GP Appointment Availability

Debate between Rachael Maskell and Mohammad Yasin

Tuesday 26th October 2021 Westminster Hall

[Rachael Maskell]

My hon. Friend raises the next point in my speech. We are in this mess because for over a decade we have had failed workforce planning across the system. We have seen that most acutely in primary care. The pandemic continues to be mismanaged, which I want to stress. The Government may be looking at the numbers when it comes to intensive care and hospital admissions, but as people are less sick they instead go to see their primary care physician. That puts more pressure on them. We need to see more measurements and data on the pressure that has been put on primary care during the pandemic. In addition, we have long covid as well. In York there are around 3,000 cases. It is not coded, so can the Minister get that sorted urgently? We need to look at the support that people with long covid require.

[Mohammad Yasin (Bedford) (Lab)]

In the Bedfordshire, Luton and Milton Keynes clinical commissioning group area, there is only one GP for every 2,500 people, making it one of the worst hit by GP shortages in the country. The number of GPs employed in the area also has fallen by 12% to 390. Does my hon. Friend agree that we need an urgent independent review of access to general practice, not a “name and shame” league table that will only drive more overwhelmed GPs away from their profession?

[Rachael Maskell]

Absolutely. My hon. Friend speaks for himself. We need a shift from a sickness service to a health service. The Government scrapped the health checks that were vital in picking up ill health. We need to see prevention at the front of the queue, and we need to see investment in public health, which is currently being cut by local authorities. We need to make sure proper preventive measures are put in place.

The fact that the Government are not moving to plan B right now shows that they are escalating the challenges on general practice rather than diminishing them. They are putting the vaccine responsibility on GPs when it can be done elsewhere in the service, as it was by Nimbuscare. We need to look at how not only health professionals but volunteers and the Army, even, are working together to deliver healthcare. We need to think about the broadest team available. Pharmacy also plays a crucial role in making sure that we are protecting the health service.

Looking at prevention, we do not necessarily need to move towards an individual, one-on-one health system for everybody. We can socialise and communitise health, so that people can get health support in active communities. Peer support is vital in managing disease and ensuring that people can support one another through ill health. Occupational health services can make those early interventions in workforces, often where mental health problems show up when there is stress in the workplace. There are real opportunities to expand those services and look at deploying early intervention and education to turn around this system. It will only happen if proper investment is made and proper workforce planning is put in place. The Government have got to get to grips with the figures on staffing and ensure that investment is in place.

Staff are exhausted, tired and downtrodden. The trauma of covid is hitting right now. We need to ensure that staff are properly rewarded through their pension scheme and with a decent pay rise. Get it sorted.