Access to NHS Dentistry

Edward Morello Excerpts

Thursday 22nd May 2025 Commons Chamber

[Edward Morello (West Dorset) (LD)]

I congratulate the hon. Member for Great Grimsby and Cleethorpes (Melanie Onn) on securing the debate. I was delighted to be able to support her application, because this issue deeply affects my constituents.

Dentistry is in crisis nationally, and nowhere is that felt more so than in rural communities such as West Dorset. In my constituency we have just 15 dental practices offering any form of NHS dental care, serving a population of more than 94,000.

[Rachel Gilmour (Tiverton and Minehead) (LD)]

I have to confess that I rather envy my hon. Friend for having 15 dental practices, as I have a mere nine. In fact, as became evident in the Public Accounts Committee inquiry, which I attended as a Committee member, Minehead has fewer dentists than anywhere else in the United Kingdom. It is really important that we carry on lobbying the integrated care boards, because they can give out contracts.

[Edward Morello]

I know that my hon. Friend’s constituency suffers from a lot of the same issues as West Dorset, given their similarity.

The consequences of the lack of NHS dental care are stark: only 36% of adults in West Dorset have seen a dentist in the past two years, and just 50% of children have had a dental appointment in that time—an alarming 9% lower than in 2019. I know that the Government have announced a rescue plan to provide 700,000 more urgent dental appointments and to recruit new dentists to the areas that need them most. That is welcome news, but how exactly are the areas with the most need being assessed? What specific provisions are being made to ensure that rural areas such as West Dorset, where the population density is low but unmet demand is high, are not left behind once again?

[Steve Darling (Torbay) (LD)]

In Devon we have a budget of £377,000 to recruit new dentists. Sadly, only two of the 22 dentists have actually been recruited. Does my hon. Friend agree that this demonstrates that the Conservatives’ golden hello scheme has completely failed, and that we desperately need a new contract now?

[Edward Morello]

My hon. Friend is right that a lot of this comes down to the funding model. When funding is allocated under the current model, it is always rural communities that lose out. I ask that the rurality of places such as West Dorset be recognised in both the workplace planning and the resource allocation, because the south-west has the highest rate of dental-related A&E visits—217 per 100,000 people. That is one in every 460 people turning to emergency care because they cannot get an NHS dentist’s appointment. Preventable oral health issues are flooding our hospitals because we have failed to resource our community dental services.

The Government have made some minor tweaks to the dysfunctional NHS contract, which is welcome, but morale is at an all-time low. Over 60% of dentists in England are thinking of leaving the NHS all together. The current contract often leaves dentists losing money on every NHS patient they see—for example, a typical dentist loses £42.60 per denture fitted. That is unsustainable, and it is time to reform the system as a whole, because change cannot wait. I ask the Government to come forward with a clear timeline for negotiating on contract reform, and to properly support integrated care boards, as my hon. Friend the Member for Tiverton and Minehead (Rachel Gilmour) said, with ringfenced funding for dental services.

The Liberal Democrats are calling for a comprehensive dental rescue package that would guarantee access to an NHS dentist for everyone in need of urgent or emergency care. It would also ensure NHS dental check-ups for those already eligible, including children, pregnant women, new mothers and people on low incomes. In addition, the package would guarantee that anyone beginning chemotherapy, undergoing a transplant or facing critical treatment receives the essential dental assessments that they need beforehand.

I would like the Government to reverse the cuts to public health grants, which have fallen by 26% in real terms since 2015, to restore funding for preventive oral health programmes, to expand supervised toothbrushing for children in schools and nurseries, and to scrap the VAT on children’s toothbrushes and toothpaste. I ask the Government to act now. On behalf of my constituents and all rural communities, I ask that communities such as mine in West Dorset are not treated as an afterthought in the funding model, but are given priority.

Parkinson’s Disease

Edward Morello Excerpts

Wednesday 21st May 2025 Westminster Hall

[Edward Morello (West Dorset) (LD)]

It is a pleasure to serve under your chairship, Mr Stuart—especially after that flattery. I congratulate the hon. Member for Colne Valley (Paul Davies) on securing this important debate.

