GP Services
Debate between Mark Prisk and Derek Twigg(9 years, 9 months ago)
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Derek Twigg
My hon. Friend makes a powerful point and he is absolutely spot-on. That links with the comments made by other Members about GPs deciding to retire early because of the pressures and because they feel their profession is being let down and is not what it was when they began their career. Getting younger people into the profession is becoming more difficult. I will come to that.
The British Medical Association is concerned that there are inadequate numbers of GPs to meet the demand of a rising population, and in recent years annual increases in the number of GPs have been lower than the rate of population growth. That is a key part of this argument. The number of GPs we need is just not keeping up with the demands of the population.
Mr Mark Prisk (Hertford and Stortford) (Con)
I congratulate the hon. Gentleman on securing this important debate. My own GPs, who do a fantastic job in Hertford, Ware and Bishops Stortford, say to me that while the pressures of the job are a critical reason why some are retiring early, one of the other problems is the change in the way people are trained, which is driving people away from general practice into other specialties. Does the hon. Gentleman agree with that analysis, and what do we need to do to change it?
Derek Twigg
As I will come to later in my speech, there are a number of things that the Government coming into office after the May election will have to deal with to address the sustainability of GP services. They will have to consider whether the training is correct and whether there are enough incentives for young people to go into general practice, or, indeed, other parts of the NHS. That will be an important part of any sustainable plan to make sure we have enough doctors throughout the health service, and in particular GPs. That is a point that needs addressing.
The British Medical Association is also concerned that not enough foundation doctors are choosing to pursue a career in general practice. Application rates for training programmes continue to fall year on year. According to figures from the National Recruitment Office for GP Training, the number of applications for 2014 was 5,477, which was a reduction from 6,034 in 2013. I am told that this is leaving GP vacancies unfilled in parts of the UK: in the east midlands and Merseyside just 62% and 72% respectively of vacancies are filled. To come back to the point Members have been making, 9% of the general practice work force are aged over 60 and 38% are aged 50 or over. Just 27% of the general practice work force are under 40 years of age.
One of the reasons for speaking today is to deal with the access problems. I am sure most, if not all, MPs will have had complaints about that raised with them by constituents and by GPs.
Last year, Healthwatch Halton carried out a GP access and out-of-hours provision survey, and it is important to share some of the key results with the House: 56% of people rated booking an appointment with their GP as “very difficult” or “not easy”; 33% of people rated the length of time it took to get through to their GP practice as “poor” or “very poor”; and 62% of people would like their practice to be open longer, particularly at weekends and in the evenings. That is a particularly important point when considering whether GPs are accessible and we should move to weekend working, which we have had and are debating. However, doing that requires resources. Importantly, a sizeable proportion—32%—were unhappy with the way in which their complaints were handled. That is roughly in line with national findings. On the very big plus side, the general satisfaction level of people with their GP was more than 90%, which is important.
The figures provided to me for Halton by the Royal College of General Practitioners—my constituency covers most but not all of Halton; some is covered by the hon. Member for Weaver Vale (Graham Evans)—show that we have 66 full-time equivalent GPs and that we need to increase that by 24, or 37%, by 2020. In one of the most deprived boroughs in the country we already have a shortage of GPs. My area deals with some of the most difficult health problems—high cancer rates, and high levels of chest disease and of heart disease—so being able to access a GP, and quickly, is very important. Any shortage has an impact on all that.
Oral Answers to Questions
Debate between Mark Prisk and Derek Twigg(14 years, 4 months ago)
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Mr Prisk
That is an excellent question; let me give an example. The Chancellor’s decision to simplify and reduce corporate tax rates will directly help to attract more investment. Indeed, by 2014, this country will have the lowest corporation tax rates of any major western country. That is good for investment and good for jobs.
Derek Twigg (Halton) (Lab)
Is the Minister aware of the huge Mersey Gateway project in my constituency to build a second bridge across the Mersey? Independent examination shows that it would probably create 4,000 to 5,000 new jobs as well as hundreds of construction jobs. Will he remind the Transport Secretary of the importance to inward investment and jobs of that project, which is currently postponed, pending review?