Income Tax (Charge)

Ian Roome Excerpts

Tuesday 5th November 2024 Commons Chamber

[Ian Roome (North Devon) (LD)]

Very few hospitals in Britain can claim to be as essential as North Devon district hospital, which is the remotest acute hospital in mainland England. It serves a truly massive catchment area, spanning almost 1,200 square miles and more than 165,000 people as far afield as Lynton in north Devon and Bude in north Cornwall. Thousands of my constituents would face a more than two-hour drive to reach their next nearest trauma unit. During the tourist season, our hospital’s emergency demand increases by a full 20%. Yet shockingly, North Devon hospital has just six beds in its intensive care unit, and only four elective operating theatres—far fewer than the NHS expects for any hospital of that size—and both are now approaching 50 years old. Its endoscopy and women and children’s buildings are already end of life. It has a significant backlog of £80 million of overdue maintenance costs, half of which are categorised as critical or high risk.

North Devon district hospital was included in the new hospital programme in 2019, but if it does not receive the funding now, critical and acute services will be at serious risk of service failure. There is no alternative provision for more than 40 miles. The last Conservative Government promised a major infrastructure upgrade and spades in the ground by February this year. Neither has materialised—what a surprise. Worse still, the last Government changed the terms of reference of the hospital’s submitted business case not once but twice, pushing essential work on crumbling infrastructure beyond 2030.

My local hospital has a track record of delivering projects on time and within budget, such as the new discharge lounge, electronic patient records and the jubilee ward. The path ahead could not be clearer: the business case has been submitted, the land is owned and the rebuild has the backing of the Devon integrated care board. The phase 1 enabling works, covering key worker accommodation, a new road layout and an upgraded helipad, could have been completed as soon as April 2027. Phase 2’s clinical building, replacing operating theatres and the old intensive care unit and providing a replacement women and children’s centre, should have started before the next general election. Everything is ready to go.

The can has been kicked down the road for long enough under the Conservatives. I really do sympathise with this new Government and the position they find themselves in. The only thing harder than having to deliver on their own promises is making someone else’s good.

Access to Primary Healthcare

Ian Roome Excerpts

Wednesday 16th October 2024 Commons Chamber

[Ian Roome (North Devon) (LD)]

I have spent most of my working life in the NHS, but speaking for the first time in the House, I must start with a confession: as some of the northerly Members will recognise from my voice, I was not born in the west country. It is now 35 years since I was posted to what was then RAF Chivenor on the beautiful north Devon coast, while serving in the Royal Air Force. At the time, my flight sergeant at RAF Laarbruch in Germany told me that going to north Devon would probably turn out to be an adventure. I confess to the House that I do not think this place is quite what he, or I, had in mind.

First, I want to thank my family, friends, and all my supporters over the years— especially my two-year-old grandson Clayton, who probably won me one or two votes—as without them I would not be here. My constituency is fortunate to be famous for its stunning landscape and areas of outstanding natural beauty, with beaches, moors, farmland and forests that draw countless visitors every year. Farming and tourism sustain many of our rural communities, with historic market towns such as South Molton, set in rolling countryside, giving way to stunning seaside destinations such as Woolacombe, Instow and Braunton.

Chivenor, where I was so lucky to be posted all those years ago, is now home to the Royal Marines Commando Logistic Regiment, and my area has a proud military history. Now-famous surfing beaches, such as Woolacombe and Saunton sands, were once used as training grounds to prepare allied forces for the Normandy landings. Behind the natural beauty, the challenges that my area faces are stark. Like many rural and coastal constituencies, it suffers from low wages, which are nearly £100 a week less than the national average, and an acute housing shortage that prices younger people out of our communities or prevents them from starting a family in North Devon, as I did.

Even in the 2020s, parts of my constituency still face real deprivation. In some parts of Ilfracombe, for example, the proportion of young people attaining level 4 qualifications is barely above 25%, while life expectancy is 10 years lower than other parts of Devon. Out of uniform, I joined the NHS, starting out as a mental health nurse at North Devon district hospital—the most remote acute hospital in mainland England—visiting patients across unique communities, such as Combe Martin and Lynton, and eventually leading the campaign to build a chemotherapy and day treatment unit. My area suffers from shortfalls in important medical services such as pharmacy, nursing and, in particular, dentistry. Our hospital now has intensive care units and operating theatres that are approaching 50 years old and are desperately in need of investment from the new hospital programme.

However, I have been astonished by the possibilities on offer in my constituency. Numerous coastal seats across the south-west, mine included, stand to benefit massively from investment in floating offshore wind in the Celtic sea. Clean energy, an extended supply chain and high-paying jobs could be a shot in the arm for the economy of the great south-west. I pay tribute to my predecessor Selaine Saxby, who identified how that massive opportunity could, if done right, benefit the region for decades to come.

North Devon district hospital will soon be home to a £1.4 million clinical research centre that will lead groundbreaking studies into heart conditions, joint problems and osteoarthritis. Few people know that Barnstaple, where I live, is also home to Accord Healthcare, a pharmaceutical group that manufactures a staggering 10% of all the medication used in the NHS and is a vital part of this country’s critical supply chain. It has just announced a new, groundbreaking, orally administered medication for prostate cancer. That is hot off the press this week and may benefit as many as 40,000 cancer sufferers, and it is among the first medications of its kind. Another remarkable firm, Systems Engineering and Assessment, or SEA, has just won a £135 million contract to supply cutting-edge defensive countermeasure systems to the Royal Navy. Thanks to its hard work and some innovative engineering on an industrial estate in my constituency, young people will be kept safe as they serve their country in uniform.

My constituency is one of hidden opportunities around every corner. We must seize them. It is an immense privilege for me to be North Devon’s voice in this place, and I intend to do it justice.