Yeovil Hospital: Maternity Unit

Sarah Dyke Excerpts

Tuesday 3rd June 2025 Commons Chamber

[Sarah Dyke (Glastonbury and Somerton) (LD)]

I thank the Minister and my hon. Friend the Member for Yeovil (Adam Dance) for allowing me to speak, and I thank my hon. Friend for securing this important debate. The closure of Yeovil special baby unit and maternity unit has shocked many of my residents across Glastonbury and Somerton, as it did my hon. Friend. After the announcement, I immediately set up a petition to gather evidence of the strength of feeling regarding these vital services. Since then, I have been inundated with responses.

I begin by echoing my hon. Friend’s sentiments in thanking the staff at Yeovil for their incredible work and care. Rob from Limington, a resident in my constituency, told me that his family would not be a family without the work of Yeovil staff. That is a compelling piece of information. Somerset NHS foundation trust made the decision following a clinical assessment that services could not continue operating safely. That is a damning indictment.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady and the hon. Member for Yeovil (Adam Dance) on their campaign. To reinforce the point evidentially on the closure of Yeovil hospital maternity unit, the impact on the community will be great; it happened to me at Ards hospital, where GP services were overrun with the work that had to be done. Midwives complained that the impact on the community was great, and the effect was not just on the maternity unit, but on NHS services overall.

[Sarah Dyke]

The hon. Gentleman is absolutely right that the impact is not just within the county, but causes a huge knock-on effect on wider services.

The decision is a damning indictment of how our health services have been treated, and how they have been run into the ground following the Conservatives’ regular cuts. Residents in Glastonbury and Somerton are devastated, and are concerned that this six-month temporary closure could then become permanent. I have had many examples of residents contacting me, including Ben. He and his wife are from Martock, and are expecting their first child in September. They have planned a home birth with support from the Yeovil midwifery team. They can still access those services, but if complications arise, they will no longer be able to rely on Yeovil hospital services, which are only a 15-minute drive away. They will have to go a lot further, driving at least 45 minutes to access Taunton, Royal United hospital, Dorchester or Salisbury. There are so many unanswered questions, especially on how the closure will affect the capacity of Taunton’s Musgrove Park hospital, or Dorchester or Bath’s maternity units.

We need clarity now. Our residents deserve that. Will the Minister give us and our constituents that clarity, so that those who are looking forward to starting a new family or who are growing their family can know that the journey through their pregnancy will be safe and that they will have a family beyond that?

--- Later in debate ---

[Karin Smyth]

I am not aware of the operational details of how the decision was communicated, but I am happy to come back to that. As I have said, when decisions are made for reasons of safety—which is of primary importance—sometimes staff will not be able to be consulted in the usual way. Of course, some staff will not be working at a given time, or may be on holiday, and organisations have to take particular measures to inform staff. I appreciate that that is very disruptive and personally distressing for staff who have been working in a unit and need to know where to go, but emergency situations sometimes necessitate things not being done as robustly as might be desired.

Local leaders have assured me that this closure is not intended to be permanent—that is very important for hon. Members and their constituents to understand. The trust is committed to reviewing the position in three and six months, and following the three-month review, Somerset ICB will provide an update in September. Finally, once a decision is made, any permanent change would need to be based on clear evidence of better outcomes for patients.

On the wider issue that has been raised this evening, as hon. Members will be aware, the Government’s position is that changes to NHS services should always be locally led and clinically evidenced. Any decision about the next steps for the neonatal and maternity services at Yeovil hospital should be taken by the local NHS, with support from the Care Quality Commission. I understand that work is currently under way to mitigate the impact of the closure and move towards safe operation of services. The NHS England South West regional team is working with the trust and the ICB to mitigate the risk of the closure and ensure that the wider systems work together to provide safe services. The trust is working closely with neighbouring hospitals in Bath, Salisbury, Poole, Dorchester and Exeter to ensure sufficient capacity, which should provide assurance to local people.

Regional team clinical leaders have attended a rapid quality review meeting with ICB and trust clinical leaders, and work continues on mitigating the risks that have been identified. I have been assured that Somerset ICB will monitor progress against improvement plans, formally noting any new or emerging risks and actions required. It will also be monitoring the impact on Musgrove Park maternity unit. I understand that Somerset NHS foundation trust and Somerset ICB have also written to the hon. Member for Yeovil since the closure and that there is due to be a call with local MPs tomorrow. I think that is good progress; as I said to representatives of the trust when I met them, I commend that way of operating with local Members of Parliament. I hope it is helpful in having detailed conversations locally to reassure hon. Members and—more importantly, if I may say so —their constituents at what I appreciate is a really difficult time for women who are either due to give birth, or are thinking about starting a family.

