Pharmacies: Government Funding

Lee Pitcher Excerpts

Wednesday 9th September 2026 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to serve under your chairship, Mr Betts. I say a big thank you to the hon. Member for Leicester East (Shivani Raja) for bringing this subject to our attention.

As the DUP’s health spokesperson, I am particularly concerned about the amount of support available to our local pharmacies. As an indication of that, I used the opportunity of the first statement today, on summer health and resilience—the Minister was there, not to answer the question, but to support the Secretary of State—to ask the Secretary of State what discussions she is having with her counterparts in the devolved Administrations, particularly in Northern Ireland, to assure a UK-wide co-ordinated approach to summer resilience.

I also asked what targeted support has been made available for community pharmacy networks, which so often act as the first line of defence when GP surgeries are stretched to capacity as we prepare for the cold and flu season. To be fair to the Secretary of State, she answered my question very well and assured me that discussions are ongoing with the Minister back home in Northern Ireland, and that reassured me. That example underlines the importance of community pharmacies to me, those in my Strangford constituency and every one of us here.

Just last year, the National Pharmacy Association said that it was left with no choice but to recommend that its 6,000 members take collective action for the first time in its history, citing significant new costs and inadequate funding. About 90% of the work carried out by the average community pharmacy is funded by the NHS. This time last year, the National Pharmacy Association issued the stark warning that up to 63% of pharmacies were likely to close in 2026. We are still in 2026, so that threat hangs over all our heads. In response to a survey, 94% of pharmacies stated that the latest funding settlement did not provide stability to their finances. Those figures demonstrate the effect of persistent financial uncertainty on the sector.

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

The hon. Member mentions the closure of pharmacies, but this is also about the ending of some services. It is sometimes the things that are noticed the least that matter the most once they are gone. For example, people with neurological or mental health conditions rely on Nomads to have the right tablets on the right day, and that really important service is sometimes provided by our pharmacists. Does the hon. Member agree that we do not want the wonderful services that pharmacies provide free of charge to be lost because of financial pressures? They matter too much for the lives of our residents.

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[Dame Diana Johnson]

Absolutely, we are. I will set out what we are doing about pharmacy, but I thought it would be useful to reflect on the comments and contributions.

First, I want to address the issue of funding. As I said at the outset, the Government recognise the challenges facing community pharmacies following years of underfunding and the difficult fiscal environment. That is why, last year, we took the necessary decisions to give the sector a record 19% funding uplift across ’24-25 and ’25-26. I stress that, at the time, it was the NHS’s largest uplift. However, we know many pharmacies continue to face financial pressures, which is why we have followed last year’s settlement with a further significant uplift of 10% for ’26-27, worth an additional £340 million for the sector.

That funding will help to ensure that patients can continue to access medicines and important clinical support from community pharmacists. The uplift will also support the national roll-out of NHS pharmacist prescribing. From autumn ’26, those services will enable pharmacists to prescribe within the existing Pharmacy First and contraception service pathways, and for up to five new pathways. This will deliver increased access to NHS care, relieve pressures on other parts of the NHS and strengthen support in communities across England, delivering on the commitment made in our manifesto.

This year’s uplift is almost three times the rate of growth in the overall NHS budget and it demonstrates the priority the Government place on community pharmacy, but I do not pretend that the challenges will disappear overnight. Many pharmacies continue to face financial pressures, but the settlements represent a clear change in direction and provide the foundations for longer-term reform. Numerous Members raised pharmacy closures, and I can tell them that, according to recent data, there were 19 net closures in ’25-26 compared with 112 in ’24-25. There has been some progress, but I recognise that there is a lot more to do.

The long-term sustainability of community pharmacy depends on making better use of pharmacists’ clinical skills, reducing unnecessary administrative burdens and enabling pharmacists to deliver more care closer to people’s homes. We will deliver this through the three shifts set out in our 10-year health plan: sickness to prevention, analogue to digital, and hospital to community.

Let me give a clear example of how community pharmacy can support the shift from sickness to prevention. As a new Minister, I have already been struck by the vital role community pharmacists play in bringing vaccination services closer to the communities they serve. The NHS vaccination strategy and our 10-year health plan set out a clear ambition to increase vaccine uptake through primary care. That means complementing the core offer from general practice with accessible vaccination services in settings including maternity and sexual health services, schools, health visiting teams and, crucially, community pharmacy. During the ’25-26 flu programme, community pharmacists vaccinated approximately 4.7 million people, around 600,000 more than in the previous year. This demonstrates the growing contribution that pharmacists can make to prevention as a central part of the NHS-commissioned vaccine programme.

The shift from analogue to digital is very important. I am well aware that outdated technologies prevent skilled staff across the health and care sector, including pharmacy teams, from working to their full potential, stifling innovation and efficiency. Of course, digital transformation is not just about technology for its own sake; it is about giving pharmacists the tools they need to spend less time on admin and more time on caring for patients, and about giving patients more control over the care and support they receive.

Last year, a new prescription tracking service was introduced on the NHS app across nearly 1,500 community pharmacies in England. It allows patients to receive real-time updates and to check when their prescriptions are ready. This year, we will go further by strengthening the digital links between pharmacies and general practice as we build neighbourhood health teams in every community. Digital technology also has an important role to play in strengthening medicine supply chains, which is another issue raised today.

We also want prescribers to have better information about medicine shortages. At present, GPs cannot routinely see live national shortage information when prescribing. We intend to make that information available in real time to help GPs to prescribe suitable alternatives where necessary, saving time for patients and neighbourhood health teams. That will mean fewer patients going from pharmacy to pharmacy in search of medicines.

