(5 days, 20 hours ago)
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Dr Simon Opher (Stroud) (Lab)
The new community right-to-buy model has been transformative, and community ownership is at the heart of what we do in Stroud.
What I have noticed, and other Members have already pointed out, is that each organisation has to go through the same learning process to get funding. And the other thing I have noticed is that a lot of local people are willing to put funds into community ownership, but they need some sort of guarantee that those funds are safe. There is a role for some regional support in that regard.
Just in the last week, the Stratford Park lido in Stroud has been threatened with closure. I know that local people hope that local government will be able to step in and offer support. If that does not happen, though, community ownership will provide a guarantee for this much-loved community service.
As many hon. Members have pointed out, there are many pubs—including in the Stroud area—that are now moving towards community ownership, simply because capitalism does not work very well in rural areas, but assets such as pubs are deeply valued. I will mention the Rose and Crown in Nympsfield, which was recently bought by the community. I have a personal interest in that pub, because it is about 2 miles’ lovely walk from my house and I am really glad that it has remained open. Community energy is also crucial. We have a scheme now whereby solar panels can be put on schools; we are trying to get community energy in every school in our area.
However, I have campaigned for the environmental right to buy to be part of the community ownership model. I know that the Government have committed to issuing some statutory guidance, so I would like to hear some more from the Minister about that guidance. Strengthening our small towns and villages means giving actual powers to communities so that they can purchase crucial parts of our society.
Excellent. Thank you, everyone, for being so disciplined with your speeches.
(1 year, 4 months ago)
Commons Chamber
Dr Simon Opher (Stroud) (Lab)
I thank the hon. Member for Great Yarmouth (Rupert Lowe) for his speech, but he should know better, because one of his relatives used to be a doctor in my village in the Cotwolds.
I, and the rest of the country, have waited for this Budget for 14 years. I have worked as a GP throughout that time, and I have watched with horror as our NHS has gone from being the best health service in the world—as it was in 2010—to being a service on its knees. For 14 years I have watched the gap between rich and poor grow wider and wider. For 14 years I have watched the fabric of our schools, and the NHS, fall apart. I therefore welcome this Budget. It is a Budget that lifts the curse of low pay and invests in the special educational needs of our children. It is the Budget that will finally compensate those who have been wronged by the infected blood scandal. It is a Budget that will rebuild Britain.
Lifting people out of low pay and making our country more equal is probably the most effective way of preventing ill health and making our population healthier, so what I really welcome in this Budget is the huge amount of funding for the NHS—the biggest amount in 14 years. With that funding, though, need to come reform and an increase in productivity, and I want to outline a few little projects on which we need to concentrate to increase our productivity. On GP access, Dr Tom Sutherland of Dursley practice has—
Freddie van Mierlo (Henley and Thame) (LD)
Will the hon. Member join me in expressing concern about the rise in national insurance contributions and the impact it will have on GP surgeries, including potential closures? GPs in my constituency have been asking me about the impact.
Dr Opher
I understand that it will be mitigated through funding. I am not exactly sure how, but I have no doubt—[Interruption.] That is because I have not been informed, but I have no doubt that it will be coped with. I know that this Government will rebuild general practice, just as the Conservative party trashed it and broke the back of it. I am not taking any criticism from any of you about the NHS.
Order. Please be seated. You are not taking any criticism from me. You said “you”. Please do not refer to colleagues as “you”.
Dr Opher
Sorry. I did get rather angry there, and I shall not get angry any more.
Let me talk about GP access. We need to get doctors, not receptionists or 111, to perform triage, and we need to start thinking in a different way. We do not want a protocol-driven NHS; what we need is a genuine doctor-patient relationship. We also need to develop neighbourhood—
You can definitely raise that in your contribution later. It is not a point of order for the Chair, but no doubt the Minister and Front Benchers have heard and can respond accordingly.
Dr Opher, you will shortly run out of time, so I would be quick.
Dr Opher
Okay. I worked in general practice for 30 years. There is always mitigation for tax changes, and I have no doubt that the Government will look after GPs.
Dr Opher
I have no doubt.
I would like to finish my speech, if I may. We need to invest in neighbourhood health centres. In Suffolk, Dr Tim Reed is developing a genuinely holistic service, which will save money and increase productivity in mental health provision and among paramedics. This is something that we need to explore much more.
I spent 48 hours with a loved one in Bristol Royal infirmary’s A&E department, and I saw the huge pressure that it was under. I notice that Dr Simon Laing is using innovative ways of going out with paramedics, keeping patients at home and working with paramedics in his department. That is the type of adaptation we need in the NHS.
This Budget begins the process of transforming the NHS and will reward NHS staff up and down the country, who continue to deliver excellent unscheduled care. We must fix the foundations of care and use the new funding to ensure that more patients are cared for at home. Difficult decisions are being taken, but all of us on both sides of the House want to see the NHS become the best in the world again, and this Budget starts that process.