GP Services in Rural Areas

Lord Clark of Windermere Excerpts

Tuesday 2nd July 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

I know that my noble friend, who comes from a family of GPs, has personal experience of this. She raises an important point. We are encouraged that, in the last year, 300 more doctors, 300 more nurses and 700 more staff with direct patient care responsibilities working in general practice have been recruited. HEE has recruited record numbers of doctors into GP training, but we recognise the challenge of recruiting in hard-to-reach areas. That is why we have put in place the targeted enhanced recruitment scheme and we are identifying ways to improve this, such as the under-doctored digital-first practice. We recognise that we need to do more, however, and I would be very happy to meet my noble friend to discuss ways in which we can do that.

[Lord Clark of Windermere (Lab)]

My Lords, the noble Baroness is aware that Cumbria is one of the blackspots for recruitment of GPs, with, in many cases, surgeries completely dependent on the odd locum and the good will of the general nursing practitioners. Bearing in mind that there are 19 million visitors a year to the Lake District and the national park, as well as the resident population, this is not a satisfactory situation. Is she prepared to look into the particular problems of GPs in Cumbria?

[Baroness Blackwood of North Oxford]

I am definitely happy to look into the situation in Cumbria, but this is one reason we have increased the funding specifically to primary and community care above the rate of the general increase to the NHS. It is also why we are bringing in incentives for GPs to work together at scale through the primary care networks and why there will be seven new service specifications for this. They will include enhanced healthcare in care homes, personalised care and supporting early care diagnosis, but also local action to tackle inequalities. This will be one of the specific areas for ICSs, which will lead the way we improve social care, as my noble friend Lord Young pointed out in his earlier answer.