We are committed to tackling staffing challenges that the NHS faces, such as this one. For the maternity workforce, NHS England is undertaking a programme of targeted retention work for midwives. This includes a midwife retention self-assessment tool, a mentoring scheme, strengthened advice and support on pensions, and flexible retirement options.

NHS England has also invested in unit-based retention leaders, who focus on retention and give pastoral support to midwives. This initiative, alongside investment in workforce capacity, has seen a reduction in the number of vacancies and in leaver and turnover rates. Maternity care remains a top priority for providers, as is demonstrated in the planning guidance, in which the NHS was instructed to improve safety in maternity and neonatal services as a priority.

I know that there is concern in Somerset more widely about how this change will affect services in the local area. Let me reassure Members that NHS Somerset is committed to investing in local services for both hospitals there. That includes a commitment to a fully functioning district general hospital in Yeovil. The Yeovil diagnostic centre, which is due to open later this year, will be a modern, three-storey, state-of-the-art centre based at Yeovil district hospital. It will have the capacity to deliver an additional 70,000 diagnostic tests and out-patient appointments each year and to be open seven days a week, providing radiology, endoscopy and cardiology services, audiology tests and out-patient appointments.

I thank the hon. Member for Yeovil again for raising this important issue. I know that he and his colleagues will keep a close eye on progress. I hope that I have responded to his immediate concerns tonight, and I will of course write to him and other Members shortly in response to their letter of 19 May.

[Sarah Dyke]

May I raise the issue of maternity services at Musgrove Park hospital, which will be taking on a number of patients? An upgrade that was due has now been pushed back to the mid-2030s. At present, maternity services are provided in a 1940s dormitory-style building. Does that really show mothers-to-be that their needs are being prioritised?

[Karin Smyth]

I am of course aware of that, because I lead on the new hospital programme. The Government are committed to a clear timetable for the programme, which includes Musgrove Park. In our Budget last autumn, we announced decisions—which the hon. Lady and her colleagues did not support—involving capital plans and ensuring that that programme is now on a financial footing that it was not on previously.

I am confident that the local NHS is aware of the impact of this change and continues to work hard to improve the situation. Any change in NHS services must be made with the utmost sensitivity to local views, while also prioritising safety. I know that Members will continue to monitor this issue, and I will ensure that they receive a response to the letter of 19 May.

Question put and agreed to.

Dementia Care

Sarah Dyke Excerpts

Tuesday 3rd June 2025 Commons Chamber

[Claire Young (Thornbury and Yate) (LD)]

Everyone deserves high-quality care when they need it—that is particularly the case for those with dementia, who often have some of the most complex needs—but the sad reality is that social care services in this country are in crisis. The disease has a huge impact not only on the patients, but on their family and friends as they struggle to care for them.

Richard wrote to me about his experience of being a full-time carer for his wife of 55 years. She has ataxia, compounded by dementia. She is losing her ability to walk or talk, write or use the phone, or follow simple instructions, and Richard has to be with her 24/7 to ensure her safety. The daily routine starts with getting his wife out of bed; transporting her to the bathroom; helping her with the toilet; getting her into the shower and then getting in the shower to shower her; helping her clean her teeth; getting her back to the bedroom to dry her hair and dress her; taking her downstairs via their self-funded stairlift; getting her into a wheelchair to transport her to the dining table for breakfast; and then taking her back to the lounge. She may sleep for a little bit, but sooner or later there will be a call for help to go to the toilet, so it is back into the wheelchair, back on the stairlift and back on the toilet. Richard will clean and dress her, and then she will go back on the stairlift, back into the wheelchair and back into the lounge, where the whole palaver will repeat after five minutes, as she has forgotten that she has already been to the toilet and cannot be convinced otherwise.

That is just one small part of a day, and it sounds relentless. Owing to a recent back injury, Richard has had to employ a carer for two mornings a week to help. He wants to care for his wife as long as he can, but one day he may have to move her to a nursing home, and that worries him. He reckons it will cost approximately £1,800 per week and rising due to the increase in national insurance, and he is now worried that in pandering to populism on immigration, the Government may make it even harder to recruit carers. He says:

“Once again, it is the least fortunate and needy of us who will bear the cost.”

Another constituent wrote:

“When my wife was first diagnosed with Alzheimer’s in 2019, we were given a couple of booklets and told to prepare for the inevitable.”

He went on to explain that for a couple of years, including during the covid lockdown, they saw no one apart from the occasional surgery visit, until a crisis in 2023 led to the community mental health team being involved. For a while, his wife got a fair amount of support, but when the mental health team deemed her stabilised, that support was withdrawn, leading to another crisis in January 2024. He is very worried that the whole cycle will play out again and again.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

My hon. Friend reminds me of a conversation that I had with William, a constituent from High Ham who has been caring for his wife, who has had Alzheimer’s for many years. He has relied on the intensive dementia support team in Yeovil, but the service has recently been reorganised. As a result, it has become quite fragmented across Somerset and there is no central contact or clear structure. There are incomplete records, leaving some carers adrift. Does my hon. Friend agree that streamlining dementia care services is vital to ensure clarity and co-ordination for carers?

