Access to Primary Healthcare

Freddie van Mierlo Excerpts

Wednesday 16th October 2024 Commons Chamber

[Freddie van Mierlo (Henley and Thame) (LD)]

I very much welcome this debate. GPs are rightly pillars of our community—doctor remains one of the most trusted professions, perhaps unlike ours—but I want to mention some of the other key professions in the primary care sector, including practice nurses, who dedicate their lives to working on behalf of our residents.

Right now, practice nurses are working hard to deliver flu, covid, RSV and shingles jabs to many of our residents. They are the unsung heroes who keep primary care going, but their number is declining due to wage constriction. New nurses looking to boost their salaries often opt for hospital-based care because they can improve their pay packet with unsocial hours payments. Mental health nurses, healthcare assistants and social prescribers also provide essential services, and we must not forget receptionists, who bear much of the public’s frustration after 14 years of failed government. They have my thanks.

GPs are in crisis. The Tories let waiting times soar and failed to deliver a new framework contract for GPs in time, leading to industrial action. I am very concerned that in my area we have sleep-walked into a two-tier health system, with long waits for those who cannot afford private care and access for those who can. In Henley, we are seeing the first fully private GP practices and many people going for jobs with corporate insurance plans. There are now routinely four-week waits in places such as Thame, Benson, Watlington and Chalgrove, where we have seen significant housing growth. As my hon. Friend the Member for Didcot and Wantage (Olly Glover) mentioned, developer funds have been collected, but in Oxfordshire they are not being released in time to deliver the infrastructure that is needed.

I want to highlight the impact of those waits on some of the most vulnerable people. I recently spoke to my constituent Suzannah Windsburrow, a tenacious campaigner with learning difficulties, who highlighted to me just how important timely access to healthcare is for her. The collective impacts of a lack of access mean that people with learning disabilities die earlier than those without one—23 years earlier for men and 27 years earlier for women.

I very much welcome the Liberal Democrat commitments on health, and I encourage the Labour party to copy our manifesto—honestly, we won’t mind—including our commitments to ensuring that people can see a GP within seven days or, if it is urgent, 24 hours; to 8,000 more GPs; and to providing a named GP for people over 70. I also hope that Labour will copy our very important policy on delivering mental health professionals in schools.