Access to Primary Healthcare

Danny Beales Excerpts

Wednesday 16th October 2024 Commons Chamber

[Danny Beales (Uxbridge and South Ruislip) (Lab)]

The fundamental promise of our NHS is that it is there for all of us whenever we need it, no matter how much we earn, where we live, who we are or what part of the health system we need to access. Unfortunately, after 14 years of Conservative government, that promise has been broken. It was particularly disheartening not to hear any contrition or reflection from the shadow Minister.

Despite the hard work of NHS staff, waiting lists are at record highs and patient satisfaction is at record lows. The NHS is near breaking point. We all knew this going into the election, as we heard it from our constituents— I certainly heard it from mine in Uxbridge and South Ruislip. Even so, the findings of the Darzi review are still incredibly shocking.

Primary care, as Liberal Democrat Members have said, is the front door to our NHS, but that front door is increasingly being slammed shut in the face of our constituents, and the effects are being felt. Fifty years of progress on cardiovascular disease is in reverse, progress on cancer outcomes has stalled, and cancer survival rates in the UK are falling behind comparable countries.

There is a lot to do, and it will take time to do it, but I am reassured by the Minister’s comments that this Government are taking the matter incredibly seriously. I welcome the Secretary of State’s focus on the three critical shifts needed to modernise our health service, and particularly primary care: from analogue to digital, from hospital to community, and from sickness to prevention. These shifts will not only improve value for money in our health service but will ensure that everyone in our communities lives a longer, healthier life.

We have heard today of the importance of GPs, particularly family GPs. GPs are seeing more patients than ever before, yet the number of qualified GPs relative to the population is falling. This strain will only be exacerbated as populations grow and age. I welcome the Government’s commitment to GP recruitment, with £82 million being invested in 1,000 more GPs.

The shadow Minister spoke about the capital investment pressures on the Government, and we certainly want to see capital investment in hospitals—including Hillingdon hospital in my constituency—but primary care capital investment is also needed to unleash potential capacity.

We have heard from Liberal Democrat Members, as well as Members on the Government Benches, about dental deserts and the need to improve access to dentistry. I welcome the Government’s commitment to engage with the British Dental Association. I know one of the Secretary of State’s first meetings was with BDA, and I look forward to hearing the outcome of those discussions.

Lastly, on community pharmacies, I met representatives of local and national pharmacy groups in my first few weeks as an MP. Pharmacies are incredibly well placed to take the pressure off GP services. Pharmacists are trained, professional and ready to go. I welcome the Government’s plans to create community pharmacist prescribing services to utilise the skills of pharmacists.

I will end as I started: there is a lot to do to rebuild and reform our NHS, so that it is there when we all need it. We have done it before and we must do it again.