--- Later in debate ---

[Dr Danny Chambers (Winchester) (LD)]

I thank my hon. Friend the Member for South Devon (Caroline Voaden) for securing this important debate. Listening to the stories from Members on all sides of the House, it is clear that this is not simply a political debate; it is deeply personal to pretty much everyone here.

My father had dementia. He was a typical Irish farmer; he was very strong-willed, physically tough and fiercely independent, and he was used to working all hours of the day. Watching that man slip away, becoming increasingly confused, anxious and very often unreasonably angry, was one of the most heartbreaking experiences of my life. I know I am not alone in experiencing that, as we have heard very similar stories.

Many Members have said that with dementia we lose the person we love twice—first slowly, piece by piece, and then again at the end. The final loss can feel like a relief, because it is a prolonged bereavement; the grief starts sometimes years before. Dementia is a brutal disease, not just for those who are experiencing it but for those who are caring. For spouses, children and families, it is relentless emotional toil, sleepless nights and endless juggling of tasks.

[Sarah Dyke]

My hon. Friend shares his experience of losing his father. I lost my father in the same way, and he too was a proud farming man. I want to raise an issue from a constituent who contacted me about her father James. He is currently alone in a room in a hospital, and he is scared to mix with other violent dementia patients. He wants to be at home, and the family want him to be at home, but there are barriers in social care in Somerset at the moment. Does my hon. Friend agree that dementia patients should be able to live independently at home, with dignity, and receive the care—

[Madam Deputy Speaker]

Order.

NHS and Care Volunteer Responders Service

Sarah Dyke Excerpts

Monday 19th May 2025 Commons Chamber

[Karin Smyth]

Well, we could—[Interruption.] Sorry, the hon. Member for Farnham and Bordon (Gregory Stafford) is chuntering from a sedentary position. I partly agree with my hon. Friend. Yes, the Conservatives did run down the NHS and we inherited a broken system, but volunteering has always been a really important part of the NHS and the care system, so I pay tribute to those people who come forward. It is both good for the system and the people they help, and for many individuals. We talked earlier about people feeling disconnected, perhaps as receivers of volunteering, but we know how valuable it is for individuals themselves to be giving and volunteering, and we want to see more of that.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

This closure follows today’s no-notice closure of the special care baby unit and maternity unit at Yeovil district hospital, and comes amidst a crisis in our health services. I take the opportunity to thank the hundreds of NHS volunteers in Glastonbury and Somerton, who give millions of volunteer hours to the NHS, but with NHS trusts implementing staffing freezes to keep afloat, there does not seem to be any consideration of the impact that this closure might have. How will the Government ensure that patients do not lose access to vital support and suffer as a result of these changes?

[Karin Smyth]

The hon. Lady makes an important point: it is important to make sure that people do not suffer from changes and that the impact is minimised. As I said, the programme was not delivering effective value for money, and we think the future system will. We encourage more people to come forward, to increase the sustainability of volunteering in local systems.

Mental Health Bill [Lords]

Sarah Dyke Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[Dr Danny Chambers (Winchester) (LD)]

I thank the Secretary of State for introducing this really important Bill, and the Minister for his proactive engagement with us earlier this week. Before I entered Parliament, I was a trustee of the veterinary mental health charity Vetlife, which cares for the mental health of the veterinary profession—I have had to clarify before that it is not a mental health charity for animals with mental health issues. I became a trustee of the charity because my really close friend Sarah, at the age of just 31, when she had her whole life and career ahead of her, took her own life; I took her place as a trustee. Getting the news that I had lost her was one of the most painful experiences of my life. Many hon. Members in the Chamber will have suffered similar experiences with their friends and loved ones.

I speak about Sarah because while we are in this place, we rightly often discuss mental health issues using statistics—we talk about waiting times, workforce shortages and the economic impact—but we must never forget that there are individual lives behind the numbers, and nearly every person in the country is affected in some way. That might be through their own struggles or those of a loved one, or through grief after someone they care about has lost their battle with depression.

To return briefly to statistics, veterinary medicine—the profession I come from—has a suicide rate four times the national average. It is a small profession where everyone knows everyone, and everyone has lost a friend or a colleague to suicide. I share that not just for awareness, but because it reminds us that certain groups are at much higher risk—they are more vulnerable than others—and we should do much more to identify and support them.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

My hon. Friend, as a veterinarian, will know that farmers also suffer with significant mental health issues. My constituents are under immense pressure following the family farm tax and the sudden closure of the sustainable farming incentive. Alongside that, they work extremely long hours, and the unpredictability of farm work means that it is more difficult for them to access mental health support and doctors’ appointments. Does he agree that we should introduce regular mental health MOT checks at key points in people’s lives—when they are most vulnerable to mental ill health—particularly for those in rural areas where there are barriers to accessing support?