Thirdly, if we are serious about shifting care out of hospitals and into communities, community pharmacies must be part of the answer. They are trusted, accessible and highly valuable to the communities they serve. They have enormous potential.

[Lee Pitcher]

Will the Minister give way?

[Dame Diana Johnson]

I am very conscious of time—I might get a dirty look from the Chair.

[Lee Pitcher]

I am glad the Minister did not get a dirty look. On moving from hospital to the community, pharmacists often tell me that people do not always know about the services they provide, and residents tell me that too. Does the Minister agree that every one of us has a part to play in promoting and raising awareness of the great services that pharmacies already provide, as well as those they will provide in the future?

[Dame Diana Johnson]

I absolutely agree.

I was going to say a few words about Pharmacy First, the importance of which has been recognised this afternoon. Recent data shows growing public awareness of the service, with the proportion of people who know that pharmacies can treat Pharmacy First conditions increasing from 71% to 79%. There is more we can do, however, so I acknowledge the point made by right hon. and hon. Members.

Pharmacy First has also demonstrated what pharmacists can achieve when empowered to deliver more care. The introduction of NHS pharmacist prescribing will take that a significant step further. Evidence from the independent prescribing pathfinder programme is really encouraging. Across 200 sites, pharmacists delivered more than 34,000 consultations. Around 60% resulted in a prescribing decision, and 97% were completed without a referral to a GP. That demonstrates the real-world potential of pharmacist prescribing to improve access to care and relieve pressures.

The ’26-27 community pharmacy contractual framework builds on these lessons, as NHS pharmacist prescribing is rolled out nationally from autumn this year. That delivers on our pledges in the 10-year plan. We want to unlock the full potential of community pharmacy. It is not just about pharmacists; we are also enabling pharmacy technicians to take greater responsibility within dispensing processes, including allowing checked and bagged medicines to be handed out when the pharmacist is not present.

World Suicide Prevention Day

Lee Pitcher Excerpts

Tuesday 8th September 2026 Westminster Hall

[Liz Twist]

I am indeed aware of that work and of the difficulties faced by the farming community, and it is important that we address those. This year, as in the last two years, the theme for World Suicide Prevention Day is “Changing the Narrative on Suicide”, accompanied by a direct call to action to start the conversation.

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

I thank my hon. Friend for the amazing work that she continues to do day in, day out on this subject. I filmed a documentary last week called “Walking Men”—it will be out later this year—about how we support local groups to get men talking on a regular basis. Will she join me in saying thank you to all the people out there who do that? Does she agree that the Government need to get behind local groups, who know their area and their people and can make a massive difference?

[Liz Twist]

I am pleased to hear about that work, and I certainly agree that it is vital that we support all those who are making efforts locally to address the issue of suicide.

Changing the narrative means a conscious, collective shift away from the culture of silence, stigma and misunderstanding that has plagued this subject for generations. It requires us to move towards openness, empathy and genuine support, to create an environment where people feel able to speak openly about their distress without fear of judgment. We must reach a point at which talking about suicidal thoughts is met with compassion rather than fear and where seeking help is viewed as a sign of strength.

NHS Breast Screening

Lee Pitcher Excerpts

Monday 29th June 2026 Westminster Hall

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Vickers. I congratulate my hon. Friend the Member for North Ayrshire and Arran (Irene Campbell) on introducing the debate, and I thank everyone who signed the petition. Behind every signature is a person, a family member or a friend, who has faced the frightening possibility that cancer may be found too late. They may even have lost somebody because it was found far too late.

In Bawtry in my constituency, local people have painted the town pink over the last few years during Breast Cancer Awareness Month. They have also taken the time to promote a simple message inspired by the movie “Legally Blonde”: bend and check. It is a powerful reminder that awareness, confidence and early action can save lives. I am really glad that Epworth may also be turning the town pink later this year under Kim Penfold, who is getting shops to join in and turn their fronts pink to raise awareness of early detection and screening.

The petition calls for routine breast screening to begin at 40 and to take place annually. That is a serious and understandable ask, but we must be guided by the evidence as well as the strength of feeling. The current NHS programme invites women to be screened every three years from the age of 50 until their 71st birthday. The independent UK National Screening Committee has advised that, on the evidence currently available, lowering the age or increasing the frequency of screening could bring harm as well as benefits, as we heard from my hon. Friend. Mammograms can be less accurate for younger women with denser breast tissue, increasing the risk of false positives and unnecessary tests and treatment. However, UK Age trial findings from a study of 160,000 women over 20 years show that annual mammograms for women in their 40s significantly reduces breast cancer deaths, saving a life for 1,000 women screened—one life, millions of memories.

We cannot stand still. The question raised by this petition is therefore entirely legitimate. I would be grateful if the Minister confirmed when Parliament can expect the UK National Screening Committee to consider the final AgeX trial findings and how the evidence on additional screening for women with dense breast tissue will inform future decisions.

We must also focus on the women already entitled to screening, as about three in 10 eligible women do not take up their invitation. This Labour Government’s work on digital innovations, mobile units, targeted outreach and more accessible equipment is welcome, but it must reach women in deprived communities, rural areas and communities where uptake is at its lowest.

