Access to Primary Healthcare

Jess Brown-Fuller Excerpts

Wednesday 16th October 2024 Commons Chamber

[Jess Brown-Fuller (Chichester) (LD)]

Today marks the first Liberal Democrat Opposition day in this House for 15 years, and we have dedicated it to the topics that are fundamental to constituents up and down the country: carers, the provision of care, and the NHS. As the Liberal Democrat spokesperson on hospitals and primary care, it is my honour to close today’s debate and to pay tribute to the many excellent contributions from my hon. Friends and hon. Members across the House.

I commend my hon. Friends the Members for North Devon (Ian Roome), for Newton Abbot (Martin Wrigley), and for Harrogate and Knaresborough (Tom Gordon) for their passionate tributes to their constituencies in their maiden speeches. I also pay tribute to the hon. Members for Worthing West (Dr Cooper), for Bury St Edmunds and Stowmarket (Peter Prinsley), and for Hinckley and Bosworth (Dr Evans), who bring such valuable knowledge to the Chamber during debates on healthcare.

Our NHS was once the envy of the world. The care, compassion and accessibility that it offered were unparalleled. Sadly, after years of Conservative mismanagement, our NHS and care sector are in crisis. Every day, thousands of patients face agonisingly long waits, often in terrible pain, while trying to see a GP or get an appointment with a dentist. Lord Darzi’s report highlights the fact that primary care services are heavily underfunded, which is leading to unnecessary hospital admissions. There are clear economic benefits to investing more in primary care. With the first Budget of the new Government due to come to the House soon, I remind the Chancellor that every £1 spent in primary care is estimated to save £10 in urgent and secondary care.

In my constituency of Chichester, people are deeply worried about accessing GPs, a concern echoed throughout the general election campaign and reflected in my surgery appointments with residents. The public’s trust in the NHS has been eroded due to the consequences of poor Conservative management. As my hon. Friend the Member for Esher and Walton (Monica Harding) pointed out, the Conservative Government promised 6,000 more GPs in 2019, but instead GP numbers have fallen by almost 500 and GP practice funding has been cut by £350 million in real terms since 2019.

Healthcare is not a luxury; it is a necessity. As Liberal Democrats, we believe everyone should have a legal right to see a GP within seven days, or within 24 hours if it is urgent, so we would pledge to recruit 8,000 more GPs to deliver on this promise. We also want those over 70 and those with long-term conditions to have access to a named GP, ensuring continuity of care, which helps to prevent unnecessary hospital admissions. As the Chair of the Health and Social Care Committee, my hon. Friend the Member for Oxford West and Abingdon (Layla Moran), mentioned, continuity of care is vital for patient trust and staff morale.

This is not the first time I have mentioned this in the Chamber to the Secretary of State, but the collapse of a not-for-profit GP federation serving Chichester and the south coast last month was a stark reminder of the system’s fragility. Patients’ appointments were cancelled, services were threatened and 130 staff were left unpaid. The collapse was due to the erosion of contract values with primary care networks and NHS Sussex. When GPs are sitting in my surgery telling me they want to work but they cannot, with no reassurance that they will be paid for the work that they have done, something has gone terribly wrong.

Dental care is another critical area within primary care. We have heard today about dental deserts across the country. During this afternoon’s debate, I began trying to list every Member who mentioned their dental desert and I gave up. It was shocking to hear the statistics and the harrowing case studies from across the House. The Liberal Democrats are calling for a dental rescue package that includes investment in more dental appointments, reforming the broken NHS dental contract and using flexible commissioning to meet patient needs. Workforce planning for health and social care must also be written into law, ensuring that we have enough dentists to meet demand.

Lastly, we must reverse the Conservatives’ cuts to public health grants, in order to support preventive dental care, including oral health programmes and promoting healthy eating choices, which will reduce the pressure on our NHS dental services. The Government have an opportunity to turn around a decade of Conservative chaos and mismanagement of our precious NHS and to give primary care the attention and focus it deserves, and we will work constructively with them to ensure that patients in Chichester and across the country get the care that they deserve.