Access to Primary Healthcare

Debate between Karin Smyth and Christine Jardine

Wednesday 16th October 2024 Commons Chamber

[Karin Smyth]

I thank the hon. Lady for her assiduous work in opposition. Looking at the capital estate is one of my favourite new responsibilities, and our commitment to a neighbourhood service means that we need to bring services together. We need to look at this across the piece, to make sure that primary care is provided where it is needed. We often hear about hard-to-reach groups, but I do not think they are that hard to reach. Frankly, services are sometimes located in the wrong area. One of our key commitments is to shift services into communities, and the neighbourhood service programme is part of that.

Just three in 10 NHS dentists are accepting new adult patients, and geographical inequalities are vast. More than 1,200 pharmacies have shut their doors for good since 2017. Again, the record speaks for itself: public satisfaction with general practice has fallen from 80% in 2009 to just 35% last year. If there is any reason why the Conservative Benches are empty, it is because dissatisfaction with access to primary care is so stark, as we learned in July’s general election.

It is absolutely clear that primary care is broken, but NHS staff working in primary care did not break it; the last Government did. They cut funding for the community pharmacy contract, they failed to incentivise enough dentists to perform NHS work, and they pursued a disastrous top-down reorganisation of the NHS, with which we are still living.

The last Government might have broken the NHS, but it is not beaten. NHS staff remain as passionate, dedicated and skilful as ever, and this Government will work in lockstep with them, their counterparts in social care and local partners across the country to fix the NHS.

[Christine Jardine (Edinburgh West) (LD)]

Will the Minister give way?

[Karin Smyth]

I am tempted, but I know that many of the hon. Lady’s colleagues want to speak, and I am sure she is on the list.

Fixing the NHS will take years of discipline and hard work, and we are in this for the long haul. However, we must first clean up the mess we inherited, and that work has begun in earnest. We have found the funding to recruit an extra 1,000 GPs this year as our first step towards fixing the NHS’s front door and making the system more flexible.

Worker Protection (Amendment of Equality Act 2010) Bill

Debate between Karin Smyth and Christine Jardine

Committee stage
Wednesday 23rd November 2022 Public Bill Committees

[Karin Smyth (Bristol South) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Paisley. I commend the hon. Member for Bath for bringing this Bill forward. That is a lot of work, and it is difficult, but it is great to be able to work across the Committee to do it.

The statistics about how many women in customer-facing roles in particular face sexual harassment are shocking. I think most of us who have been in that position recognise the gravity of that. It has been a pleasure to serve on the Committee. I recognise the serious nature of this legislation, and I wish the hon. Lady well with the passage of the Bill.

[Christine Jardine (Edinburgh West) (LD)]

I commend my hon. Friend the Member for Bath for bringing forward this Bill, which is particularly important in stressing the employer’s liability. Most of us—most women, certainly—have faced some sort of sexual harassment in the workplace at some point in our careers, and one of the main issues was that it was much easier to solve it quietly or sweep it under the carpet because the employer had no liability to act. This Bill is a great step forward in tackling workplace sexual harassment and changing that culture, which is so insidious. We must recognise it and ensure that action is taken.

Domestic Abuse Bill

Debate between Karin Smyth and Christine Jardine

Consideration of Lords amendments
Monday 26th April 2021 Commons Chamber

[Karin Smyth (Bristol South) (Lab)]

It seems like an age since I spoke on Second Reading, and I commend those involved in the massive amount of work that has been done on both sides of the House and in the Lords. I spoke at that time because, unfortunately, the rates in Bristol South are double the national average and the highest in the city. It is no coincidence that it also contains some of the most deprived areas of the country. That link between poverty and abuse, and particularly the impact on children, must be addressed. Although the Bill is welcome, it does not go far enough in some of those areas.

I shall speak briefly about Lords amendments 42D, 42E and 42F. As we have heard, we all agree on the outcome, but I defer to my right hon. Friend the Member for Normanton, Pontefract and Castleford (Yvette Cooper) and my hon. Friends the Members for Walthamstow (Stella Creasy) and for Birmingham, Yardley (Jess Phillips), who all, while recognising the Minister’s personal commitment and intent, eloquently expressed concerns about how we will hold the Government to account on behalf of the women we all know and represent if legislation is not brought forward on these things.

I know from speaking to women who are expecting a more defined register and legislation that they do not really understand why serial abusers and perpetrators are not more easily registered and tracked. Those are stories that we all know come before us repeatedly. If those amendments are not accepted, I know that the Minister will continue to do this work, but it will be incumbent on her and her Government to prove to those women that these measures are remotely enough.

We all know that we need better action across a range of service providers. Again, that needs much greater support from the Government. Finally—I am conscious of time—I touched last year on the nature of domestic abuse among older women. That is often a much-neglected area, and it would be good to see changes to the Bill that reversed some of the perceptions about the abuse that older women face and made them feel more empowered to come forward, safe in the knowledge that their experiences will be justly dealt with too.

[Christine Jardine (Edinburgh West) (LD) [V]]

I share what I believe was possibly the frustration of many other speakers tonight that we are so close to achieving what we want the Bill to achieve, yet we seem unable to cross that final line. I appreciate the efforts made by the Government and everyone else, and by the Minister in particular, but I still have reservations about the Bill—particularly about the vulnerability of migrant women, and specifically about amendment 40B. The amendment in lieu laid down by the Minister is a start, but it still does not go far enough and it fails to capture the one key thing that all our amendments and speeches have said, and everything we have heard this evening: waiting for a stalker or serial domestic abuser to get a conviction for 12 months before considering them for this is way too late.

We know that most stalking victims do not go to the police. This is about cumulative obsessive behaviour. Well-intentioned though the legislation is, we simply do not feel it is going far enough. Between 15 March and 19 April, another 16 women have been murdered—that is between the Report stage in the Lords and ping-pong last week. The Government’s inaction has to end. We have to address this issue now. We have to ensure that the Domestic Abuse Bill that so many people in this place have worked so hard for over the past four years is achieved by the end of this week.

The same recommendations have been made over the years and the same reviews have been repeated over and over, yet nothing is changing. Rarely are the recommendations put into place and we have seen systemic failures over many years, with widespread misogyny, institutionalised sexism and a gender bias. No amount of guidance or training has changed that across the past two decades. In fact, matters are getting worse. That is why we need this to be in the legislation.

Many Members have mentioned the overwhelmingly depressing statistics about one woman being murdered every three days by a man, and a woman being murdered every four days by an ex or a current partner. It is simply not acceptable. We are all agreed, but we must find a solution. I appreciate the steps that the Government have taken so far to compromise to meet people halfway, but I still think that this will take another step. That is why I, like the Liberal Democrats, will be rejecting the Government’s amendment in lieu this evening.