[Dr Chambers]

My hon. Friend will not be surprised that I agree with her; she may as well have read the next bit of my speech. She is completely right. Farmers, those working in agriculture, military veterans and their families, mothers in the first year after childbirth, people living in poverty and the LGBTQ+ community are just a few of the groups that we know are at heightened risk.

We already take a proactive approach when it comes to physical health; we have targeted cancer screenings for at-risk demographics. We should take the same approach to mental health. That is why the Liberal Democrats have long called for properly resourced community mental health hubs, which could reach people before they reached crisis point. We are also calling, as my hon. Friend just did, for regular mental health check-ups at key life stages—for example, when someone has just given birth or just been discharged from the Army.

Hospitals

Sarah Dyke Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Freddie van Mierlo (Henley and Thame) (LD)]

Hospitals matter to everyone, but hospitals falling apart help no one—not patients, not staff and not the economy. The Government have called the NHS “broken”. They rightly blamed the Conservatives, and criticised the NHS’s management under their leadership, so why are the Government now making the same mistakes?

Under the revised new hospital programme, the building of the Royal Berkshire hospital will not commence for another decade. There is little prospect of a new Royal Berkshire to serve the communities of Henley, Reading, Newbury, Bracknell and Windsor until the 2040s. Doctors who have worked in the NHS for over 30 years believe that they will never work in modern buildings. The cancer centre alone is 164 years old.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

My hon. Friend talks of members of staff with long service. A former nurse with 40 years’ experience in the NHS recently contacted me. She took her husband, who has complex needs, into hospital, as he had a hand infection, and they were forced to wait for over 12 hours in a tiny cubicle with no ventilation. It pained me to hear that story. She worked so hard for the NHS, which she felt was down on its knees. Does my hon. Friend agree that this is a damning indictment of the state of our hospitals, and that we urgently need to pursue a major 10-year capital investment programme to get them back up to speed?

[Freddie van Mierlo]

My hon. Friend is right to point out the impact of the state of the NHS on the brilliant people who work there. My sister is a nurse in the Royal Preston hospital, and she tells me just how hard it is to walk past people who are being cared for in corridors. Every week at the Royal Berkshire, an operation is cancelled due to power cuts, water supply issues, broken lifts or malfunctioning temperature controls. Those are lost appointments and lost efficiency for the NHS. Floods and sinkholes plague the foundations of the Royal Berkshire hospital, which now requires relocation, and identified suitable sites are set to be put on the market at the end of this year. Further inaction by the Government will mean that those carefully laid plans and that funding will amount to nothing.

There are also hospitals that were never considered for the programme, as my hon. Friend the Member for Oxford West and Abingdon (Layla Moran) pointed out. I recently visited the Warneford hospital in Oxford, which gives in-patient care to patients with severe mental health conditions, including schizophrenia, personality disorders and psychosis. I was shocked by the conditions that patients live in. They are in tight spaces in dark rooms, and the infrastructure is Georgian. There were rooms that reminded me of recent visits to HMP Huntercombe. I said that rather nervously to the member of staff showing me around, worried that I might offend them. They gently held my arm and said, “Freddie, why do you think we showed you these rooms?”

Staff told me that cramped conditions make it difficult to take breaks during the day. One worker showed me their windowless cupboard office—hardly great for their own mental health. Staff also told me how working in Georgian buildings impacts the quality of their work. Sight lines in common rooms are obstructed by pillars; rooms are difficult to heat; and security is difficult to maintain. A new Warneford would cost a fraction of the price of a physical health hospital, and the Government promised to put mental health on the same footing as physical health, so why does the revised new hospital programme not include a single mental health facility?

Both the Warneford and the Royal Berkshire have been devastated by the Government’s lack of foresight. The cuts to hospital spending are a decision made to save money, but that is a false economy. Over the next 10 years, repairs to the Royal Berkshire hospital are projected to cost £400 million—a quarter of the cost of a new hospital. Add to that the many other neglected hospitals, and the loss is unthinkable. Proper investment in modern infrastructure is needed now.

In my constituency we have the Townlands Memorial hospital, which shows how good the NHS can be with modern infrastructure. Anyone who receives care there, whether through the Royal Berkshire NHS foundation trust or the Oxford Health NHS foundation trust, sings its praises. It hosts over 30 specialities and plans to expand further. Let us give our hospitals the chance to excel.

Ambulance Response Times

Sarah Dyke Excerpts

Thursday 6th March 2025 Westminster Hall

[Sarah Dyke (Glastonbury and Somerton) (LD)]

I beg to move,

That this House has considered ambulance service response times.

It is a pleasure to serve with you in the Chair, Ms Jardine. I thank the Backbench Business Committee for scheduling this important debate.

