at the end of that period the test and learn was simply extended for another six months, meaning that for a full year capacity has been reduced and no full consultation with communities about these changes has been required. People are rightly concerned that a reduction in their local service will require them to travel further afield, the cost of which is rising.

I have serious concerns about whether the evidence provided so far is strong enough to justify making these changes permanent, and I am deeply troubled by how little the community has been involved in that conversation. I decided to do my own consultation, hosting a pop-up in Frome two weeks ago, and asking local people to tell us why the hospital was important for them. One constituent wrote, “I feel strongly that Frome Hospital provides so many services for local people. When I hear from elderly friends who have ended up with long stays in Bath, I find it incomprehensible that once they reach a certain stage of recovery they cannot be moved nearer home.” Another constituent said, “It is a shame we must lose beds. My friend was in Bath for five weeks, then had to go to Wincanton Hospital for another seven weeks as there were no beds in Frome, and this was so hard for her family, who live miles away.”

The people of Frome and its surrounding villages rely on their community hospital, yet they woke up one morning to find that a decision had, in effect, already been made to reduce its capacity, a decision that means some of the most vulnerable members of our community will not have a bed in a local community hospital setting if they are discharged from our general hospital in Bath. For an elderly person, for a carer managing on their own or for those without access to a car, the risk of being placed in a community hospital somewhere else in Somerset is a serious barrier to suitable care. A lack of public transport and increasing fuel costs place a huge additional stress on families and carers.

Two weeks ago, I was pleased to meet the Minister for Care to discuss the Government’s plan for neighbourhood health centres, a policy I broadly welcome and one that I believe could genuinely benefit parts of my constituency. In the meeting, the Minister was explicit that our integrated care board was required to consult local MPs and other stakeholders on their plans for the new health centres. Not only has our ICB not been in touch, but when we followed up with them ourselves, we were told two things: first, they had no idea they were expected to engage with MPs on this matter; and secondly, they had already decided where the hubs would go, without consulting anyone else. In both the cases I have set out, there seems to be a lack of mechanism to force ICBs or trusts to consult local people and a total lack of sanction if they fail to do so.

People who live in Frome and the surrounding villages are the experts in their own lives, and they have helpful, constructive and innovative ideas to input into decision making around the future of local health services. The Government are also overseeing the removal of Healthwatch and the Citizens’ Senate, two additional bodies that centre patients’ voices at the heart of discussions about their care. I am worried that without those bodies being replaced or without mechanisms in place to ensure good consultation, communities risk being entirely unheard in decisions that will, for some, affect their daily lives. I hope Ministers will co-ordinate with colleagues in the Department of Health and Social Care, the Department for Transport and elsewhere to ensure that people in Frome and East Somerset can get the health services they need in the places they need them and in an affordable way.