GP Contract
Debate between Stephen Kinnock and Judith Cummins(1 week, 2 days ago)
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The Minister for Care (Stephen Kinnock)
When we came into office, we found GP services in an appalling state—underfunded, understaffed and in crisis. Since July 2024, this Government have been fixing the front door to the NHS, investing more than £100 million to fix up GP surgeries this year, making online booking available to patients across the country and recruiting 2,000 more GPs who are now serving patients on the frontline. Following investment in advice and guidance, we have seen 1.3 million diverted referrals since April 2025. Those are people who would have otherwise been added to the electives waiting list. A lot has been done, but there is a lot more still to do. We are determined to make the system fairer for coastal communities and deprived areas, so we have launched a review into the Carr-Hill formula to close the gap on health disparities and ensure that funding is targeted on the basis of need. We will shortly update the House in the usual way on our Carr-Hill review.
Last year’s GP contract saw the biggest cash increase in more than a decade, and this year we are investing an additional £485 million, taking the total investment made through the contract to more than £13.8 billion this financial year. Investment must always be combined with reform, so the new contract will improve access for patients by requiring that all clinically urgent requests are dealt with on the same day. It will provide a mechanism to hire even more GPs via a new practice-level reimbursement scheme, and it will support the shift from treatment to prevention, as set out in our 10-year plan, through incentives to boost childhood vaccination rates, better care for patients living with obesity and requiring GPs to share data with the lung cancer screening programme.
These ideas were not cooked up by someone sat behind a desk in Whitehall. What is happening is that we are taking the best of the NHS to the rest of the NHS, working with pioneering practices that have been doing these things for a long time. Today we can see that our policies are working, and after years of decline in general practice, we are getting the front door back on its hinges. Patient satisfaction with general practice is finally moving in the right direction. According to the Office for National Statistics, almost 77% of people described contacting their GP as easy in January this year, up from just 60%, where it was languishing in July 2024. I know that when he gets up, the hon. Member for Hinckley and Bosworth (Dr Evans) will hugely welcome, as will his hon. Friends, the progress that we are making.
Dr Evans
The Health Secretary and his team have perfected the sales pitch for NHS reform. The problem is that the detail never seems to arrive. We have seen a 10-year health plan with no delivery chapter, and a plan for the abolition of NHS England with no price tag; the Health Secretary has announced 10 new “straight to test” referral pathways, but could not name a single one; and now we are seeing a new GP contract with more questions than answers.
Calling something modernisation does not make it reform. If the rules and the delivery are unclear, it is simply confusion with branding. “Advice and guidance”, for example, appears in practice to create a single point of access for referrals. GPs will no longer be able to refer patients directly to a consultant, even when they believe that it is clinically appropriate. Will the Government publish the clinical evidence supporting that approach? Who will carry the legal responsibility if, in a GP’s professional judgment, a patient needs to see a consultant but must first go through “advice and guidance”? If advice and guidance becomes mandatory as an extra layer before referral, are the Government not, in essence, managing the waiting list by keeping patients in primary care rather than treating them in secondary care? Waiting lists will look shorter on paper, but patients are simply waiting elsewhere in the system. Can the Minister clarify exactly where those patients will appear in the official waiting list figures? The contract also requires patients whose cases are deemed “clinically urgent” to be dealt with on the same day, but it does not define “urgent” or explain what “dealt with” means, and that really matters.
Let me therefore ask the Minister three clear questions. First, when will the Government publish the clinical definition of “urgent”—a patient’s sick note is urgent for the patient, but not clinically urgent—and what counts as a patient’s being “dealt with” on the same day? Secondly, the Minister has talked about access, but how can practices guarantee same-day responses when demand is uncapped and definitions are not published? Finally, with advice and guidance being required as a mandate beforehand, how will we ensure that patients are protected, and where will they appear on the waiting lists?
Stephen Kinnock
The Carr-Hill review is happening as we speak, and I expect to get a submission from officials on the first round of analysis that is being conducted by the National Institute for Health and Care Research. That will be the first step towards agreeing on how we make the formula work, with a view to implementing the new Carr-Hill formula from 1 April 2027.
Helen Maguire (Epsom and Ewell) (LD)
I welcome the fact that the Government have adopted our policy of seeing clinically urgent patients on the same day, but patient safety has been put at risk by increasing workloads, according to members of the Royal College of General Practitioners. One in five patients has been forced to wait at least two weeks for an appointment. Although the Government’s funding of 1,600 new GPs is welcome, it is insufficient to deliver the required shift to community care. The Health Foundation says that an additional 6,500 GPs will be needed by 2031, and the Liberal Democrats would provide 8,000. What is the Minister doing to address the shortfall? Residents in Epsom and Ewell, who already struggle to get a GP appointment, are concerned that increased housing will make it even harder. What is the Minister doing to ensure that there is funding for GP buildings, as well as GPs?