[Leigh Ingham (Stafford) (Lab)]

I recently visited the new breast care unit at County hospital, where Michelle Ellits and Mr Sekha Marla gave me a fantastic tour. One of the things they spoke about was having separate areas as people walk into the breast care unit for those who are having treatment for breast cancer and those who are there for a mammogram, because it scares women to go to the unit if they are not confident about what they are there for. Does my hon. Friend agree that although more scans, more mammograms and better support are important, something as fundamental as building design is integral in making sure that women take up the offer to get their mammogram?

[Lee Pitcher]

My hon. Friend makes a valid point. The environment that people first walk into makes a massive difference in how they feel about their screening. I went to one of those units with my wife only a couple of weeks ago—she had a lump in her breast—and the warm welcome that she got as we walked in was so amazing; it put her at ease and it put me at ease so I could support her, and it made the whole experience as good as it could possibly be. I am also thankful to say that she is doing very well.

Will the Minister provide an update on what the Government are doing to ensure that the people who can already go for tests go for them? No woman should wait for a screening letter if she notices a lump, a change in shape, skin changes or anything that does not feel right. Whatever their age, they should contact their GP. Early diagnosis gives people more options, more time and often the chance to see children and grandchildren grow up. That is why this petition matters, and that is why, ultimately, we need to act on it.

Youth Mental Health Support

Lee Pitcher Excerpts

Wednesday 3rd June 2026 Westminster Hall

[Anna Dixon]

I have great respect for the Academy of Medical Royal Colleges and my hon. Friend’s work to highlight the harms of social media and its addictive nature. I agree with him, and we must do all we can to protect children from these impacts and to hold tech companies to account when they continue to exploit young people through addictive algorithms and expose them to harm and abuse. I therefore fully support the measures in the Online Safety Act 2023 and the Government’s consultation to go further to protect our children from online harms.

I urge the Minister to call this out as a public health emergency, and to work closely with colleagues in the Department for Science, Innovation and Technology and urge them to act boldly and decisively to put the wellbeing of children and young people above the financial interests of tech companies.

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

My hon. Friend is making a great speech. I would like to raise awareness of paediatric acute-onset neuropsychiatric syndrome and paediatric autoimmune neuropsychiatric disorders associated with streptococcus, conditions caused by an abnormal immune response that results in brain inflammation and leads to obsessive compulsive disorder, anxiety, children feeling pressures that they have never felt before and unbelievable overnight behaviour changes.

There is little awareness about these conditions, but they lead to poor mental health. Some of the children from the PANS PANDAS UK board came to Westminster not too long ago. They talked to us about the conditions, and one of those young lads made a heartfelt plea for us to get behind him, as he had considered taking his life because of PANS/PANDAS, and the conditions are not recognised or diagnosed. Would my hon. Friend join me in encouraging the Minister to think about PANS/PANDAS in any conversations she has around mental health?

[Anna Dixon]

I am sure that the Minister will have heard my hon. Friend’s remarks and will take on board the information and testimony that he has provided.

Our young people deserve to be given the best chance to grow up healthy and happy. Sadly, too many are not given that chance. That requires action across Government to ensure timely access to NHS services, a thriving youth sector in every community and a safer online environment so that kids can spend more time enjoying life in the real world rather than the virtual one. The Tories tore down the social infrastructure that supported young people in dealing with mental health issues. The safety net was cut and our children fell through the gaps. It falls to Labour to repair it and I look forward to hearing the Minister’s response.

Community Pharmacies

Lee Pitcher Excerpts

Tuesday 2nd June 2026 Westminster Hall

[Rachel Gilmour]

As a rural MP myself, I certainly have a grasp of what my hon. Friend addresses, and I shall come to that in a minute.

Analysis conducted by the Independent Pharmacies Association shows that an average pharmacy dispensing around 10,000 items a month will face a shortfall of approximately £56,000, even after the settlement. Without a commitment to continued above-inflation funding increases year on year, patients will face an acceleration of service reductions and closures. Those closures will fall hardest on communities such as mine and that of my hon. Friend, as I will explain.

My constituents have lived with these difficulties. At a cursory glance, there are 16 pharmacies across Tiverton and Minehead, serving a population of approximately 91,200. On average, they dispense 113,000 prescriptions every month because they are busy, essential, community institutions. Yet a survey of 3,000 people in Tiverton, conducted by a local GP surgery, found that 30% of respondents were unable to find a pharmacy. That should simply not be the case in 21st-century Britain. It cuts to the heart of a fundamental truth about rural healthcare and much more that successive Governments have neglected to confront.

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

I recently visited Weldricks pharmacy in Rossington and saw the amazing work done by the team there. My constituency is in quite a rural area and provision is patchy. Does the hon. Member agree that it would be good to map all community pharmacies, understand where there are gaps, and make targeted interventions? That would ensure provision for the number of people living in that area.

[Rachel Gilmour]

I agree that a strategic approach is always best. The distances, the limited public transport and the dispersed nature of rural populations mean that the closure of a single pharmacy can represent a genuine healthcare crisis for thousands of people. I see that directly in my constituency; the loss of a fully fledged pharmacy with all its associated services in Bishops Lydeard in March 2024 was a blow to the community. In its place there is now a dispensary, but solely for patients of the surgery. The same thing happened in Norton Fitzwarren. Transport woes, which so often hold back my constituents, sever a vital link to the health service.

Jhoots, the previous provider of pharmacy services in parts of Tiverton and Minehead, had operated poorly for some time. Constituents lamented the missing medicines, unexpected closures and queues stretching down the street. Under the new stewardship of Allied Pharmacies, things have improved markedly. That is a testament to what good management and proper investment can achieve.