Parkinson’s, as has been said, is the fastest growing neurological condition in the world. But behind every statistic is a family, a carer, a friend—someone whose daily life is shared by this illness. My constituents have written to me about their experiences of loved ones living with the disease. The stories they have shared are heart-breaking, with long waits for specialist care, difficulties accessing the right medication on time, and exhausting battles for financial and social support. I know I speak for many here when I say that we must do more.

Parkinson’s is a progressive condition, with more than 40 possible symptoms affecting movement, sleep, mental health, speech, eating and swallowing. Nearly half of those living with it will experience anxiety or depression, and more than half will develop psychotic symptoms as the condition progresses. Across the country, there are long waits for specialist care, a lack of multidisciplinary teams with Parkinson’s experience, and serious difficulties in accessing vital medication in a timely and consistent way.

We urgently need to overhaul the way that care is provided for people with Parkinson’s, particularly in rural areas. That begins with primary care. GPs are the front door to the NHS, yet we know that continuity of care is beginning to be eroded. That is why the Liberal Democrats are calling for everyone with a long-term condition such as Parkinson’s to have access to a named GP—someone who can understand their history and needs, and can advocate for timely referrals and co-ordinated care.

This is not just about funding more; it is about funding smarter. Primary and community care can prevent some hospital admissions and provide medication and essential support for those who cannot easily travel. That is especially important in rural areas like mine, where distance, isolation and sparse public transport already pose significant barriers to treatment.

Care services are struggling with conditions like Parkinson’s and have been stretched to breaking point by Government decisions and a lack of funding. Weldmar Hospicecare in West Dorset is a lifeline for so many families. Earlier this year, NHS Dorset announced a £400,000 cut to its fast-track funding, starting next April. Weldmar also faces a £600,000 increase in costs as a result of rising national insurance contributions and other pressures. It already raises 60% of its NHS-commissioned care through charitable donations, and that is unsustainable in the long term.

The same goes for our community pharmacies, which are vital for people with Parkinson’s, especially in rural communities. They are not just dispensaries; they provide healthcare consultations, medical reviews and early advice, often acting as the first point of contact for worried patients. Yet the funding model they rely on is outdated and inadequate, leaving many rural pharmacies on the brink of collapse. If we are serious about reducing health inequalities, we must ringfence funding for essential services and not allow it to disappear into ever-wider budget allocations.

We owe it to everyone living with Parkinson’s, and to the families, the carers and the health workers supporting them, to do better. That means listening to the voices of those people affected, ending the postcode lottery and making sure that no one, wherever they live, faces this devastating disease alone.

[Graham Stuart (in the Chair)]

Admirably delivered.

--- Later in debate ---

[Vikki Slade (Mid Dorset and North Poole) (LD)]

It is a pleasure to serve under your chairmanship, Mr Stuart. I thank the hon. Member for Colne Valley (Paul Davies) for securing the debate. It is interesting that three of the five Back Benchers who have spoken in it are from Dorset. I do not know what that says about our population, but there we go.

[Edward Morello]

I will answer that with one of my favourite facts about Dorset: if we were a country, we would be the oldest in the world by population age. We are older than Japan.

[Vikki Slade]

My hon. Friend and constituency neighbour is correct. We have the Jurassic coast, but we are also the oldest county.

My daughter is currently undertaking a PhD in the causes of Parkinson’s, and I should also declare that I am a member of the all-party parliamentary group on Parkinson’s. Although life expectancy for those living with Parkinson’s is much improved, their quality of life is deeply impacted. They are incredibly vulnerable to falls and infections, limiting their ability to work. The recent changes to PIP are causing deep distress to the community. I look forward to hearing how the Government will recognise the needs of those with fluctuating neurological conditions in assessments.

However, I want to focus on the issues of treatment and care for patients. There are 216 people currently registered as living with Parkinson’s in my constituency. I have been told that there is virtually no service of specialist nurses or active phone line support in my community. That leaves vulnerable people isolated and at higher risk of traumatic, expensive and often unnecessary hospital admissions.

