Access to GP Services and NHS Dentistry

Debate between John Redwood and Wes Streeting

Tuesday 21st June 2022 Commons Chamber

[Wes Streeting]

Even in the context of the pressures that we see right across primary care—I think every GP practice would acknowledge they face challenges—the case my hon. Friend has just described sounds extreme. We cannot allow the decade or more of mismanagement we have seen from this Government to excuse that kind of care, or indeed absence of care, for patients, and that brings me on to the next point I want to make.

We know why patients are forced to wait: Conservative Governments have cut 4,500 GPs over the last decade, they have closed 300 practices since the last election and they have failed to provide any meaningful reform of the system. The public are sick and tired of waiting. Public satisfaction with GP services stands at the lowest level on record as patients become ever more frustrated with not getting an appointment when they need one, or in a manner to suit them.

It says so much about the NHS at the moment that, while we have the lowest level of patient satisfaction since 1997, when we ask the public whom they trust, nurses and doctors are right up at the top of the list. The public understand that the staff who work in the NHS are trying to grapple with the biggest crisis in its history. Of course, the Government will want to pin that simply on the pandemic, but that does not explain why we went into the pandemic with NHS waiting lists already at record levels, with 100,000 staff vacancies in the NHS and with a decade or more of under-investment, leaving us ill-prepared for the pandemic—or, in the words of the Culture Secretary, “found wanting and inadequate”—but also now struggling to get the recovery from the pandemic that we need to build the health and care service we need for the future.

[John Redwood (Wokingham) (Con)]

The shadow Secretary of State says that we need GP reform. What kind of reform does he have in mind? What does he think should be the right balance between in-person, online and telephone consultations?

[Wes Streeting]

I am grateful to the right hon. Gentleman for that intervention. I will conclude my speech by talking about what a Labour Government will do, but let me answer his direct point about the range of options through which people should be able to access their GP. I value patient choice. Thinking back to my experience of accessing NHS services last year—as many people know, I did quite a lot of mystery shopping on the NHS—I had a range of interactions with GPs. Some were face-to-face. Some interactions at my GP surgery were not with my GP but with a nurse, which was entirely appropriate and much appreciated. Some of my engagements with my GP were over the telephone. I also had a video consultation with a dermatologist. I really valued that flexibility and range of approaches.

I think that the future for primary care has to be different courses for different horses. Of course, people should have a right to see their GP when they want to see their GP—I am clear about that—but there is also a range of ways in which we can offer more flexible access to GPs, particularly for working people who do not necessarily want to traipse down to the GP surgery in the middle of the afternoon if it is something that could be dealt with over the phone or on a video call.

European Union (Withdrawal) (No. 5) Bill

Debate between John Redwood and Wes Streeting

Monday 8th April 2019 Commons Chamber

[John Redwood]

My hon. Friend is right. The nature of that solemn and binding treaty will be to lock us in, for 21 or 45 months, to every feature of the European Union without representation, vote or voice, and it might mean that we end up in large sections of it—the customs union and single market alignment—in perpetuity, thanks to the Irish backstop.

It is a massive delay, and I say to my hon. and right hon. Friends on the Front Bench that, if they are offering the public either a guaranteed delay under the withdrawal agreement or a shorter delay that they wish to negotiate, a lot of leave voters would rather have the shorter delay but, of course, all of us leave voters do not want any delay at all. That is why people will be scandalised by what this House is rushing through again this evening.

The shortage of time is completely scandalous. This is a massive issue that has gripped the nation for many months. It dominates the news media, it sucks the life out of this House on every other issue and now, when we come to this big crunch event and when leave had been led to believe that we would be leaving the European Union without an agreement if necessary, they are told at the last minute, for the second time, that all their hopes for their democratic outcome will be dashed again. This Parliament does that with grave danger to its reputation.

I urge all those who wish to get this lightning legislation through again to ask themselves what they are going to say to all their leave voters, and what they are going to say to their remain voters who are also democrats and who join leave voters in saying, “Get on with it. Get it over with. Why do we have to sit through month after month of the same people making the same points that they put to a referendum and lost?”

This Parliament needs to wake up and get real. It needs to move on, it needs to rise to the nation’s requirements and deal with the nation’s other business, and it needs to accept that this was decided by the public. It is our duty to implement it. Leaving without this agreement is going to be just fine. We are prepared for it. Business is ready for it. Business has spent money. Business has done whatever it needed to do and, in many cases, feels very let down that it is not able to use all its contingencies, on which it has spent good money.

I would say this to all Labour MPs, particularly those with a majority of leave voters in their constituency: understand the damage you are doing, understand the damage you are doing to this institution, understand the damage you are doing to our democracy and vote for us to leave the European Union.

[Wes Streeting (Ilford North) (Lab)]

It really is no good Government Members complaining about the lack of time—the lack of time to debate this Bill or the fact that we are days away from crashing out of the European Union with no deal. In fact, we would have done that already, were it not for the interventions of people from all parts of this House and in the other place.

Why are we in this position? There is some serious revisionist history going on tonight. It is because after the referendum, a Parliament in which a majority of Members voted to remain none the less said, “We accept that people have voted to leave the European Union.” When the Prime Minister—after she had been dragged through the courts, incidentally—was eventually forced to ask for permission to trigger article 50 and begin the process of negotiations, as has been said, the vast majority of MPs, myself included, voted to give the Prime Minister that permission. That was Parliament’s sole role in the matter: being asked for permission and giving the Prime Minister permission.