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[Dr Chambers]

Yes, the good ones.

There has been a general consensus that pharmacies are often overlooked as a source of care for those in the community. I have visited many pharmacies in my Winchester constituency: there is Eric, who runs Springvale pharmacy up in Kings Worthy; there is Colden Common pharmacy in Colden Common; and there is the Wellbeing pharmacy on Winchester High Street, which gives me my flu jab every year. The people there actually make having a flu jab a lot of fun; we always have a great laugh. I never thought having a vaccine would be something I would look forward to, but I love going in and seeing them.

We know about the 8 am rush for GP appointments, so the fact that a high street service exists where one can drop in for advice and consultations is absolutely brilliant. Pharmacies allow us to siphon off some of the pressures on GP services, but—as pharmacists have been telling me repeatedly since well before I was elected—pharmacies are currently under immense pressure.

Adding to that pressure is the increase in national insurance contributions, which has saddled pharmacies and GP surgeries with additional costs. As a consequence, many local pharmacies have had to limit opening times and staff numbers. In Alresford in my constituency, the hard-working staff at Wessex Pharmacies have had to close shop on Saturday afternoons. That service will be sorely missed, particularly by those who are in full-time education or work during the week and who relied on being able to pick up their prescriptions at the weekend.

In addition, shorter opening times mean that if a patient sees their GP later in the day, the required prescription is delayed by a day if the paperwork is not registered in time. For a patient with an urgent need for medication, that extra day can be extremely frustrating and worrying.

Although we really do welcome the recent 10% increase in Government funding to community pharmacies, it is worth pointing out that that is giving with one hand and taking with the other. In the wake of rising costs for energy, staff and medicines, this funding increase was the first in 10 years, so it was sorely needed, but unfortunately, it did little to alleviate the extreme pressures heaped on community pharmacies in the Budget.

That point comes into focus when we consider the rise in drug costs: a 20% to 30% rise for things like paracetamol and hay fever medications, and an elevenfold rise in the cost of cancer drugs since February, while the funding provided to community pharmacies has dropped by more than 20% in real terms since 2015. That is why we are calling on the Government to invest in pharmacies in smaller towns, particularly in villages and rural areas such as mine in the Meon valley. In places such as Bishop’s Waltham and Colden Common, people need access to a community pharmacy, and not only for convenience: Conservative-run Hampshire county council has cut vital bus services to the nearest big towns, which means that people without a vehicle, especially older people, absolutely rely on local pharmacies for their medication.

We are also calling for a new, long-term, sustainable model for pharmacies and an expansion of Pharmacy First to give patients more accessible routine services so that we can free up GPs’ time. We want an exemption for pharmacies from the national insurance contributions increase so that funds can be spent on patients and vital medications.

I come to my final, key point. I have spoken to many pharmacists since I was elected and before that, and I have had very long, in-depth conversations with them. I have also attended events in Parliament organised by the Royal College of Pharmacy and the National Pharmacy Association and I have discussed their issues with the NHS pharmacy contract. Given my professional background, I am used to sourcing, dispensing and prescribing drugs. However, the contract is so complicated that, despite my extensive conversations with those organisations, I do not fully understand it. The key message that comes out is that it costs pharmacists to dispense NHS medication in many cases, and that NHS medication is sometimes being subsidised by other sales in shops. I even met two pharmacists who said that their personal finances are subsidising some NHS dispensation. That is clearly not tenable in the long run.

[Lee Pitcher]

Standardisation and consistency in services are really important. A person in my constituency of Doncaster East and the Isle of Axholme is living with poor mental health. His pharmacy has stopped doing nomads, and it is too far for them to travel to the next pharmacy, where those are not paid for. Does the hon. Gentleman agree that consistency in how we support pharmacies is massively important to help people such as my resident?

[Dr Chambers]

I completely agree. All businesses need predictability and stability. It appears that, week to week, pharmacists are trying to work out how to source drugs with changing prices, and there is an NHS contract that is not meeting their needs.

When we talk about community healthcare and provision, it is important to remember that having good, well-run pharmacies means that people are being kept out of GP practices and that they are less likely to turn up at A&E. That is even better value for money for the NHS and, ultimately, for the taxpayer. There is no downside from a Government point of view to investing and heavily supporting community pharmacy, because the savings made upstream will be hugely significant. At the moment, we are treating people with conditions that should be treated in the community with the most expensive part of the NHS, in A&E and hospital, when they could quite possibly have avoided going there in the first place.

Audiology Services: Doncaster

Lee Pitcher Excerpts

Monday 18th May 2026 Commons Chamber

[Sally Jameson]

That goes to show that this is a widespread issue. This is happening not just in Doncaster, but further afield, and thousands upon thousands of people have been impacted. At one stage, the audiology service at Doncaster royal infirmary temporarily shut down. While some of the emergency cases and children’s cases were reallocated to neighbouring services, a lot of people were left with pretty much nothing. They were totally uncertain about when, or even if, they would receive an appointment.

The impact on the hard-of-hearing community in my area has been truly devastating. Waiting lists have grown well into the thousands, and many people have felt isolated and forgotten. During this difficult period, the integrated care board and the Doncaster and Bassetlaw hospital trust have worked to improve the service, but as my hon. Friend the Member for Bassetlaw (Jo White) has pointed out, that took a lot of time. Alongside campaigners Maggie and Paul, who formed the Doncaster Audiology Action Group, and my hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher), we held regular meetings with the NHS to press for action. With the support of the fantastic Healthwatch team, an audiology action event was held last month, giving residents the opportunity to access information about the service and receive basic hearing aid repairs, as well as to speak directly to stakeholders and support services.

