Access to Primary Healthcare

Edward Morello Excerpts
Wednesday 16th October 2024

(2 months ago)

Commons Chamber
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Edward Morello Portrait Edward Morello (West Dorset) (LD)
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In my constituency of West Dorset, as across the country, community pharmacies are being asked to deliver more and more primary care services, increasingly acting as an alternative to GP surgeries. They are delivering vital healthcare services such as health consultations and vaccinations; however, the funding model for community pharmacies is outdated and insufficient, and does not reflect the expanded role that they now play in our healthcare system.

Community Pharmacy England reports that one sixth of pharmacies could close within a year, and the National Pharmacy Association estimates that the average pharmacy will lose £43,000 this year. This is being played out writ large in my constituency. Lyme Regis has recently lost its last remaining high street pharmacy. Our Beaminster and Sherborne pharmacies are reporting six-figure annual losses due to the unsustainability of the funding framework—a funding model that, as the Pharmaceutical Services Negotiating Committee suggests, does not account for the higher operating costs in rural areas, as well as wild fluctuations in medicine prices that can result in pharmacies losing money on every prescription issued of certain drugs.

Community pharmacies also have to operate within a system whereby they get compensated only for consultations that lead to prescriptions being issued. That leads to a perverse focus on patients where a medicalised outcome is most likely. I urge the Government to re-evaluate the funding model for community pharmacies. We need a system that recognises and rewards the broader role that pharmacies now play, particularly in rural areas. Pharmacies are delivering critical health services, yet they are being financially penalised because the funding system is still based on an outdated model. If we continue on this path, we risk losing these vital community assets.

Pharmacies in rural places such as West Dorset cannot survive on the current funding framework. They are a lifeline for many of my constituents, and without immediate action we could see further closures, which would leave vulnerable populations without access to vital healthcare services.