The Minister will be aware that an absolute diagnosis of Parkinson’s is possible only post-mortem—I pay tribute to the work of the brain bank at Imperial and that of the similar motor neurone disease brain bank at King’s College London. We therefore rely on specialists to focus on the symptoms in order to make a diagnosis, but there is a significant problem, which was explained to me this week by a GP at Walford Mill surgery in Wimborne when I spent the morning shadowing him. He told me that wait times for diagnosis for Parkinson’s can be more than six months, so experienced GPs who are able to prescribe medications have a dilemma. They can help their patients by prescribing medications to reduce the symptoms, but in doing so they make it more difficult for the specialists to diagnose the condition. If the referral-to-treatment times were dramatically improved, GPs could ask people to wait, but with the current delays, it seems cruel to ask both those living with symptoms and their family doctor to do that.

That takes me to my next point: the lack of neurologists. The UK is 44th out of 45 countries in Europe for number of neurologists per head of population, and the waiting list for neurological conditions stands at a staggering 232,994 people. According to Alzheimer’s Research, neurological conditions are the leading cause of global ill health, with 3.4 billion people suffering from one, which makes it seem even crazier that we have this problem. It is not only that: Parkinson’s, along with other neuro conditions such as functional neurological disorder and achalasia, which I have raised previously, require multidisciplinary teams to look after patients, and local NHS systems just are not set up to do that properly. Will the Minister ensure that the NHS 10-year plan will deliver ways of working that will support those with such conditions?

Finally, I will touch on prescription charges. I know the issue has been raised before, but the list of conditions for free medication has not changed since 1968. It is shocking that Parkinson’s is not one of those conditions. My constituent, Carole, who was diagnosed aged just 46, is finding that really tough and believes, as I do, that a full review of these conditions for working-age people should be undertaken now.

The final word must go to two of my constituents. Malcolm, from Wimborne, said:

“I have suffered from Parkinson’s for 10 years. It has changed my life completely for the worse. I cannot speak, I have frequent falls, we need better support.”

Danielle, also from Wimborne, who was diagnosed at 38, said:

“This is becoming more common with younger people…The impact of this disease on my life is immeasurable. It is more than a struggle. It is a fight every day. We need these issues addressed urgently to reduce the burden.”

I hope that the Minister will be able to offer us some comfort.

Mental Health Bill [Lords]

Edward Morello Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[Dr Chambers]

I thank my hon. Friend for that moving intervention and offer my condolences to those in the Gallery. We appreciate that the Secretary of State is seriously considering an amendment that might help save lives.

Early intervention cannot just be a slogan; it has to be the foundation of a functional system. Last week, I sat around a campfire with the amazing team at the Winchester youth counselling services. That charity has a nature therapy programme in which 11 to 16-year-olds can go camping, have walk-and-talk therapies and do bushcraft and outdoor cooking. While we were toasting our marshmallows, the team were talking about the free, confidential mental health support that they offer, providing services such as one-to-one counselling and a weekly wellbeing walk-in session. By immersing young people in nature, this programme helps to reduce stress and anxiety and fosters emotional wellbeing and resilience. Crucially, the services are accessible without the need for a doctor’s referral or diagnosis. Young people can self-refer, ensuring that support is available promptly when it is needed most. This is why Liberal Democrats have been calling for mental health hubs for young people in every community. We support the Government’s campaign for a mental health professional in every primary and secondary school—not just an occasional visit or a pilot scheme, but a permanent funded presence.

[Edward Morello (West Dorset) (LD)]

Just to follow up on my hon. Friend’s point about the importance of mental health hubs, in West Dorset the only child and adolescent mental health services centre is in Dorchester, and for many people in my constituency, especially young people, that means at least a 30-mile round trip to access services. In rural Britain, we are lucky if transport links exist, and those that do are often limited. That makes accessing services nearly impossible, which is what makes hubs so important.

[Dr Chambers]

I totally recognise the importance of that intervention.

We also need a system that is much easier to navigate. A psychiatrist came to see me in my office in Winchester and told me that his son had been referred to CAMHS. He said that despite the fact that he and his wife worked in the medical profession, they had really struggled to access the help that they needed. He said:

“If we can’t navigate the system, what chance does anyone else have?”

That is one reason that Liberal Democrats are calling for a mental health commissioner: someone to champion families, cut through bureaucracy and help people to get the support they need before things get worse. The system needs to be simplified, both for the parents and families who are trying to access the service and to allow the system itself to function.