There is still a long way to go; the waiting list is still too long. Constituents contact me, and there are times when I can contact the hospital and we manage to speed up treatment, but not in all cases. Eighteen months on, improvements are beginning to show. I take this opportunity to pay tribute to the dedicated audiology team at Doncaster royal infirmary, who have worked tirelessly to try to turn the service around. However, this experience has shown me just how important audiology services are, yet how often they are overlooked.

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

I agree with my hon. Friend that the audiology action day was phenomenal, and that those in the audiology services at Doncaster royal infirmary are doing everything they can to improve the service that they offer my constituents, who are their patients. I have been exploring other opportunities; for example, I have been working with Specsavers in Thorne, to see whether there are services available on the high street that we can maximise and use. Does my hon. Friend agree that we need to work with the integrated care board, and either use high-street shops that can provide patients with services much closer to home, or introduce pop-up services, maybe in isolated rural areas, like mine in the Isle of Axholme?

[Sally Jameson]

I completely agree with my hon. Friend. As he knows, some appointments were outsourced during this period, but if we are honest, it was not enough. The waiting list is still far too long, and too many people have been waiting four or five years, so part of our collective ask as MPs for these areas is that the Minister continues to press the ICB to look at what resource is available for outsourcing more to the high street—at least in the short term—so that we can clear the backlog and get the waiting list back under control in a more effective way.

Without proper audiology care, lives can be fundamentally changed. People become isolated from their families, their communities, and society as a whole. I have had people get in touch with me who have stopped going to family events because they cannot hear the conversation properly—they end up sitting in a room, not enjoying themselves and unable to participate in conversations. That is incredibly isolating, and in a world where we talk a lot more about loneliness, particularly following the covid pandemic, that needs extra scrutiny. Just by clearing the waiting list and getting people appointments, we can really change lives. Hearing loss also affects confidence and wellbeing. I have heard from constituents who have been worried about keeping their job because they cannot hear properly on the telephone. This impacts all age groups, and those at all stages of life. This experience has shown me personally just how important audiology is.

--- Later in debate ---

[Sally Jameson]

My hon. Friend is completely right. In a world in which we focus a lot on how we can treat and slow the progress of dementia and Alzheimer’s, this is something we really need to look at. That is key, and it is worrying and disappointing to us all that our constituents will be more susceptible to this issue because they do not have the service that might be available in other areas.

[Lee Pitcher]

My hon. Friend the Member for Bassetlaw (Jo White) mentioned dementia. This is Dementia Action Week. The ability to hear is so important, not just for the obvious reasons, but in the broader context of dementia. This is about dignity and being able to enjoy precious moments. The Alzheimer’s Society has a regular “singing for the brain” event at Cantley community centre, and it is a beautiful way to bring people together. The ability to hear, converse and grasp that music is so important. Does my hon. Friend the Member for Doncaster Central (Sally Jameson) agree, in Dementia Action Week, that we must continue to fight for audiology services for that reason? What a wonderful way to show that we care—doing something in this place to help all those people who will live with dementia in the coming years.

[Sally Jameson]

I completely agree with my hon. Friend. I reassure him that I will not attend the Alzheimer’s Society’s “singing for the brain” event in Cantley, as that would be devastating for everyone who had to hear it. It is important that we start to raise awareness of the knock-on effects that poor audiology services can have on wider society, and on people’s health generally.

I ask the Minister to consider the following important points. First, will she ensure that the NHS 10-year plan includes greater investment in training audiologists across the country, so that areas like Doncaster never again face such severe staff shortages? But this is not just about investment; it is also about raising awareness. Many young people would not even consider audiology as a career, and would not even be aware that it exists. Part of this is making sure that the workforce plan reaches out to young people, and informs them about the different jobs available in the NHS, as opposed to just the traditional ones that everyone thinks about. We need to do more of that locally, and I know my hon. Friends here will that that point into schools and colleges. We have a new university technical college, specialising in medical science, opening in Doncaster in the not-too-distant future. I will definitely be banging the drum on this, along with my hon. Friends, to make sure that audiology is included, so that people understand from an early age that it is a good career, available to them.

Secondly, will the Minister carefully consider the recommendations of the Kingdon review, including the recommendation on the introduction of a single professional register for audiologists, improved governance for audiology services and reform of how children’s audiology services are delivered? It is so important that we get audiology right at the earliest possible stage, because when these problems are missed, it can be truly damaging later in life. It is so important that we capture young people who require support, and also that lessons are learned from audiology failures, so that we do not find this happening again. Whether in Doncaster or in other parts of the country, it is important to look at that. Potentially under-resourced or at-risk NHS diagnostic and children’s services should also be highlighted, so that immediate action is taken to make sure that services do not fall below standard.

If the situation in Doncaster and Bassetlaw shows us anything, it is that audiology can no longer be treated as a Cinderella service in our NHS. If we are really going to move to prevention as opposed to cure, it is really important that this becomes a recognised priority, so that deaf and hard-of-hearing people receive not only the support they need, but the quality of life that they deserve. I hope that this debate is just the start of an important conversation that needs to take place here in Westminster and across the country.

