Cross-border Healthcare

Julie Minns Excerpts

Tuesday 4th November 2025 Westminster Hall

[Ms Julie Minns (Carlisle) (Lab)]

It is a pleasure to serve under your chairship Mr Dowd. I congratulate the hon. Member for Brecon, Radnor and Cwm Tawe (David Chadwick) on securing this important debate.

As the Member of Parliament for Carlisle and north Cumbria, I represent a region where the realities of geography often challenge the neat lines that we find on maps, and those drawn by policy and practice. For example, earlier this year, during a prolonged power cut that affected the village of Kershopefoot, to the north-east of Carlisle, staff at ScottishPower Energy Networks were somewhat surprised to discover, after I contacted them, that they served customers in England who had a Scottish postcode.

When it comes to health, my constituents quite often face more serious issues. For some, their nearest GP might be in Scotland, but the nearest hospital is in England—in my case, the Cumberland infirmary. This can and does lead to issues.

I acknowledge the Government’s excellent work to improve healthcare access across the UK and in my constituency. In Carlisle and north Cumbria we have seen real progress: waiting lists have been cut and the urgent dental centre that opened last year is beginning to address many of the challenges we experience with NHS dental care. Those meaningful steps forward were made possible by this Government, but progress must be matched by policy that works for everyone, and especially those who live on the edge of systems, maps and borders.

One of my constituents, who lives in the northernmost part of the constituency, found himself facing a deeply troubling situation when he became very ill. He is geographically closer to Scotland and therefore registered with a Scottish GP. However, when he needed hospital care he was told he could not be treated at his local hospital in England—in Carlisle—because he was registered with a Scottish GP. Instead, he was advised to travel to Glasgow, a round trip of over 200 miles, rather than take the 40-mile trip to Carlisle.

This is a man who lives in England, pays his taxes here and has his bins collected by an English local authority, and whose nearest hospital is in England, but he was told to travel to Glasgow for care—not because of clinical need or even capacity, but because of outdated guidance. Thankfully, after the intervention of his GP and other dedicated health professionals, he was able to receive the treatment that he needed locally, but his case should not have required such extraordinary effort. It should never have required the negotiation it took and should not have required escalation. It should have been common sense.

The English guidance does not adequately cover cross-border scenarios, and I am told the Scottish guidance predates the creation of the integrated care boards altogether. I am very grateful to the Minister for Care for giving me his time a few weeks ago to discuss this issue. I know he recognises that this needs to be urgently resolved. I would welcome any update that I can share from the Minister today on whether the guidance is now to be reviewed and improvements are under way. We must ensure that all relevant healthcare providers are equipped with clear, up-to-date information, because we all want the same thing: a system that works for patients, wherever they live.

This is not a question of politics, as we can see from the cross-party presence at this debate—although the absence of the SNP is notable. I am pleased to see my constituency neighbour, the hon. Member for Berwickshire, Roxburgh and Selkirk (John Lamont), in his place. This is a question of practicality, compassion and, as the hon. Gentleman said, common sense. We must ensure that our healthcare system reflects the lived realities of our constituents, and not the lines on a map. I urge the Minister to take this issue forward with urgency. I stand ready to support any efforts to improve cross-border healthcare.