For years, Liberal Democrats have campaigned for mental health to be treated equally with physical health, and we welcome the commitment to parity in the King’s Speech, but it must be backed by action. The Darzi report showed that mental health accounts for around 20% of the NHS case burden—as the Secretary of State acknowledged—yet it receives just under 10% of the funding. For this reason, we want to ensure that the mental health investment standard is maintained and strengthened, and not quietly scrapped or watered down. The Secretary of State also highlighted the scale of this challenge. Around 1 million people are on waiting lists for mental health services, but importantly, 340,000 children are on mental health waiting lists and some of them are waiting an average of 15 months for care, which is a huge chunk of their educational time and personal development. This is not a crisis that is waiting to happen; it is a crisis that is already here.

In this economic crisis, some people ask how can we afford to invest in mental health, but the real question is how can we afford not to do so, because we already pay the price in lost productivity, emergency call-outs, A&E admissions and—most tragically of all—lives cut short. We must spend to save.

The hon. Member for Bermondsey and Old Southwark (Neil Coyle) spoke about spending time with police. I have done the same thing—a fascinating and informative exercise. I encourage everyone to go on patrol with their police. In Winchester, the police say they spend up to 40% of their time responding to mental health-related incidents. We know that patients turn up to A&E in mental health crisis, many already on a mental health waiting list. I heard that the average amount of time someone spends in a mental health crisis in Winchester’s A&E, often needing individual supervision, is 18 hours. That is not sustainable, because we are using the most expensive part of our health system to do the work that should be happening earlier, which would be more cost effective for the taxpayer and provide better outcomes for patients.

Finally, I pay tribute to all those on the frontline: the nurses, counsellors, psychiatrists, doctors, therapists, support staff and charities who prop up a system that should be supporting them. We very much look forward to working constructively with the Government to improve the Bill, and we support it. We will keep pushing until we live in a country where mental health gets the same attention and care as physical health.

Hospitals

Edward Morello Excerpts

Wednesday 23rd April 2025 Commons Chamber

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

I am glad that we are taking the time today to discuss the immensely important issue of the state of our NHS hospitals. Nowhere is it more obvious that our NHS has been broken over the past 14 years than in our crumbling NHS estate. Our NHS has been starved of capital funding, and the backlog maintenance bill now stands at more than £11 billion. Research from the NHS Confederation shows that nine in 10 NHS leaders believe that the crumbling NHS estate is undermining their ability to tackle the elective backlog. This is devastating. It is apparent in my constituency, with Hillingdon hospital plagued by flooding, sewage overflows, failing lifts and outdated equipment.

The need for a new hospital in Hillingdon is not new—my predecessor’s predecessor described the hospital as no longer fit for purpose many years ago, and pledged at the time to replace it. The Lib Dems are right today in their condemnation of the previous Government’s record, with their fantasy hospital programme that seemed to exist only in the mind of Boris Johnson, and never in the reality of the Treasury’s decisions. Residents in Uxbridge have been led up the garden path time and again, with false promises upon false promises, a funding package that was never approved and building works that never began—to this day, not a stone has been laid and no ground has been broken. At the election, no business case had been agreed, the hospital design was still being tweaked, and no contractor had been appointed. Rather than being fully funded, only £70 million of £1 billion had ever been provided.

I am glad, therefore, that the Labour Government have prioritised capital investment, with capital spending increasing by £13.6 billion in the Budget, and I am grateful for the progress we are now making with a realistic, honest and deliverable timescale for the programme. After years of broken promises, people are fed up and need action, delivery and credible commitments. That is why it is disappointing that the Lib Dem motion today, if approved, risks leading again to unfunded commitments, promising to deliver all the hospitals simply through a new taskforce. That is not how hospitals are built or paid for. It does not feel to me like a credible funded programme; instead, it is a recipe for more talk, more delay and more inaction.

I know that the community in Uxbridge and South Ruislip are now reassured that Hillingdon hospital has been included in wave 1, with a capital envelope agreed in recent weeks of nearly £1.4 billion. Instead of more words or a taskforce, we have delivered solid agreements and funded commitments—a real plan for change. The hospital is now finalising its business case and design. A contractor will be appointed and on site in 2027, and construction work will start in 2028. It is essential that the new hospital programme continues to work at pace to provide my constituents and all residents in this country with the quality of care they deserve. I am sure the Minister would expect all Members to hold the Government to account for the delivery of the programme.