National Suicide Prevention Standard

Lee Pitcher Excerpts

Tuesday 14th April 2026 Westminster Hall

[Liz Twist]

I thank my hon. Friend for that question. Certainly I agree that we must do all that we can. I hope that, in this debate today, we will be able to take steps forward to implement the standard.

I want briefly to touch on the work that the British Standards Institution does. It plays a vital role in workplace standards of all kinds in this country. The BSI is 125 years old this year. I am sure the Minister will join me in congratulating the BSI on that achievement, and the enormous contribution it has made to businesses and the everyday life of people throughout the United Kingdom since 1901.

British standards have helped with everything from saving lives with medical devices to air raid shelters during the war, crash helmets and now addressing suicide. I thank colleagues from the BSI for being here in the Public Gallery today to raise awareness of their organisation’s hard work, particularly on the new standard BS 30480: “Suicide and the Workplace”. I know that the BSI has a positive impact on society through its work. As chair of the APPG on suicide and self-harm prevention, I am pleased to have supported work on that standard. I am also delighted that the House has endorsed the standard and is seeking to adopt it following internal consultation.

The publication of the world’s first standard on suicide and the workplace represents a significant milestone in supporting mental health and wellbeing at work across the UK and beyond. The BSI, acting as convenor, brought together many leading individuals and organisations to develop it. The standard itself calls for assigning a named senior leader to take responsibility for the organisation’s suicide prevention strategy and provide targeted training so that line managers are confident in spotting warning signs.

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

My hon. Friend is a true champion for mental health and has been quite an inspiration to me since I have been in Parliament. The standard is an amazing step forward for mental health in the workplace and is hugely welcome. It will save lives and help people in their everyday lives who experience suicide happening around them. Does my hon. Friend agree that we need to be proactive and open up channels of communication really early to prevent suicide? We should encourage things such as mental first aid training in the workplace, which is really important.

[Liz Twist]

I absolutely agree with my hon. Friend. Indeed, the whole purpose of this debate is to encourage us to be proactive and work with other organisations and employers to ensure that the standard is implemented and lives are saved.

Additionally, the standard encourages businesses to collaborate with workers to help design individual safety plans that outline coping strategies and emergency contacts at times when they need help or support. I was glad to work with the BSI on the standard. It represents the outcome of a huge amount of work involving employers, and mental health and suicide prevention organisations such as Samaritans, trade unions and BSI staff, some of whom are in the Public Gallery today. I was especially pleased that Mr Speaker granted permission to help launch BS 30480 in Speaker’s House last November.

I pay tribute to Professor Ann John, director of the National Centre for Suicide Prevention, who chaired the BSI committee, and within that, Marcus Long, who led the communications group, and Peter Kelly, who led the drafting panel. I also thank the BSI staff I have worked with over the past few months—Jane Packer, Lachean Humphreys and Robert Jervis-Gibbons—for their leadership on the standard. It has been a great pleasure working with all of them, but now we have to make sure that the standard is rolled out by employers. There has been a great deal of enthusiasm from employers to date, with 11,500 downloads of the standard so far.

How can the Government promote the standard? I believe the standard will help many workplaces across the UK, and I am sure the Government will work with me and the BSI to promote it to businesses. For example, Heathrow airport has publicly spoken about its adoption of the standard, and so has the Inclusion Education, in a recent BSI webinar in which I took part. Can we please encourage more to follow their lead? I believe we need the Government’s help to do this.

As we have heard, the standard offers clear guidance for organisations of all sizes and sectors, including public bodies, charities, social enterprises, businesses and commercial enterprises. I hope the Government can actively promote it, especially within high-risk, male-dominated industries, by leveraging their new and existing partnerships, such as the upcoming three-year collaboration with the Premier League, aimed at improving men’s health, literacy and suicide prevention. Furthermore, the Department of Health and Social Care could work with the Health and Safety Executive to ensure that workplace first aid and safety guidance emphasises the importance of managing risks to mental health using the standard. I am pleased the Government mentioned the standard in the men’s health strategy earlier this year, and that was significant. That is a good starting point for ensuring that employers start to implement the standard. The focus of today’s debate is how the Government can help with that task and help BS 30480 contribute to the national suicide prevention strategy.

April is Stress Awareness Month in workplaces, and I hope the Minister will agree to some actions today, maybe on behalf of his colleagues in the Department for Business and Trade. First, will his Department help to promote this important standard with business, public sector bodies and throughout Government? Secondly, will he commit to jointly organising and attending a roundtable with me, the BSI, the Department for Business and Trade, key UK businesses, SMEs and the unions to discuss the roll-out of the standard across UK workplaces. Thirdly, will he say how the Government will ensure that small and medium-sized enterprises can access the trauma-informed training required to implement the standard effectively?

We want to ensure that the standard not only raises awareness, but gives organisations the tools they need to reduce risk, intervene effectively and encourage conversations, breaking down the myths and the stigma that talking about suicide causes people to feel. With help from the Government and colleagues in this place, we can all work together to achieve our ambition of seeing fewer people die by suicide.

Type 1 Diabetes: Infant Testing

Lee Pitcher Excerpts

Monday 9th March 2026 Westminster Hall

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

It is a pleasure to serve under your chairship, Sir Alec. I congratulate the hon. Member for South Northamptonshire (Sarah Bool) on securing time to introduce the ten-minute rule Bill. If she wishes me to be part of her team, I am more than happy to do so.

