GP Services: Melton and Syston
Debate between Jim Shannon and Edward Argar(6 days, 3 hours ago)
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Edward Argar (Melton and Syston) (Con)
Thank you for calling me, Madam Deputy Speaker, and through you I thank Mr Speaker for granting this important Adjournment debate. I congratulate the Under-Secretary of State for Health and Social Care, the hon. Member for Glasgow South West (Dr Ahmed), on his well-deserved promotion to ministerial office—it was in very short order, but it is very well deserved. I thank him for being present to respond to this debate tonight, because he has, as I have just indicated, a rather longer journey home to his constituency than I do back to Leicestershire. At the outset of this debate, I should put on the record that I am, of course, registered as a patient at one of the NHS GP practices in my constituency, which I may refer to in the course of this debate.
As every Member of this House will recognise, general practice is in many ways the gateway to the NHS for our constituents. It has the potential to do a huge amount more. Sadly, on some occasions the gateway to NHS services for our constituents is simply to go to A&E, rather than seeking to go to their general practitioner, or indeed rather than using—to the extent that it has the potential to be used—pharmacy as a first port of call, as people can see a pharmacist for some advice in the first instance. For the vast majority of people, though, it is the GP practice that is the route into the NHS and where people go when they are concerned about their health.
I am sure that all Members of the House would recognise the challenges and pressures faced by general practice irrespective of Government in recent years. There are a number of factors behind that. We should not forget the impact of the pandemic, with the changing patterns of attendance that followed it and the increased demand that came immediately after it. We are also seeing the consequences of an ageing population in our country, with people living longer with more chronic conditions.
We also see the increased pressure in many of our communities, irrespective of where they are in the country, that arises from increases in housing development that are not met with increases in the provision of key local infrastructure. This has been especially true in recent years in my constituency, where we have seen huge increased local development without that infrastructure. There is also the prospect of significantly more development.
I am going to talk primarily today about the particular issues in Melton Mowbray and the surrounding villages, as I have indicated to the Minister, as I am keen that he is able to give a pragmatic and helpful response for my constituents. I will also touch on some broader themes and on the provision of general practice in the village of Sileby in my constituency, which also faces pressure and challenges.
Jim Shannon (Strangford) (DUP)
I find in my constituency, and I think the right hon. Gentleman will find the same, that the extra responsibility of filling in forms, such as for personal independence payments, universal credit, employment and support allowance and disability living allowance, falls on the GP. Has he found that providing the evidence for those benefits adds even more to the already large workloads of GPs?
Rare Retinal Disease
Debate between Jim Shannon and Edward Argar(9 months, 1 week ago)
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Edward Argar
In which case, I remain very grateful to the clinicians at the Leicester royal infirmary. The hon. Member will be pleased to know that my wife shares his view about the dangers of gardening, particularly when I am doing it.
As right hon. and hon. Members can see, I am increasingly reliant on my reading glasses and my regular eye tests at Specsavers—other opticians are available. As the hon. Member for Strangford said, that is a reminder of the importance of the issue. A regular eye test not only can detect optical and retinal illnesses earlier, but can potentially spot other more serious conditions that are not directly related to eye health, but of very great significance.
Jim Shannon
I had two constituents in Newtownards who came to me complaining of a really sore head and a terrible colour. I said, “Have you been to the doctor?” “Yes,” they said. “Go and see your optician,” I said. On both occasions, they had tumours—one of them was the size of a golf ball; the other was growing. When they got to the A&E at Ulster hospital, they were retained and had emergency operations. With a simple interview and appointment, an optician can diagnose that early on, which can save someone’s eyesight and their life as well.
Edward Argar
The hon. Gentleman is absolutely right. He and I have known each other since we came to this House, and he has read my mind, because I was about to say that there are examples of life-threatening tumours being detected through a regular eye test and a referral onwards, which has saved people’s lives. As he set out, an estimated 25,000 or so people in the UK are affected by inherited retinal diseases. As the hon. Member for Leicester South said, the most common, which I will mispronounce, is retinitis—
IPP Sentences
Debate between Jim Shannon and Edward Argar(1 year ago)
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Jim Shannon (Strangford) (DUP)
As always, it is a real pleasure to serve under your chairship, Ms Vaz. I thank the hon. Member for Southgate and Wood Green (Bambos Charalambous) for setting the scene so well, and all those who contributed.
We do not have this sentence in Northern Ireland, but I have met some of the groups that have been lobbying here, and they have given me some idea of the process. I want to make a few helpful contributions to this debate and endorse ideas that others have put forward.
There is definitely a need for reform and a review of the IPP sentence system. Others with much more knowledge than me—especially the hon. Member for Southgate and Wood Green—have outlined that well. In Northern Ireland, of course, some prisoners are in shockingly similar positions, so I want to add to this conversation.
It is a pleasure to see the Minister in his place. He and I have been friends for many years. We were brought together not just because we are MPs but because we are Leicester City football club supporters; we were the Leicester City House of Commons football supporters club. There were not many of us—perhaps there are not many more now, but there are a few more Leicestershire MPs, so we have maybe half a dozen supporters now.
It is also a pleasure to see the Minister—
Jim Shannon
The shadow Minister—absolutely. We sometimes forget that time has elapsed. It is nice to see him in his place too.
It is clear that IPP sentences remain an issue. The House of Commons Library prepared an excellent briefing for us, which helped us bring together our thoughts. As of 31 March 2024, there were 1,180 unreleased IPP prisoners and 1,616 recalled IPP prisoners in custody in England and Wales—a total of 2,796. Given the accommodation issues in prisons, it is clear that we must look at this integral part of the system and the process as we try to find solutions and move forward.
As of March 2024, all but 13 unreleased IPP prisoners had passed their tariff date. The pressure caused by those sentences on the system must be addressed, but we cannot ignore the need to ensure public safety. Although the system and the tariffs must be looked at, the safety of the general public is key, so we must ensure that anybody who is released is not a danger to them.
We could get into the whys and wherefores—the reasons our prisons are overrun. That is not what this debate is about, but I have heard them all from the concerned victims of crime when the perpetrators are released early. When I ask questions of the Minister in the Chamber, I always focus on the victims, and I wish to do that today. It is very important that we do not forget them as we try to find a solution for IPP prisoners.
The main issue behind the complaints is not justice, but fear. The victims are frightened, and the necessary changes and reform must have three foundational principles: justice, rehabilitation and the victims. They are on an equal footing, although I always focus on the victims.
I understand why we are having this debate. It is incredibly difficult to factor in unended prison sentences when planning the prison system, but we must ensure justice and listen to victims’ voices when we reform this system. When these people are released automatically, they must not be left in the midst of a community that has no way forward. Resettlement after prison terms have been served is an issue throughout the UK, so there are things to be done and put in place before anyone can be released from prison.
The Government need to make changes, but they must satisfy those three core principles. My plea for prison reform throughout the United Kingdom is that it must meet the principles of justice and rehabilitation. Importantly, we must listen to the voices of victims. It is not an easy task. The Minister has got a big task ahead of him. I am quite sure he will be able to respond to that, but these things have to be done correctly, wisely and sensitively. I suppose that is really what I am asking for. Now is the time to bring about those steps.