Turning to the concrete actions we could take to deliver the hospital programme more quickly, long-term revenue funding for new wave 1 teams is much needed so that they can work at pace, as well as a simplified planning process for new hospitals. I welcome the Government’s planning reforms and Planning and Infrastructure Bill. I hope that Lib Dem Members will support the Bill, which seeks to speed up the delivery of critical national infrastructure.

As well as investment in hospitals, we need investment right across our NHS estate, as has been discussed today. I have met GPs who are using store cupboards as consulting spaces and heard from pharmacies that want to do more but are desperately lacking the space to deliver Pharmacy First services in privacy. The Wakley centre, which provides sexual health services in my constituency, is crammed into an outdated building, using every inch of space, and is desperate for more modern space to do preventive work.

[Edward Morello (West Dorset) (LD)]

I agree entirely with the hon. Gentleman on the need for investment outside of hospitals, but does he agree that we also need smarter investment? Dorset NHS foundation trust, along with Somerset NHS foundation trust and university hospitals Dorset, has submitted a business case for an integrated electronic health record system that would allow them to work together, share information and, ultimately, save the NHS money. Does he agree that this is exactly the kind of technological advancement the NHS should be funding?

[Danny Beales]

We need to think not just about buildings, but about digital infrastructure and investment in a whole range of capital investment needs for the NHS for it to be a modern, fit-for-purpose service. It sounds like the measures the hon. Gentleman suggests are sensible.

There is a strong desire in the emerging 10-year plan to shift to neighbourhood health services, which would also require capital investment. Three neighbourhood hubs are planned in Hillingdon, but there are still no clear sites and no capital investment to make them a reality. We need a long-term infrastructure strategy for the NHS, alongside our 10-year health plan. I welcome the significant increase in capital spending for the NHS at the Budget. I also think the Government’s new commitment to protect capital budgets in the NHS is vital. Far too often, under the previous Government, those budgets were raided for short-term investment to plug revenue-based gaps; now that has come to an end, which is very welcome.

My constituents have waited long enough for Hillingdon hospital. We do not need more taskforces or reviews, but concrete funded plans of action. At last, we have from this new Labour Government a fully funded new hospital programme ready to be delivered. I look forward to construction starting and working with this Government to deliver health services that are fit for the future.

Community Pharmacies: Devon and the South-west

Edward Morello Excerpts

Tuesday 17th December 2024 Westminster Hall

[Edward Morello (West Dorset) (LD)]

It is a pleasure to serve under your chairmanship, Mr Betts. I thank my hon. Friend the Member for Tiverton and Minehead (Rachel Gilmour) for securing this important debate.

Community pharmacies are indispensable to West Dorset, serving as essential health hubs for our communities. However, they face mounting challenges, including escalating financial pressures and critical workforce shortages that threaten their ability to continue to provide those vital services.

West Dorset, amazingly, is served by only 18 active pharmacies, for a population of more than 100,000. Data from the NHS Business Services Authority shows that the number of community pharmacies in England has declined by 6.7% since 2001. In the past year alone, a further 217 pharmacies have been lost, and startlingly it is those not offering in-person services—often called distance-selling pharmacies—that are the least likely to fail. That demonstrates that the new role that pharmacies are having to play in our healthcare system is actually hurting their viability due to the broken funding model.

Workforce shortages exacerbate the strain. In NHS Dorset, the integrated care system that covers West Dorset, there are 47 vacancies, equating to a vacancy rate above the national average of 19%. The impact of these staffing challenges is clear: a 2024 survey by Community Pharmacy England found that three quarters of pharmacy team members reported shop staff shortages, and approximately 10% of pharmacy owners had no choice but to temporarily close their doors as a result of those shortages.

For patients, that means longer waiting times, reduced services and less access to advice for urgent healthcare concerns. For staff, it translates to unsustainable workloads, difficulties in sourcing medicines and, most alarmingly, increases in patient abuse. Nearly all respondents—92%—reported struggling to cope with the pressure, highlighting the human toll of the pharmacy crisis.

