GP Recruitment and Retention

Debate between Paul Sweeney and Bridget Phillipson

Wednesday 28th March 2018 Westminster Hall

[Bridget Phillipson]

I am happy to hear that my hon. Friend was successful in his campaign, but we are seeing closures and mergers of practices across the country, and we need a much broader solution. It should not fall only to local campaign groups or local NHS managers to try to put right some of the broader systemic problems in our health service.

[Mr Paul Sweeney (Glasgow North East) (Lab/Co-op)]

My hon. Friend is making a powerful speech about not just patchiness but the consistent pattern we see across the country. It is not simply down to people being too picky about who their GP is. In Scotland we have seen the number of GP practices fall from 1,029 when the Scottish National party came into power in 2007 to just 956. We have seen the number of GPs increase by only 1% in Scotland, but the size of GP practice lists has increased by 7%. The root cause is one of supply and demand; we are not getting enough GPs to come into the sector when more and more are retiring all the time.

[Bridget Phillipson]

I agree with my hon. Friend and I am sure his constituency, in common with mine, has significant problems with industrial illness and long-standing health problems, which means that we do not need just the national average number of GPs, or just enough to get by. To deal with the health need we face in the local population, we need a much better service to ensure that we drive down some of the health inequalities that most seriously affect communities such as mine and, I am sure, his.

More generally, constituents are also worried that changes to the GP workforce at their local practice are producing a less effective service. Many are concerned by rates of retirement, especially among family doctors with whom they have built up a close relationship over many years. They also believe that the overall decline in the number of family-run practices resulting from retirements is damaging the continuity of care they expect from their local practice.

On the securing of timely appointments, constituents who work full time are frustrated by restrictive booking systems and a lack of availability in the evenings and at weekends. Others complain that constraints in the system mean that the 10-minute consultation period is so strictly enforced that multiple appointments are necessary just to outline the problems that they face. Their frustration grows if they cannot see the same doctor on each occasion and have to repeat the same problems time and again.

There is a general sense among my constituents, and indeed in the comments posted on the House of Commons Facebook page ahead of this debate, that the pressures on general practice will only increase as more new homes are built in communities where public services are already under pressure.