Access to Primary Healthcare

Debate between Helen Morgan and Tim Farron

Wednesday 16th October 2024 Commons Chamber

[Helen Morgan]

That is an important point. In my constituency, carers who go to pick up prescription medicines are finding that the pharmacists are not there because they are relying on locums. The pharmacy funding problem needs to be addressed as a matter of urgency, and I will say more about that later.

Growing the economy is so important that we need to get people off the waiting and referral lists and back into work. Liberal Democrats believe that people should be in control of their own lives, not “chained up” at home, unable to get out of bed, because they have no access to healthcare. They should be able to get the help that they need, when they need it, in their own homes and communities.

Let us start with GPs. The Liberal Democrat manifesto—it was well received, which is why there are so many Members sitting behind me on these Benches—called for the right to see a GP within seven days or 24 hours if the situation is urgent, and for those aged over 70 or with a chronic health condition to have access to a named GP. Those rights are extremely important. People who go to the same GP for more than 15 years have a 25% lower chance of dying than those who have seen a new GP in the last year. Primary care networks tell me that their inability to deliver continuity of care because of the shortage of GPs is one of the problems that worry them most.

[Tim Farron (Westmorland and Lonsdale) (LD)]

My hon. Friend is making a brilliant introductory speech. Is she aware that perhaps only a third of those leaving medical school and seeking to go into general practice are able to find jobs, partly because the additional roles reimbursement scheme—which does exist—cannot be extended to enable some of those would-be GPs to be recruited? Is it not mad that although we are creating enough potential GPs through medical school, we cannot give them jobs because of the funding mechanisms that this Government inherited from the last one? We are losing them from general practice, and, in some instances, losing them from the country altogether.

[Helen Morgan]

My hon. Friend is entirely right. I believe that the Government are taking steps to address that, but he has made an important point about the need for flexible GP funding. A general practice may have money to spend on professionals and need more fully qualified doctors to deal with its patient list, but can only spend that money on another pharmacist or another nurse. That is a ridiculous situation, and I am pleased that the Government are dealing with it.

Sustainable Farming Initiative

Debate between Helen Morgan and Tim Farron

Tuesday 19th December 2023 Westminster Hall

[Tim Farron]

I go back to what I said at the beginning. The hon. Gentleman is right to say that there are clear advantages in the scheme, and we support its principle. The problem is that they are outweighed across the piece by the negatives.

What does the botching of the transition mean for individual farmers? Last week, I met a group of farmers in north Westmorland at Ormside near Appleby. One told me that SFI would replace just 7% or 8% of what he is losing in basic payment. Another explained that if he maximised everything in his mid-tier stewardship scheme and got into all the available SFI options, he would replace only 60% of what he received through BPS. The others in the room looked at him with some envy: he was the least badly affected.

Last month, I met a group of farmers in South Westmorland, in Old Hutton near Kendal. One told me that the loss of farm income meant that he had to increase the size of his flock to make ends meet. He knew that in making that choice he was undoing the good environmental work that he and his family had been doing for years, but he could see no other way to keep afloat. That is a reminder that the Government’s handling of these payments means that they are often delivering precisely the opposite of what they intended.

[Helen Morgan (North Shropshire) (LD)]

One issue that farmers in my constituency have raised is that existing schemes to help the environment are not eligible under the sustainable farm incentive, so farmers are incentivised to rip those schemes out, undoing good work that they have done and damaging the environment. Does my hon. Friend agree that a tweak to the payments to recognise good work that has already been done would be welcome?

[Tim Farron]

My hon. Friend makes a really good point, and that also happens in my constituency. Accidentally, the Government are acting in a counterproductive way when it comes to the environment.

Others at that meeting in South Westmorland near Kendal told me that they are putting off investing in capital equipment because the loss of BPS and the lack of replacement income means that they do not have the cash flow to invest in a long-overdue new dairy parlour, a covered slurry tank or other things that would increase productivity and improve environmental outcomes. The Minister will say that many grants are available to farmers to help them in that respect, and in some cases they absolutely can, but not if contractors need to be paid up front as DEFRA expects farmers to demonstrate that they have the money in the bank to do that before releasing those grants.

DEFRA’s own figures show that upland livestock farmers have lost 41% of their income during this Parliament, and that lowland livestock farmers have lost 44%. One famer near Keswick told me, tongue in cheek, that he had calculated that the fines he would receive for committing a string of pretty terrible crimes would not amount to what he lost in farm income thanks to this Government.

Avian Influenza Outbreak

Debate between Helen Morgan and Tim Farron

Wednesday 30th November 2022 Westminster Hall

[Tim Farron]

I absolutely agree that this needs to be a whole-UK project. I thank my friend and neighbour for her contribution—not least for reminding me how much younger she is than me. If we had an outbreak of foot and mouth on the same scale today, it would have an economic impact of £12 billion. As I said, there are impacts that are not quantifiable but even more devastating.

What do the Government need to do? I will briefly suggest three things. First, they should support our farmers through the current crisis. As the right hon. Member for Maldon rightly said, the compensation scheme is not fit for purpose, and the Government must bring it into the 21st century. The legislation that it was built on was introduced in 1981. It is practically prehistoric —like me. Farmers are able to receive compensation only for birds that are alive when the flock is seen by a vet.

[Helen Morgan (North Shropshire) (LD)]

As the representative of a constituency that has a large number of intensive poultry farms, and as someone who has kept a backyard flock and been the financial controller of a poultry farm, I have seen at first hand the difficulties of trying to house poultry. Most importantly, I have seen the difficulties that the farming industry faces when trying to insure against avian influenza. It used to be possible to obtain insurance, because the disease was an unlikely event—it was a peril that insurers would happily insure against—but now it is almost impossible. Does my hon. Friend agree that taking preventive action—