Access to Primary Healthcare

Monica Harding Excerpts

Wednesday 16th October 2024 Commons Chamber

[Monica Harding (Esher and Walton) (LD)]

I am proud to speak today about our NHS, which looks after my constituents in Esher and Walton—young, old and in the middle—every day. But after years of neglect and failure by the previous Government, my constituents too often struggle to access primary healthcare, which we believe should be a right. The NHS was denied necessary reforms and resources, and it has not been prepared for an ageing population with increasing rates of chronic and complex conditions. The extra strain is demonstrated in the ratio of patients per GP and in the daily lives of my constituents, who suffer long waits or are unable to get appointments. I recently received a letter describing how a GP appointment for a constituent’s elderly mother was cancelled at short notice and had not been rescheduled after a month, despite several emails. Problems like this are far from being one-offs.

In my constituency, residents often struggle to get same-day GP appointments, and too many wait more than a week. Our personal citizen contract with the NHS is implicit in being British, but that contract is fraying. Being able to access a GP in a timely manner is an essential expectation that my constituents still have, which is why enshrining the Liberal Democrat guarantee of access to an appointment within seven days as a right in the NHS’s constitution is so important. It reflects the duty of the Government to ensure that one’s local GP is always accessible.

The excessive wait times are intimately connected with the Conservative failure to recruit and retain GPs. In the previous Government’s 2019 manifesto, they committed to recruit more than 6,000 GPs; instead, there are fewer GPs than there were five years ago. Since then, however, the population has continued to rise and age, and conditions have become more complex. The broken Conservative promise—yet another failure—means that in the last eight years, the number of patients per fully qualified GP in the Surrey heartlands has risen to 2,163, even though the UK has one of the lowest ratios of doctors to people, recently ranking 22nd out of 33 OECD countries. Even when people can get an appointment, it is often not with a GP, often unknowingly.

As my hon. Friend the Member for Westmorland and Lonsdale (Tim Farron) pointed out, the policies pursued by the previous Government, including the restrictions on the recruitment of GPs under the additional roles recruitment scheme, have resulted in incidents of GPs in Esher and Walton being offered voluntary redundancy, even as residents struggle to get an appointment. Our most vulnerable patients have a particular need for security and stability, and this belief under- pins the Lib Dem conviction that everyone over the age of 70 or with a long-term physical or mental health condition—

[Madam Deputy Speaker (Judith Cummins)]

Order. I call the Liberal Democrat spokesperson.