Unacceptable ambulance response times have become endemic in the UK, leaving people in pain and distress and costing lives. An estimated 50,000 people died last year after long A&E waits, according to Office for National Statistics data. One of those was Jim�s wife in Street. She was suffering from aggressive liver and bowel cancer and had to wait seven hours in agony for an ambulance in February last year. When the ambulance arrived, Jim and his wife were told that the crew were not trained to take her downstairs, so they were left to wait for another crew. When they arrived, several hours later, Jim�s wife was too ill to be moved and was told that the journey would kill her. She died shortly after.

Jim told me again today how that experience still makes him angry, yet he recognises the perilous state that the NHS is in, caused largely by the last Conservative Government. Like Jim, many people have lost faith in health services after the NHS was stretched and left grossly underfunded as a result of the last Conservative Government�s neglect.

We know that this is having a devastating impact on patients, but it is also impacting the incredibly hard-working medical staff. The 2023 NHS staff survey showed that 39% of ambulance staff respondents often or always felt burnt out. The number is higher for control room staff, at 44%, and higher still for ambulance technicians and paramedics, at 45%. I am sure that Members across the House will join me in thanking and paying tribute to everyone working in the ambulance service whose hard work, dedication and commitment to patient safety is second to none.

Most people in Somerset will sadly know of someone who has faced a heartbreakingly long wait for an ambulance. The family of an 89-year-old Somerton resident told me how they faced a 10-hour wait, stuck in agony on the floor, as no ambulances could come to help them. Another resident told me about their ordeal of having to prop their mother up on the toilet after she had had a fall. They then had to spend 13 long hours waiting for an ambulance to arrive. I am sure other Members will have similar heartbreaking examples.

It is important to understand the context of these examples, so I will briefly outline the NHS targets: seven minutes for category 1 calls, for which 90% of ambulances should arrive within 15 minutes; 18 minutes for category 2 calls, for which 90% of ambulances should arrive within 40 minutes; while 90% of ambulances for category 3 and 4 calls should arrive within two and three hours respectively.

Those targets remain unmet in the south-west, where we have the worst-performing ambulance service in the country. In January 2025, South Western Ambulance Service failed to meet the targets for category 1 and 2 calls. The average time it took to respond to a category 2 call was 51 minutes and 45 seconds�nearly three times slower than the NHS target. This has serious repercussions for people�s health. In every minute that a stroke is left untreated, nearly 2 million brain cells die, and lifesaving treatments such as clot-busting drugs need to be delivered quickly, often within four and a half hours.

I have heard from many constituents across Glastonbury and Somerton who are deeply concerned by the delays in stroke treatment due to ambulance waiting times. These fears are compounded by the planned closure of Yeovil district hospital�s hyper-acute services. The reconfiguration of services will mean that all patients who have suffered a serious life-threatening stroke will be taken to hyper-acute stroke units in Dorchester or Taunton to receive care.

As much as these new cutting-edge services and facilities are welcome in the south-west, the fact remains that if stroke patients or any patient needing emergency treatment gets to hospital too late, the results will be catastrophic without improvements to the ambulance service, and all the best equipment, drugs and treatment by clinicians will have minimal impact on patient outcomes. I have spoken about the impact of these changes on stroke care in this place before. I do not feel it necessary to go into detail again today, suffice to say that ambulance delays only increase the pressure on stroke services. The Liberal Democrats have demanded that localised data on ambulance delays is published, so rural areas like Somerset that are underperforming can receive focused and appropriate support. I would welcome the Minister�s comments on that.

Lengthy delays are made all the worse when we consider the impact of drawn-out handover times, meaning ambulance crews are unable to head back out on to the road to pick up more patients. The Darzi review laid bare just how dire the situation has become. In 2024, around 800 working days each day were lost due to handover delays. Incredibly, that is the full-time equivalent of nearly 14,000 paramedics over a year. In addition, ambulances across England collectively spent 112 years waiting outside hospitals to hand over patients in 2023-24.

[James Naish (Rushcliffe) (Lab)]

I was in my local hospital, Queen�s medical centre in Nottingham, where they are currently trialling 45-minute handovers, to make sure that paramedics get back on the road as quickly as possible, while also making sure that patients are safely handed over into the target speciality care they need. Does the hon. Member welcome that sort of trial, given the challenges she describes?

[Sarah Dyke]

I thank the hon. Gentleman for his intervention. I will come to that point a little later.

With the stark realities facing people in an emergency and the distressing sight of ambulances backed up at hospitals now commonplace, leaving my constituents in Glastonbury and Somerton in despair, it is time to properly address these failures. The NHS standard contract states that handovers between ambulance and emergency departments should be 100% within 60 minutes, 95% within 30 minutes and 65% within 15 minutes, but these targets are left unmet. Between October 2023 and June 2024, 3.7 million handovers took an average of 35 minutes and one second, resulting in over 900,000 hours lost. It is even worse in the south-west. In January 2025, over half the handovers took over 30 minutes, which is nearly 30% higher than the England average.

