Recovering Access to Primary Care

Debate between Margaret Hodge and Steve Barclay

Tuesday 9th May 2023 Commons Chamber

[Steve Barclay]

The short answer is this year, but the Chair of the Health and Social Care Committee is right to focus, as with all recovery plans, on deliverability. I hope he will take comfort from the fact that around half of GP practices already have cloud telephony, which is why we are so confident that it is the right approach. It is one that is already working. We are seeing from patients’ positive feedback that they hugely value online booking and call-back systems, but they also allow primary care to better triage calls to specialists and therefore to use the additional roles we have recruited in an optimum way. That will be rolled out this year, but it is already up and running and we can see that it is working.

[Dame Margaret Hodge (Barking) (Lab)]

I would like to take the Secretary of State out of the bubble of Westminster and the green Benches and into the reality of what is happening on the ground in my constituency. We have the second highest number of A&E attendances for minor injuries—people who should be going to their GP. We are the most under-doctored and second most under-nursed area in north-east London and, last year, just under 9% of patients could see their GP within 14 days of requesting an appointment. So for me, the recovery plan announced today is deeply underwhelming. I hope that the Secretary of State can answer these three questions. When will he, not plan, but deliver the 6,000 extra GPs promised? What work is he doing to move GPs from working part time to putting in more hours at the frontline with their patients? Where is the commitment to deliver face-to-face appointments for those who want them in my constituency? Only when I have answers to those questions will I feel confident that there really is a plan for GP services in Barking and Dagenham.

[Steve Barclay]

I know the right hon. Lady well, having served with her for four years on the Public Accounts Committee, so I hope that she will not mind me being slightly surprised about being told, as someone who lives in the Fens and not in London, that I am in the bubble. On her points, obviously, we have 37,000 more doctors than when the Government came to power. Directly, the changes to pensions lift about 9,000 GPs out of the tax changes. It is also about training more—4,000, compared with 2,600 in 2014—so being on track in terms of the number we are training. It is also about the additional roles that we are funding, the 25,000 and the manifesto commitment of 26,000. Also, the pharmacy announcement is all about freeing up GP capacity for face-to-face appointments for those who want come in. By enabling pharmacy capability for those who want to get oral contraception, have a blood pressure test or access services for the seven common conditions—including urinary tract infections and ear infections, for which prescriptions can then be given—we will free up GP time for face-to-face appointments. If we look at last year’s patients survey, we see that about two fifths of patients hugely valued continuity of care and face-to-face, which means about three fifths preferred to prioritise speed of access, rather than seeing the same GP or seeing someone face to face. So it is about tailoring the offer to what the patient wants, and patients do not always want the same thing. Some want speed and pharmacies can deliver that.

Tax Avoidance and Evasion

Debate between Margaret Hodge and Steve Barclay

Tuesday 25th February 2020 Commons Chamber

[Steve Barclay]

Not only is my right hon. Friend point absolutely right in the point he makes, but he draws attention to the measures taken in 2014—when he was a key figure in Government—through the UK’s G8 presidency, when we drove the adoption of greater tax transparency through the automatic exchange of information. It is part of the UK’s role at the forefront of a number of international bodies, including the G20 and the OECD, to improve tax transparency at an international level. Across the House, Members recognise that many of the measures that are required to reduce the tax gap, which I think is a common goal across the House, need international action, not just action on a domestic level.

[Dame Margaret Hodge (Barking) (Lab)]

This is the first time that I have spoken to the Minister in his current job and I welcome him to it. I see him a bit as a poacher turned gamekeeper, because he was certainly an extremely determined interrogator of many of the big corporations that we think are still not paying the right amount of tax. I hope he still accepts from our interrogations of Google, for example, that although it pays a bit of tax, it is a very small percentage of the profits it makes in this jurisdiction. To help us, we could enact a measure that has been passed by this House, which is country-by-country reporting, which would enable us to see the economic activity of companies within this jurisdiction, the profits they make here and so the tax for which they are liable. Why does he not enact that measure?