Cross-border Healthcare

Llinos Medi Excerpts

Tuesday 4th November 2025 Westminster Hall

[Llinos Medi (Ynys Môn) (PC)]

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

In January, the Welsh mental health charity Llais reported to the Welsh Affairs Committee that

“15-20% of people living in Wales use NHS services in England. In the border counties, this percentage is far higher and can be nearer 50%.”

Existing provisions aim to ensure that no patient’s treatment is denied or delayed due to differing rules or funding responsibilities across health systems on either side of the Wales-England border. None the less, the British Medical Association reports significant issues in how these provisions are offered. These systems can be complicated for patients, who are not always clear about who is responsible when their care and treatment cross the border. People living in Wales continue to face a range of challenges if they need care and treatment in England. Llais’s evidence referred to issues around announcements made by the UK media covering England-only stories. It is not clear whether the announcements apply for the people who live in Wales.

[Ann Davies (Caerfyrddin) (PC)]

My constituent Michael Riordan has asked his GP to refer him to a facility available to armed forces veterans located in Shropshire but, due to an issue with cross-border funding, the Welsh NHS will not fund that facility, despite his residence not being an issue when he volunteered for service to his country. This excellent facility is now unavailable to Michael. Does my hon. Friend agree that current issues in cross-border funding must be addressed for the sake of our constituents?

[Llinos Medi]

That is another example of what we have already heard, where cross-border work is not working for a timely patient outcome. I agree with my hon. Friend.

Ensuring that cross-border health is as seamless as possible means developing strong partnership, introducing effective ways of sharing information and learning, communicating well, and making advice and information easily available and accessible. Solving these issues needs co-operation between Governments on both sides of the border.

It is just over a year since Eluned Morgan, the First Minister of Wales, announced a cross-border health plan. The Secretary of State for Wales, the right hon. Member for Cardiff East (Jo Stevens), vowed to deliver “additional surgical procedures”. When asked to provide an update on that programme in the Senedd last month, and on how many more patients in Wales have been treated in England over the past 12 months, the First Minister’s answer was vague and non-committal. It is obvious that the bureaucratic problem in making cross-border referrals, as evidenced by the British Medical Association and by Powys health board, which has asked to reduce the number of patients sent for treatment due to financial constraints, is completely at odds with the promise made by the First Minister and the Secretary of State. It seems increasingly clear that this announcement has not led to the changes that we all, and our constituents, would like to see on our waiting lists. Those remain stubbornly high in Wales, with figures showing 794,500 to 796,000 patient pathways as of mid-2025.

We are all aware of the huge pressures being placed on the NHS in Wales by social care. In April, the Welsh Local Government Association warned that plans to reduce NHS waiting lists in Wales will fall short unless we see targeted investment in social care. This week, my Plaid Cymru colleagues in the Senedd will follow that advice by calling for the establishment of a national care service for Wales. That would be a serious step in the right direction.

The people of Wales deserve better than poorly planned announcements leading nowhere. I encourage the Minister to impress upon her Welsh Government colleagues to throw their support behind our plan to get to grips with the high waiting list blighting our health service. Diolch.

Health and Adult Social Care Reform

Llinos Medi Excerpts

Monday 6th January 2025 Commons Chamber

[Wes Streeting]

Clinical academics have an important role to play in the national health service and in innovation in medicine. My right hon. Friend the Secretary of State for Education is focused on university finances, and I think universities should ensure that they prioritise efficiently and effectively, making best use of the resources available to them. I would gently say that universities have not struggled as much as other parts of the public sector over the past 14 years.

[Llinos Medi (Ynys Môn) (PC)]

During 14 years of austerity, the NHS has been starved of the resources it badly needs. Four months ago, the Secretary of State for Wales made a big announcement about cross-border NHS partnership to tackle waiting lists; however, the First Minister of Wales later poured cold water over the idea, and today’s plan for England does not mention Wales. Was this so-called partnership ever real, or was it just another empty promise?

[Wes Streeting]

By definition, an elective recovery plan for England does not include Wales. However, I can assure the hon. Lady that we have a great working relationship with Jeremy Miles, the Health Minister in the Welsh Government, and with the First Minister herself. Not only are we providing support to the Welsh Government on elective reform to help them to cut waiting lists and waiting times, but we are receiving advice from the Welsh Government on areas where health and social care services are doing better than in England. Together, we will create a rising tide that lifts all ships across the UK.

Access to Primary Healthcare

Llinos Medi Excerpts

Wednesday 16th October 2024 Commons Chamber

[Llinos Medi (Ynys Môn) (PC)]

Diolch, Madam Deputy Speaker.

I am deeply grateful to the committed NHS staff who deliver exceptional care in hugely difficult circumstances. Health is of course devolved to the Welsh Government, but people on both sides of the border will recognise the struggle to see their GP, increasing waiting lists, and the dire state of A&E services.

Waiting lists for hospital treatment in Wales reached a record high this year, and NHS dentistry is non-existent in many parts of Wales. In my constituency, Valley Dental will soon become the fourth practice to withdraw NHS services since late 2022. Between January and December 2023, only 44.8% of people in Wales received treatment through an NHS dentist, and in north Wales that figure was 36.6%. Despite that, the Secretary of State for Wales has hailed Welsh NHS dentistry as a model of success.

Following a long campaign by Plaid Cymru, the north Wales medical school recently opened its doors at Bangor University, despite previous claims by the Welsh Labour Government that there was “no case” for it. I hope the Government will be receptive to our new campaign for a dentistry school at the university, which would secure high-quality jobs for north Wales and provide more dentists for an area beset by shortage.

At the Labour party conference, the Secretary of State for Wales announced that patients from Wales could receive NHS treatment in England, and vice versa, under UK and Welsh Government plans to reduce waiting lists, yet the Welsh Government Cabinet Secretary for Health and Social Care categorically ruled out giving patients the option to travel to England for more treatment. My party obtained freedom of information responses from three NHS bodies, two in England and one in Wales. All three said they had received no correspondence from the UK Government or the Welsh Government regarding the proposal. Perhaps the Secretary of State could explain to the House what the plan means for patients in Wales.

Fourteen years of under-investment and the creeping advance of privatisation have placed a heavy burden on our NHS. Pursuing the same tired route will not deliver the thriving and improved health services that we all want to see for staff and patients.