Rural Healthcare

Debate between Julie Elliott and Anne Marie Morris

Wednesday 12th October 2022 Westminster Hall

[Julie Elliott (in the Chair)]

I will call Anne Marie Morris to move the motion and then I will call the Minister to respond. There will not be an opportunity for the Member in charge to wind up, as is the convention in a 30-minute debate.

[Anne Marie Morris (Newton Abbot) (Con)]

I beg to move,

That this House has considered rural healthcare provision.

It is an absolute pleasure to serve under your chairmanship, Ms Elliott. I have already provided the Minister with a copy of the report by the all-party parliamentary group on rural health and care, which followed a three-year inquiry that we undertook with the National Centre for Rural Health and Care. It contains a lot of detail about the issues and suggested solutions. It looked far and wide across the world, not just across the United Kingdom, and I certainly hope that the Minister will give it more time than I suspect he already has in preparing for this debate.

The number of people living in rural settings is not small—9.7 million people live in rural England—and they have very different needs, so the current one-size-fits-all approach simply does not work. We have a different demographic. Generally, our constituents are older, they have complex comorbidities, they live in isolation, and many are in severe deprivation, but much of that is often hidden because the data collected is at such a high level that the issues are simply not identified. If levelling up, which is a commitment of the Government, is to mean anything, that has to change.

Covering everything in the report would take me more than the time available, so I will limit myself to the Government’s alphabet. Let me go through A, B, C and D. On ambulances—A—I absolutely applaud the Government’s position that the current situation is unacceptable and that we need shorter response times, particularly for category 1 and category 2 emergencies, but I am sure the Minister is well aware that the data shows that rural and coastal areas have some of the worst response times across the country, often because it is simply not possible to reach particular parts. In Devon, there are some areas where it really does not matter how many ambulances there are and how fast the roads might be—they are not—as there comes a point where it is not possible to get further.

We have not looked at a different approach. We have not looked at how we triage this differently so that we improve, rather than reduce, health outcomes. A one-size-fits-all approach means that those in rural areas are at much greater risk than those in urban areas. There is not a specialist centre of excellence for strokes that people can get to very quickly by being popped into an ambulance.

Money is clearly an issue, but if we properly integrated our use of fire services, police, ambulances and first responders, we would get a better outcome. Let us triage the calls as they come in differently, and then let us use those individuals and organisations better. Currently, the barriers are different pay for different forces and the fact that those organisations—fire services, police and ambulances—have different lines of accountability to different Departments, which means that they do not work together.

We could find a much better and more efficient way of doing this. Fire services are vital, because they are often physically located in some of these very rural areas. There is not a lot of point trying to get an ambulance in every rural village; that would be completely inappropriate and unaffordable, and it would not work. Let us look at how we can deal with those blockages and do this differently.

B is for backlogs. The Government’s aim to reduce the backlogs is commendable, and the plan to get waits down to one year by 2025 is fabulous. However, those of us who have rural constituencies know that the resources right now are simply not available, and rural areas have a real challenge to recruit. They are seen as unattractive. Youngsters want to be near the nightlife and the fun when they are off duty. The idea of coming to a rural area is not attractive. That is well known to the Government, because there have been various planned pilots and initiatives to pay individuals more to attract them to rural areas. It simply does not work.

Business Rates (North-East)

Debate between Julie Elliott and Anne Marie Morris

Tuesday 25th October 2011 Westminster Hall

[Julie Elliott]

I agree. The problems in the north-east are not just in the cities and urban areas. The rural areas of Northumberland and County Durham are as badly affected, but I think that is why the ANEC report has cross-party support. We have Liberals and Tories in government in the north-east, and of course Labour. I think that the reason for the cross-party support is that everyone understands the very difficult economic situation that our region faces.

[Anne Marie Morris (Newton Abbot) (Con)]

I want to put in a word for the south, because the south-west is equally deprived. There is a view that we live in a land of cream teas and lots of strawberries, but where I am in Teignbridge, we have the twelfth-highest share of small business rate relief. Some 40% of properties get that relief, so if the proposal pooled actual receipts rather than calculating by rateable value, we would lose out. I share the hon. Lady’s concern that for rural areas, such as mine, thought should be given to how money can be brought back to communities that need it, but I support the concept of pooling.

[Julie Elliott]

Other parts of the country are in similar situations; the issue for the north-east is that the entire region is struggling.

The system the Government propose favours the growth of retail space and distribution centres, rather than small and medium-sized businesses and, most crucially in the north-east, manufacturing. Practically, that means that a hectare of land used for retail in the north-east will yield £1 million, compared with £200,000 for manufacturing. It feels as if my region is being punished for manufacturing things. We must remember that manufacturing needs to be at the heart of any national strategy for long-term economic growth. The sector contributes £7.5 billion to the north-east economy per year. We export more than we import, which is helping to rebalance the economy in these difficult financial times. Business rates may value retail and commercial sites the most, but they just do not reflect the way our region’s economy is made up, and with so many people out of work, increasing the number of shops is not the answer and would not be sustainable.

I would be interested to hear more from the Minister about the proposals for introducing mechanisms to overcome economic shocks, which are particularly relevant to the north-east, as we have already suffered from them.