I welcome the Government’s focus on the obesity crisis, but it does not fix the root cause. Aside from the junk food ban, what steps are the Government taking to encourage children and young people to create active and healthy habits for life from an early age?
Hospitals
Debate between Stephen Kinnock and Judith Cummins(11 months ago)
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Stephen Kinnock
I will just make a little more progress, if I may. We are committed to rebuilding our NHS and rebuilding trust in Government. We will never play fast and loose with the public finances, and we will never try to pull the wool over the public’s eyes. Everyone in this House remembers, or should remember, that the last Labour Government cut waiting lists to their lowest level in history, raised patient satisfaction to the highest level in its history, and brought in historic health interventions, such as the smoking ban. What is less remembered is that they also delivered the largest hospital building programme in NHS history. All that meant that when the coalition took over in 2010, it was presented with a strong national health service that was firing on all cylinders. Tragically, that coalition Government and their successor Governments set about weakening and undermining every aspect of our precious NHS, to the extent that by the time this Government took over in July, the NHS was well and truly on its knees. Today, it once again falls to a Labour Government to take the necessary and right decisions for the future.
We have now put the new hospital programme on a sustainable footing. It has a timeline that can be met, and a budget consistent with our fiscal rules. That is how we have turned the programme from empty rhetoric into reality, and in doing so, we have provided the construction industry and its supply chains with vital certainty, while also restoring confidence in public sector procurement. We are on the side of the builders, not the blockers. Our plan is credible, achievable and fully funded. It is a programme grounded in fact, not fiction. I was born in Tredegar, the very same town as Aneurin Bevan, so it is the privilege of a lifetime to be part of a Government who are carrying his torch into the 21st century, building a generation of hospitals that would do Nye proud.
Petitions
Debate between Stephen Kinnock and Judith Cummins
Stephen Kinnock (Aberavon) (Lab)
I rise to present this petition on behalf of constituents in Aberavon, on the same terms as those presented by my hon. Friends the Members for Newport East (Jessica Morden) and for Batley and Spen (Kim Leadbeater). I pay tribute to my right hon. Friend the Member for Kingston upon Hull North (Dame Diana Johnson) for her unstinting work in pursuing justice for the victims.
My constituent David Farrugia and his siblings lost their father in 1986 after he was given infected blood products. It literally tore their family apart, as the siblings were then split up in the care system. This scandal has caused decades of suffering, health issues, financial loss and stigma for those affected. They have campaigned for justice, but it has taken far too long and is long overdue. Justice must not be delayed any further.
The petition of residents of the constituency of Aberavon.
[P002986]
Judith Cummins (Bradford South) (Lab)
I join a number of hon. Members in presenting a petition in the same terms on behalf of my constituents in Bradford South, although I know that it reflects feelings that are widespread across the country. The petition reflects concerns across Bradford South that the Government have yet to implement both the final infected blood inquiry recommendations and compensation, and the will of this House of Commons, which was expressed on 4 December 2023.
The petition of residents of the constituency of Bradford South.
[P002988]
Green Energy: Ports
Debate between Stephen Kinnock and Judith Cummins(2 years, 5 months ago)
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Stephen Kinnock
Thank you, Mrs Cummins. I will try to pick up where I left off.
On the planning side, the Government need to find a solution to the national grid’s capacity issues. The National Grid says it has to develop up to five times as much energy infrastructure over the next seven years as it has developed over the past 30 years, such is the clamour for net zero projects, in terms of both energy generation and demand. How will the UK Government and, more specifically, the Minister work with the National Grid to end the gridlock, and how will they send a clear message to developers that these problems are going to be fixed?
That brings me to my next point, which is about the administrative strike price. Allocation round 5 was a shambles, with no bidders for offshore wind. We need the UK Government urgently to reshape the contracts for difference for AR6 and make them more attractive to developers if we are to realise Britain’s potential to become a world leader on FLOW.
Finally, the UK and Welsh Governments must work collaboratively. We cannot allow bureaucracy to slow us down. Planning and consenting for major infrastructure is devolved. We need the UK Government to look for ways to support the Welsh Government to ensure that current capacity and resource blockages for planning and consenting are resolved to ensure that the seabed licensing is accelerated and that port infrastructure in Wales is ready in time. We also need strong cross-Whitehall co-ordination. I worry that the large number of Government Departments involved means that the process is not as streamlined as it should be. Perhaps the Minister could say what he will do to knock heads together to unlock all of the blockages.
This is a huge, game-changing opportunity for Aberavon, Wales and the entire United Kingdom. Ports play an absolutely crucial role in this opportunity. I look forward to the Minister’s comments so that we can find a pathway towards maximising the opportunities before us.