First, let me express how utterly inspirational it is to see a family who have suffered so much heartache turn that grief into something that should mean no one else ever needs to lose a child in similar circumstances. Knowing about the debate, a parent in my constituency of Doncaster East and the Isle of Axholme shared with me the experience of their child, who became acutely unwell with symptoms that, at first, appeared to be nothing more than a stomach bug. When they arrived at A&E, an astute and brilliant nurse carried out a simple finger-prick test for glucose that showed dangerously high blood glucose levels, and the child was rushed to emergency treatment for DKA.

The family were later told that, without that quick check and the treatment that followed, the outcome could have been far worse. The child spent several days in hospital recovering, and is now beginning to adapt to life with type 1 diabetes. Five months on, I have to say that he is doing exceptionally well. I have met him in the past; he does so much in the community, and he manages his condition like an absolute star.

That account underlines why this issue matters. The early symptoms of type 1 diabetes can look very similar to other common childhood illnesses; vomiting, dehydration and a child becoming increasingly unwell may not immediately point to diabetes, but they could be signs of a serious and fast-moving underlying condition. That is why I ask the Minister to find every way possible to raise awareness of type 1 diabetes through all levels, using all the levers of Government.

I am conscious of time, so I will jump to the fact that we need to ensure that this basic pin-prick test can be used consistently and in a planned way. That reasonable and proportionate step could spare families the trauma of seeing their child become critically unwell before they are diagnosed, or families having to endure the very worst. Around Christmas, I read an article in which Lyla’s dad mentioned that Lyla would definitely have got a sticker—

[Sir Alec Shelbrooke (in the Chair)]

Order.

Ageing and End-of-life Care

Lee Pitcher Excerpts

Thursday 30th October 2025 Commons Chamber

[Jim Shannon]

I thank the right hon. Member for his intervention and for the wisdom that he brings to all the debates he participates in. The Minister is listening, and he is a good Minister, so I know he will come back with the response we hope to have.

How often have we listened to family members who are past themselves with exhaustion and guilt about how they are caring for their loved one and who feel unprepared and yet unwilling to let them go into nursing care? With more support, their lives would be easier and their loved one’s life happier. This knowledge is why I was not surprised to learn that almost £12 billion of public funds was spent on healthcare for people in their last year of life, 81% of which was spent in hospital, with only 11% spent on primary and community care.

Access to a 24/7 palliative care advice and support telephone line has been recommended as a minimum service requirement for nearly two decades, but research shows that very little has happened, which underlines the issue that the right hon. Member for New Forest East (Sir Julian Lewis) raised. Only seven of the 42 integrated care boards in England said they have a dedicated 24/7 single point of access to palliative and end-of-life care advice, guidance and onward referral to other services, when needed—those are all important factors.

Despite the introduction of a new legal duty for ICBs to commission palliative care services in the Health and Care Act 2022, the urgency and importance of ensuring that everyone has the best possible care and support at the end of life has yet to be recognised as a national priority. I hope the Minister will be able to provide assurance on this, because that is what Marie Curie wants, it is what Sue Ryder wants, and it is what every mum, dad and family member wants as well.

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

The day I get to intervene on such an amazing Member is a remarkable day. I live in a very rural area where there are places with real socioeconomic deprivation. I know for a fact that there is huge inequality in those kinds of areas when it comes to palliative care. Does he agree that the Minister and the Government need to look at how to reduce that inequality over the next 10 years?

GP Services: Melton and Syston

Lee Pitcher Excerpts

Thursday 30th October 2025 Commons Chamber

[Dr Ahmed]

As a medical practitioner, I can assure the right hon. Member that he is ageing well, and I am sure he has many more years of service to give.

I will now take on some of the challenges that the right hon. Member said faced GP services in Melton Mowbray and Syston. He is knowledgeable—possibly more knowledgeable than me—about the Carr-Hill formula. I can assure him that my hon. Friend the Minister for Care, whose portfolio this comes under, is very engaged in reforming the Carr-Hill formula. I am sure he would be pleased to give an update on how he is getting on with that. The right hon. Member wishes for a meeting with the Minister of State, and I would be delighted to arrange that for him—I am afraid I cannot confirm the location, but I can certainly arrange the meeting.

When asked about their top priority for the NHS, the public overwhelmingly call for us to fix general practice and access to it. That is at the heart of what people care about in this country, and it is what they need first and foremost from their health service. General practice remains the front door to our NHS, delivering vital care to millions across this country, yet we all know the challenges faced by both patients and GPs—the right hon. Member alluded to many of them in his excellent speech: access to appointments, capacity and workforce pressures, to name but a few. The Government are absolutely committed to tackling these issues, to ensure that everyone receives the care they deserve.

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

On the subject of capacity, one of the biggest concerns that is raised with me when new houses are proposed for a particular area of Doncaster East and the Isle of Axholme is access to appointments in the future. Can the Minister reassure me and my residents that discussions take place between his Department and the Ministry of Housing, Communities and Local Government on forecasting future appointments, to ensure that everyone gets the support that they require?

[Dr Ahmed]

That relates to the point made by the right hon. Member for Melton and Syston about section 106 funding. It would definitely be in the spirit of mission-driven government to work collaboratively across Departments—in this case, the Department of Health and Social Care and the Ministry of Housing, Communities and Local Government—to ensure that, as we build the millions of homes that we wish to in the lifetime of this Parliament, we do not neglect the services required to make those homes happy and fulfilling for the communities who live in them.