We in the south-west face specific issues due to our rurality. Analysis by the Liberal Democrats revealed that waits for life-threatening calls were 45% longer in rural areas than in urban areas. The South Western Ambulance Service has responsibility for the provision of ambulance services across 10,000 square miles, covering an incredible 20% of mainland England. Rural regions have a lower capacity to divert ambulances to other hospitals during periods of significant pressure, largely due to the vast distances between emergency departments.

We may now see ambulance teams in Somerset adopt a �drop and go� policy, which involves leaving patients in certain areas in a hospital without an official handover to A&E staff. The nationally defined target for hospitals included in the NHS standard contract states that after 15 minutes of waiting, the patient in the ambulance becomes the responsibility of the hospital. If no formal handover to A&E happens within 45 minutes, the ambulance crews can just leave the patient within the department and get back on the road.

The South West Ambulance Service is moving towards this approach with hospitals from Swindon and Bristol to Cornwall and Plymouth. Although this policy might alleviate some of the pressure on ambulance crews, it would fail to ease the struggles that underfunded and overstretched A&E departments in Somerset are facing. Somerset has an ageing population: within the next decade, one in three people in Glastonbury and Somerton will be 65 or older. That may make it harder to quickly discharge patients, as some may also require onward social care provision. It is inevitable, therefore, that delayed discharge due to internal processes such as waiting for pharmacy diagnostics and therapy assessments, and a lack of capacity in adult social care, will lead to poorer ambulance service performance. The social care crisis has a devastating effect on the healthcare system.

Last year, Care England said that

�over 45% of hospital discharge delays are linked to social care�.

One in seven hospital beds are taken up by people who are medically fit to be discharged. For patients, delayed discharge can lead to an increased risk of hospital infections and the loss of mobility or cognitive function, and can make it harder for them to regain their independence. The problems in the healthcare system will never be fixed unless we urgently address the social care crisis. Only last week, social care providers felt the need to protest against Government inaction for the first time ever.

The Liberal Democrats have been campaigning to fix social care by introducing free personal care based on the model introduced in Scotland, so that provision is based on need, not ability to pay. We also welcome the cross-party commission to forge a long-term agreement on social care, but we believe it can be completed within a year, not three. We cannot afford to kick this can any further down the road, and I urge the Government to listen to the Liberal Democrats� calls.

We also need to solve the hospital bed shortage in the UK. The lack of available beds negatively impacts hospital flow. As a comparison, the OECD EU nations have about five beds per 1,000 people, whereas the UK has only 2.4. The Royal College of Physicians revealed that four out of five doctors were forced to provide corridor care in the past month due to a lack of hospital beds. According to the Royal College of Emergency Medicine, bed occupancy is at a staggering 93%. The Liberal Democrats want to bring that down to a safe 85% by increasing the number of staffed hospital beds.

We are waiting for the Government to publish the urgent and emergency care improvement plan soon, along with the 10-year health plan. It is vital that we urgently wrestle with the problems that the Conservatives left behind to ensure the safety of patients. Over the past seven years, the previous Conservative Government were forced to find an average of �376 million of emergency funding each year to tackle the NHS winter crises. Under the Liberal Democrat proposals, a new winter taskforce would instead manage a ringfenced fund of �1.5 billion over the next four years to build resilience in hospital wards, accident and emergency departments, ambulance services and patient discharging. That would allow integrated care boards and NHS trusts to plan their budgets more effectively to prevent winter crises, instead of just receiving emergency funding from the Government at the last minute.

We urgently need to give our healthcare services the ability to forward plan. They must not be forced to deal with crises on the fly as situations unfold. Somerset�s ambulance services, like all services across the country, desperately need and deserve support. Localised data must be published to help pinpoint specific improvements that can be made in rural areas. The Government have outlined their desire to improve urgent and emergency care�they accept that ambulance waiting times are unacceptable�but now is the time to act to achieve those objectives; otherwise, more people will suffer and sadly some lives will be lost. That must be part of a serious rethink about the way we fund social care; otherwise, we will never move towards a solution that works.

[Christine Jardine (in the Chair)]

I remind Members they should bob if they wish to be called to speak in the debate.

--- Later in debate ---

[Sarah Dyke]

I thank all hon. Members for their contributions to this important debate. The examples that they raised highlight the urgent need to improve ambulance response times. It is just unacceptable that people cannot trust that when they need an ambulance, one will arrive. That is not fair on patients or on the incredible ambulance staff who dedicate themselves to saving lives.

I urge the Government to listen to the Liberal Democrats� calls to publish localised ambulance data, reduce hospital bed occupancy rates to 85% by increasing the number of staffed beds, and introduce a new winter taskforce that would manage a ringfenced fund of �1.5 billion to build resilience in the system. Those changes would lead to improvements that cannot come soon enough.

