Community Pharmacies

Debate between Naz Shah and Margaret Greenwood

Wednesday 2nd November 2016 Commons Chamber

[Naz Shah (Bradford West) (Lab)]

This debate could not come at a more important time for my constituents, because a potential 25% of the 42 community pharmacies in my constituency face closure due to the funding deal that this short-sighted Government imposed last week.

Pharmacies in Bradford West play a vital role in the total holistic healthcare services on offer to my constituents. My constituency is the fourth most deprived in the country, and we have one of the most diverse communities. Constituents face genuine day-to-day struggles to access the services and advice that they require. The 2014 patient survey report showed that more than a quarter of them could not access a GP appointment when they needed it.

We acknowledge the essential and diverse service that our community pharmacies perform and, in an attempt to maximise their impact, Bradford trialled the minor ailments scheme, which the Minister has referred to, in 2014. I spoke to Mr Ajmal Amin of my local pharmacy, Sahara, only this morning, and he explained that, in addition to the more than 100 people a week who walk through his door, an average 50 a week do so as part of the minor ailments scheme. Even if one in four people end up going to a GP appointment, that means 90,000 extra GP appointments a year in my constituency alone, at a cost of more than £4 million.

Bradford has a higher incidence of cancer, diabetes, stroke and coronary heart disease, and that is because poverty, deprivation and ill health go hand in hand—there is a clear correlation between them.

I will give a recent personal example. Over the past few months, my mother has suffered three transient ischaemic attacks. One of them was a potential stroke and she has already had cancer. Only last week, she was admitted to Luton hospital with an acute kidney infection. On Monday morning, it took 42 attempts for me to get through to my GP practice to make an appointment, but by the time I got through at 23 minutes past 8, all the appointments had gone. That experience is not unique to me; it is happening across the country. If we close community pharmacies, GPs will come under extra pressure. I have not seen a Government plan to give my constituency—which is one of five in Bradford—£4 million for another 90,000 appointments a year.

The reality is that the proposals will disproportionately affect those who need healthcare the most. Yes, we have lots of pharmacies, but the Government’s proposals do not take into account diverse communities with complex health needs.

[Margaret Greenwood (Wirral West) (Lab)]

It is interesting to hear what is happening in my hon. Friend’s constituency. Five of the 23 pharmacies in my constituency of Wirral West are at risk of closure because of the Government cuts. Given the huge pressures that NHS services are under, does my hon. Friend share my concerns that the cuts will further inhibit the options of elderly and infirm people in particular in accessing the services that they need?

[Naz Shah]

I agree with my hon. Friend. My constituents have so many complex health needs. I am a former NHS commissioner, and I commissioned services in accordance with public health priorities in Bradford. Obesity, cancer and diabetes are long-term chronic conditions and they impact on those communities with the most deprivation. It is not just one whammy: we have deprivation, lack of jobs and so on. We need to look holistically at people. Taking away pharmacies from our communities is not the way to provide healthcare services. We cannot and must not look at pharmacies as stand-alone items. They are part of a holistic care package across the board, and they complement the NHS and GPs.

Let me be clear: the fact that I could not get through to my GP surgery until my 42nd attempt is not a reflection on my GP practice, Kensington Street health centre, which is one of the best I have ever experienced. The staff are amazing. They are working to try to fit a square peg into a round hole because of the extent of the cuts that they have already experienced. This is not about GP practices not delivering what they can; it is simply that they do not have the resources. We do not have enough GPs as it is, and taking away pharmacies will not help.

I urge the Government to revisit this proposal, which has not been clearly thought through and does not take into account constituencies such as mine. I urge the Government to abolish it and bring something else to the table, because it is clearly not going to work.