Timely access to GP appointments is at the heart of a strong and responsive healthcare system. To deliver more appointments, we must have more GPs. That is why, in October 2024, we took decisive action, investing £160 million in the additional roles reimbursement scheme, or ARRS. This targeted funding has enabled the recruitment of over 2,500 new GPs across England, directly increasing appointment availability and improving care for thousands of patients. Our new £102 million primary care utilisation and modernisation fund will create additional clinical space in over 1,000 GP practices. That will enable them to deliver over 8.3 million more appointments, further expanding appointment capacity and enhancing patient care. In our newly published medium-term planning framework, we have also set an ambitious new target for practices to deliver all urgent appointments on the same day, helping to ensure that patients who need urgent care will be prioritised.

This Government have invested an additional £1.1 billion in general practice—the largest such investment in over a decade. This 8.9% boost to GP contract funding for 2025-26 surpasses the overall NHS budget growth, marking a generational uplift in funding, and it means that we are beginning to reverse a decade of a dwindling share of NHS resources going to general practice.

We are not just investing but reforming contracts, giving GPs streamlined targets, incentivising improved continuity of care for those who would most benefit—usually people with chronic illness—and, crucially, requiring practices to make it possible for patients to go online to request an appointment throughout the duration of core opening hours. That will also free up time for patients who might require an in-person visit or a phone call.

I turn to the GP-patient ratio in Melton and Syston. As a result of our investment, primary care networks in Melton and Syston have recruited an additional 64 GPs through the additional roles reimbursement scheme, bringing patients in the right hon. Member’s constituency the care they need. Today, the median number of doctors in general practice per 10,000 registered patients in Melton and Syston is 6.2 full-time equivalents, which is above the England median of 5.6 full-time equivalents.

I reassure the House that we are listening to patients in the right hon. Member’s constituency and trying our best to respond to their needs. For the first time, more patients are contacting their GP online than by phone. That is why, from 1 October, we extended access to GP online services throughout core hours—8 am to 6.30 pm—making it easier for patients to reach their practice in their preferred way. That is a huge step in delivering our manifesto commitment to ending the 8 am scramble, which has long been a barrier to care up and down the country.

Most importantly, practices already using online systems have gone on to see bigger improvements. If I may talk about London for a moment, one London GP surgery reduced its waits from 14 days to just three, with 95% of patients seen within a week. I turn to digital health, which is transforming access in healthcare in Melton and Syston. Patients can now access their GP through the NHS app. They can use it to book appointments, order prescriptions and even receive rapid online consultations, with AI-supported triage ensuring that urgent cases are prioritised within hours.

The GP patient survey shows that in the right hon. Member’s integrated care board area of Leicester, Leicestershire, and Rutland, the percentage of patients using online GP services has increased from 65% to 73% over the past year. The ICB operates virtual wards as part of its “home first” strategy. It uses secure remote monitoring, which saved 11,000 bed days across Leicestershire in 2024 and enables patients in Melton and Syston to recover safely at home.

The Government have approved a spending review settlement that will bring care closer to the community, shift the NHS from sickness to prevention and from analogue to digital, and ensure that the NHS is more people-centred. We will provide additional funding by 2028-29 to bring back the family doctor by training thousands more GPs, delivering millions of appointments more over the spending review period, and building further on the 2,500 GPs already recruited.

Patient satisfaction needs to be our guiding star. As a result of all our efforts, 8 million more appointments have been delivered this year compared to last, and it is making a difference to patients’ lives. According to the latest health insights survey, 73.1% of patients reported a good overall experience. That is up from 67.4% in July 2024, and reverses years of patient dissatisfaction.

I understand that the development of a new primary care facility in the right hon. Member’s constituency has been a matter of local concern for some time. I am grateful to him for bringing it to the Government’s attention. I have been informed that Leicester, Leicestershire and Rutland ICB is working with Melton borough council to explore options to improve access and extend service capacity for Melton residents. I very much take on his suggestion that it could be a location for a health centre under the Secretary of State’s new programme of neighbourhood health centres; I will certainly pass that on to the Secretary of State.

The ICB is working with Latham House to increase the ways in which the practice can support local residents. Proposals include a new digital suite at the main site, and an approved redevelopment of a property owned by the practice on Sherrard Street to extend clinical services. The ICB and Melton borough council will continue to meet to discuss progress. The ICB will revisit the scheme’s progression in the fourth quarter of 2026-27 to allow more certainty about developer contribution, the impact of new registrations and staffing availability.

Let me talk briefly about industrial action. The Government are firmly committed to supporting general practice, and we want to continue engaging constructively with colleagues in the profession as we shape the future of general practice together. Since coming into office just over a year ago, this Government have made significant strides in supporting general practice, and we are asking our colleagues in general practice not to close the door on patients, but to work with the Government to rebuild the NHS for the benefit of patients in the right hon. Member’s constituency, and indeed the country.

In conclusion, everything that this Government have done since the election has been geared towards saving the NHS and giving it back to the people, primarily through the lens of community and largely through general practice. We are placing power back into the hands of patients—where it rightly belongs—because this is their health service and it must work for them. Ensuring that every patient has access to the care they need is not just a priority; it is a guiding star for this Government. The Government are committed to delivering on that promise. I end by associating myself with the remarks of the right hon. Member about the hard-working staff in GP practices up and down our constituencies, and the quality of care that they provide. I know how hard it is to work in difficult circumstances, and it is this Government’s job to make the working lives of those staff easier, more valuable and more fulfilling. I look forward to working constructively with the right hon. Member, to the benefit of patients and citizens up and down Melton and Syston.

Question put and agreed to.