Question put and agreed to.

Resolved,

That this House has considered ambulance service response times.

Welfare of Doctors

Sarah Dyke Excerpts

Tuesday 21st January 2025 Westminster Hall

[Peter Prinsley]

I agree with exactly what the hon. Gentleman said.

In a recent survey, 29% of hospital doctors said they were unable to take any breaks at all during the working day; for GPs, the figure rose to 40%. That is simply not safe, for either doctors or patients. In a 2023 survey conducted by the Royal College of Surgeons, half of respondents cited poor working conditions as the main challenge in their job. It is no wonder that so many colleagues are retiring too soon. The average age for a radiologist to leave the NHS is now 56, yet we are desperately short of these vital specialists. This is happening across many specialties. Just in 2023, 23,000 English doctors left the profession prematurely.

We cannot afford to lose our most experienced doctors. Too often they are discouraged from continuing in practice by a bureaucratic and costly appraisal and revalidation process, and they simply throw in the towel. Their experience is a vital asset to the NHS, and we must think carefully about how we retain them or return them to the workforce. One solution will be to create simple routes for experienced doctors to practise flexibly.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

The hon. Gentleman is making a powerful speech. Langport surgery, in my constituency, is in the all too common position of struggling to attract and retain staff because of stretched budgets that limit its ability to offer attractive terms and conditions to those working in these challenging roles. Does he agree that the recruitment and retention crisis—particularly facing rural GPs—is negatively impacting doctors’ welfare, and that urgent steps must be taken to address that?

[Peter Prinsley]

I agree completely with the hon. Member, which will be no surprise.

The training of doctors is under threat. I spoke in the House about how cash-strapped universities are issuing redundancy notices to clinical professors, with no real plan on how to teach the increasing number of medical students or to continue the vital medical research for which our country has such a strong reputation. There was a 31% decline in the number of clinical academics in the country between 2004 and 2022. Something must be done about that.

Our GPs are under pressure as never before. Who is looking out for them? They face massive lists of patients and huge demands. We know that we must support them, for they are the front door of our NHS.

Health and Adult Social Care Reform

Sarah Dyke Excerpts

Monday 6th January 2025 Commons Chamber

[Wes Streeting]

Of the many great possibilities and opportunities facing this country are our strengths in life sciences and medical technology. If we can combine the strength of our scientific and technological base with the ingenuity and care of our NHS staff and our ability to deliver at scale with the model that was designed in 1948, which is well served to take us well into the 21st century, the sky is the limit for what we can achieve. We will have to support staff through that revolution. I appreciate that for many staff working in the NHS today they would be grateful if the machine simply turned on when they turned up for work.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

I am concerned about the lengthy timescale set out in the social care review, with the second phase not due to report until 2028. The care system is broken and it particularly affects rural areas such as Glastonbury and Somerton. For example, a resident in Castle Cary, a 105-year-old D-day veteran, is facing moving care homes due to high care costs. This will have a negative impact on his health, wellbeing and quality of life. What actions will the Secretary of State take in the near term to reform the social care sector and provide older people with the dignity they deserve?

Community Pharmacies: Devon and the South-west

Sarah Dyke Excerpts

Tuesday 17th December 2024 Westminster Hall

[Rachel Gilmour (Tiverton and Minehead) (LD)]

I beg to move,

That this House has considered Government support for community pharmacies in Devon and the South West.

I am delighted to have secured my first Westminster Hall debate. It is an honour to speak under your chairmanship, Mr Betts. At a time such as this, when we repeatedly hear from the Government and our communities that the national health service is under strain, is heading into yet another winter crisis and is struggling with capacity, community pharmacies need the greatest consideration for further Government support. I will start by focusing on the role of pharmacies in our society, and then I will outline the challenges and end on what we might be able to do with the right support and engagement.

I wish to thank all pharmacists and their staff in Tiverton and Minehead for the invaluable work they do day in, day out. In particular, I commend Neil and Anna, who have run Bampton pharmacy in my home village for decades, and have, along with the owners of Wiveliscombe pharmacy and Alcombe pharmacy, provided me with first-hand, real-life insights into the challenges they face.

The 15 pharmacies in my constituency of Tiverton and Minehead provide a vital service to their communities —something they share with every pharmacy across Devon, Somerset, the south-west and, indeed, the whole of the United Kingdom. As I am sure we will hear from other hon. Members, pharmacies are under threat from the economic environment in which they now operate. Core pharmacy funding has decreased in real terms by more than 30% since 2016, and costs have gone in exactly the opposite direction. The number of pharmacies open in England is lower than it has been in any year since 2008-09, even though their workload is 40% higher, in terms of annual prescriptions.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

I thank my hon. Friend for securing this really important debate. As she was laying out, community pharmacies face large funding gaps, but the rate of pharmacy closure is Glastonbury and Somerton is nearly double the national average. Does she agree that the Government should commit to publishing the independent economic analysis commissioned by NHS England in early 2025, when the work is concluded? Does she also agree that we must reform community pharmacy funding and put in place a sustainable, long-term funding model?