The recent rise in national insurance contributions places an additional burden on pharmacies as employers, particularly in rural areas, where revenue streams are less predictable. I have one pharmacy in my constituency that made a six-figure loss last year, even before the increase in national insurance contributions came in.

[Sarah Dyke]

I thank my hon. Friend for giving way. As he is rightly pointing out, the employer national insurance contributions, alongside the national living wage, are increasing the pressure on our important community pharmacies. Does he agree that the Government must urgently exempt pharmacies, GPs and dentists from the tax hikes to avoid considerable damage to the sector?

[Edward Morello]

I thank my hon. Friend for the intervention. She will be pleased to know that there is, in fact, a Liberal Democrat amendment right now to do exactly that, which I am sure we will all be voting for, and which we would ask the Government to take the opportunity to support. Community pharmacies already face slim margins under the current community pharmacy contractual framework funding model, and while initiatives such as Pharmacy First have brought new funding streams into the sector, they are not sufficient to offset the rising costs of operation, including wages, rents and utility bills.

Community pharmacies are lifelines for rural constituents like those in West Dorset. They provide crucial access to healthcare services, especially for those who struggle to reach GPs or hospitals. They are also uniquely vulnerable due to small patient bases and higher operational costs, and the Government should recognise those disparities. That means revisiting the funding framework, addressing workforce shortages and offering targeted financial relief to offset rising costs, including the impact of national insurance contributions.

Community pharmacies are not just businesses; they help to support our strained healthcare systems and are a part of our communities. For the people of West Dorset, and for millions across the country, we cannot afford to let them falter. I urge the Government to prioritise this issue, undertake a comprehensive review of the funding model, work closely with Community Pharmacy England and provide the support necessary to secure the future of our pharmacies and the vital service that they deliver in rural communities.

[Richard Foord (Honiton and Sidmouth) (LD)]

It is an honour to serve under your chairship, Mr Betts. Growing up, people used to talk about going to the chemist, and at the time I saw that alongside going to the butcher or shoe shop—it was where we went to buy stuff. What I did not realise was how crucial pharmacies are to prescriptions and thus to people’s health and wellbeing, and I am ever so aware of that now that I represent a constituency in Devon.

Under the previous Government, in the last two years alone, Devon has seen the closure of nine pharmacies, leaving the county with just 133. For the people I represent in Honiton and Sidmouth, that translates to just 16 pharmacies per 100,000 people—even fewer than in West Dorset. That is partly because income for pharmacies has stagnated, particularly what they receive from the NHS, and that is combined with rising costs, including energy bills and wages, as well as the cost of medication. Altogether, it makes for an unsustainable financial model. Yet pharmacies provide over 1.3 million consultations each week for people’s health concerns, which is keeping people out of the NHS and saving 38 million GP appointments every year. Just last month, a pharmacist in Devon noted that his team spends over two hours per day providing free, unfunded clinical consultations, and those prevent health conditions from deteriorating, and prevent hospital visits and additional strain on the NHS.

[Edward Morello]

My hon. Friend raises a very important point: under the current funding model, pharmacists are reimbursed only if the consultation results in a prescription being issued. That results in a medicalisation of the process, which means that pharmacists are less likely to provide other sorts of solutions, such as community care. Does my hon. Friend agree that the model is fundamentally flawed and creates a medicalisation issue?

[Richard Foord]

It is flawed, particularly for those parts of the country that are rural and coastal, such as those represented by my hon. Friend and myself. In Honiton and Sidmouth, the average age of my constituents is 56. I went to a meeting of the all-party parliamentary group on ageing and older people last week, and we hosted Sir Chris Whitty, the chief medical officer for England. He described how, while in some societies people move away from the coast and rural areas to seek comfort and care in towns and cities, in England we do quite the reverse. That makes it even more crucial that we maintain our pharmacies in those rural and coastal communities.

In short, we are calling for the Government to provide funding to halt the closures and stabilise the sector, ensuring that rural communities such as those in Devon are not left behind. We want to see the role of pharmacists expanded to give them greater prescribing rights and allow them to take on bigger public health responsibilities.

Access to Primary Healthcare

Edward Morello Excerpts

Wednesday 16th October 2024 Commons Chamber

[Edward Morello (West Dorset) (LD)]

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.