Access to GPs

Chris Coghlan Excerpts

Monday 23rd June 2025 Commons Chamber

[Alex Easton]

I agree, and perhaps the Minister will take that point on board in looking at how we can improve our GP services.

One of the significant challenges across the UK is the shortage of GPs, which inevitably leads to longer waiting times and, unfortunately, sometimes to a compromised quality of care.

[Chris Coghlan (Dorking and Horley) (LD)]

On that point, 4,000 residents in Westvale Park, a new housing development in my constituency, were promised a GP, and they had legally binding section 106 agreements in place. The construction money is there for a GP surgery, but the NHS has not provided the operational funding required for a GP. Does the hon. Gentleman agree that the NHS should be providing the operational funding for new GP services on housing developments, and that the entire Government case for new housing developments is undermined if this infrastructure is not provided?

[Alex Easton]

I totally agree. There is no point in building new houses if we are not going to put in the infrastructure, including health infrastructure and GPs.

While I welcome initiatives aimed at recruiting and retaining GPs, it is concerning that in Northern Ireland we have recruited only 121 GPs when we need 161 merely to restore the levels we had in 2014. The growing UK population, coupled with increasingly complex health needs, is exerting significant pressure on existing resources. In Northern Ireland alone, the population has risen by 70,000 over a decade, while 38 GP practices have closed—a reduction of 11%. It seems clear that as the population grows, funding should increase. We must also recognise that since April 2023, there have been 17 GP contract hand-backs, resulting in a decrease of 12 GP practices, leaving us with a total of 305.

--- Later in debate ---

[Stephen Kinnock]

I agree absolutely with the points that the hon. Gentleman makes. We will very shortly publish our 10-year plan for the NHS. As I will say a little later in my speech, a big part of that is about the shift to a neighbourhood health service and shifting from hospital to community so that the front door of the NHS is fixed, and access is a vital part of that.

[Chris Coghlan]

The big issue in my constituency is that I have constituents who are on the point of qualifying as GPs, but they do not have jobs as GPs to go into. What do the Government plan to do as part of their 10-year plan to fix the issue that we have people qualifying as GPs who do not have GP jobs to go into?

[Stephen Kinnock]

I am sure the hon. Gentleman will welcome the fact that we secured a record £889 million increase in the GP contract. That is a first step in digging us out of the very deep hole that the previous Government left for us. When I look across my portfolio, whether it is GPs, mental health, dentistry or pharmacy—you name it—it is a car crash right across the piece. I was frankly shocked by what I saw when I first went into the Department back in July. We are, I hope, beginning to get things back on an even keel. The hon. Gentleman is right, though: we do not have a shortage of people coming through GP training, but supply and demand are not matching up. That has to change.

I am sure that the hon. Member for North Down will welcome the fact that we secured £82 million of additional funding through the additional roles reimbursement scheme, leading to the recruitment of an additional 1,700 GPs. The challenge is more about getting GPs in the places where they are most needed, which is something we need to work on—other colleagues have talked about the geographical imbalance. We need to look at the formula for the way that funding is allocated across the country, as it is an important part of the access issue that the hon. Gentleman raised.