[Rachel Gilmour]

I agree with both courses of action, and I thank my hon. Friend very much for that important and interesting contribution.

The increase in workload is not sustainable, but that workload is too important not to receive proper backing from central Government as they make headway on their ambition to create what they have referred to, on occasion, as a neighbourhood health service.

Being a Devonian, I would like to go through things logically. First, I will talk about prescriptions. In Tiverton and Minehead, each pharmacy dispenses an average of 7,540 prescriptions every month. Across all 15 pharmacies, that is an average of 113,175 prescriptions each month across the constituency. That is 20,000 more prescriptions each month than the House of Commons Library says there are people in the entire constituency. Prescriptions that provide life-altering medications for constituents are the front door to the work of pharmacies. They are what most people think pharmacies do most often, but our pharmacies do a lot more work in our villages, towns and cities.

--- Later in debate ---

[Sarah Dyke]

I thank my hon. Friend for giving way. As he is rightly pointing out, the employer national insurance contributions, alongside the national living wage, are increasing the pressure on our important community pharmacies. Does he agree that the Government must urgently exempt pharmacies, GPs and dentists from the tax hikes to avoid considerable damage to the sector?

[Edward Morello]

I thank my hon. Friend for the intervention. She will be pleased to know that there is, in fact, a Liberal Democrat amendment right now to do exactly that, which I am sure we will all be voting for, and which we would ask the Government to take the opportunity to support. Community pharmacies already face slim margins under the current community pharmacy contractual framework funding model, and while initiatives such as Pharmacy First have brought new funding streams into the sector, they are not sufficient to offset the rising costs of operation, including wages, rents and utility bills.

Community pharmacies are lifelines for rural constituents like those in West Dorset. They provide crucial access to healthcare services, especially for those who struggle to reach GPs or hospitals. They are also uniquely vulnerable due to small patient bases and higher operational costs, and the Government should recognise those disparities. That means revisiting the funding framework, addressing workforce shortages and offering targeted financial relief to offset rising costs, including the impact of national insurance contributions.

Community pharmacies are not just businesses; they help to support our strained healthcare systems and are a part of our communities. For the people of West Dorset, and for millions across the country, we cannot afford to let them falter. I urge the Government to prioritise this issue, undertake a comprehensive review of the funding model, work closely with Community Pharmacy England and provide the support necessary to secure the future of our pharmacies and the vital service that they deliver in rural communities.

NHS Dentistry: South-west

Sarah Dyke Excerpts

Tuesday 12th November 2024 Westminster Hall

[Richard Foord (Honiton and Sidmouth) (LD)]

I beg to move,

That this House has considered NHS dentistry in the South West.

It is a pleasure to serve under your chairship, Mr Vickers. I am grateful to the Chairman of Ways and Means to have been granted a debate on NHS dentistry in the south-west of England, which has particular problems.

I know that the new Minister will have encountered enough problems with NHS dentistry as it is, but the south-west is a special case. To illustrate: if we were to go back to 2015, 51% of adults in the south-west could see a dentist. That was also the case across England at the time, with 51% of patients who wished to see an NHS dentist having access to one. By 2024, however, that figure has declined sharply. Now, the current average across England is 40%, and in the south-west it is just 34%.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

I thank my hon. Friend for securing this important debate. In Somerset, the percentage of adults who have seen a dentist has dropped by 20% over the past decade. Does my hon. Friend agree with me that we should guarantee access to an NHS dentist for everyone needing urgent and emergency care?

[Richard Foord]

That is exactly what is needed for urgent and emergency care. My hon. Friend draws attention to Somerset; the situation is bleak in Devon too. In Devon in 2015, 55% of adults were able to see a dentist, but that has since dropped to just 37% today.

I have had so much correspondence from my constituents on this subject, and the decline, as I see it, is a direct result of 14 years of Conservative neglect of our health services and of NHS dentistry in particular. I find it really troubling that the situation is affecting people in some of the most vulnerable categories, such as older people and children,

Children in Devon are missing out on crucial dental check-ups. Once upon a time, they used to have check-ups twice a year; now, it is not possible for children to be registered for NHS dentistry in many dental practices. It is therefore no surprise that tooth decay is now the leading cause of hospital admissions for five to nine-year-olds in the country. I talked to one primary school and was told that pupils are going to hospital in Bristol to have their teeth removed—often between four and 10 teeth at a time. The number of NHS dentists in Devon has dropped from 549 to 497, so the reality is that NHS dentistry is simply no longer available for all.