Accessibility of Radiotherapy

Debate between Tim Farron and Helen Morgan

Tuesday 4th February 2025 Westminster Hall

[Helen Morgan (North Shropshire) (LD)]

Thank you very much, Sir John. It is a pleasure to see you in the Chair. I promise that I will not go on at great length, partly because—

[Tim Farron]

Because I did!

[Helen Morgan]

Well, my hon. Friend did go on at great length. He has secured a really important debate for World Cancer Day; it is an honour to speak in it for the Liberal Democrats. He outlined the issues comprehensively; I am not sure that I could improve on what he said. I welcome the Government’s announcement earlier today on the national cancer strategy and I highlight the excellent work of my hon. Friend the Member for Wokingham (Clive Jones), who campaigned for it.

Cancer services in general have declined to an unacceptable level, as I think everyone would agree. I hope that the Government stick to their word on addressing that issue and ensuring that everybody can access the care they need, when they need it and—as my hon. Friend the Member for Westmorland and Lonsdale (Tim Farron) pointed out so eloquently—where they need it.

In the UK, over 100,000 cancer patients receive radiotherapy treatment each year from a specialist workforce of 6,400 professionals. Cancer is one of the most difficult diseases—it is difficult for individuals and it is difficult for their families—and yet the number of patients who have waited over four months to receive cancer treatment has more than doubled since 2020.

Like so many areas of NHS care, the time people have to wait and the quality of care that they receive depends hugely on where they happen to live. That has to change; I hope that the Government will make that one of their urgent missions. People’s chances of surviving should not depend on their postcode.

NHS data shows that the west midlands had over 150,000 radiotherapy attendances in 2022, which is the most recent available data. That is the highest of all regions, yet hospitals such as Shrewsbury and Telford hospital in my constituency have had some of the worst waiting times. In September 2024, at the Shropshire, Telford and Wrekin trust, only just over half of patients requiring radiotherapy met the 62-day treatment standard. The target for treatment is 85%.

It is important to acknowledge that the situation at Shrewsbury and Telford hospital trust is improving—I welcome that—and that it was impacted by the staff shortages that many hon. Members have outlined today. But it is not just about numbers and statistics; it is about the impact on people’s lives. I think my hon. Friend the Member for Wokingham has pointed out the importance of scans, and some of my constituents who are undergoing cancer treatment have waited a long time for scans and say that sometimes they have not had the result of a scan until their next treatment was due. That is due to staffing shortages.

Waiting times are important, but so too are distances, particularly when somebody is poorly and finding it difficult to travel a long way. People in Shropshire are served in Shrewsbury, so I am glad to say that the distance issue is perhaps not as acute as it might be in other rural areas in the country, but the public transport issue remains so. Many people rely on friends and family to drive them to appointments, as there is no other reliable way of getting there and a taxi is simply too expensive for them to consider. For that reason, some will not be accessing the care that they need. Across the country, 3.4 million people live further away than the target of 45 minutes from a radiotherapy centre, so it is important that we address those radiotherapy deserts and ensure that people can access the care that they need.

In addition to the outdated, sparse machines and low morale, we found that 65% of staff felt that they did not have enough machine capacity and 93% felt that workforce numbers were too low. Therefore, in addition to the long distances involved, we must put an end to the problem of people being unable to be treated not just because they live a long way from the equipment, but because the equipment, when it is available, is outdated or because there is nobody to staff it properly and interpret what needs to be done.

My hon. Friend the Member for Westmorland and Lonsdale has said all this before, so I will draw my remarks to a conclusion. The Liberal Democrats would boost cancer survival rates by introducing a guarantee that 100% of patients would start treatment within 62 days of their urgent referral. We need to replace the ageing radiotherapy machines and increase the number of machines, so that no one has to travel too far for treatment. We need to recruit nurses, cancer nurses and the specialist staff required to staff the radiotherapy machines. We would also like to see a cancer survival Bill, requiring the Government to co-ordinate and ensure funding for research into those cancers with the lowest survival rates. I hope the Minister will be making cancer a top priority for the new Government and push to reinstate the UK as a global leader in cancer research and, most importantly, in cancer outcomes.

I welcome the commitment already made to invest £70 million in replacing ancient machines and delivering new ones, but I hope the Minister will consider where that investment is distributed so that we can address the urgent problem of treatment deserts. I hope that he will also consider that this is a spend-to-save issue—radiotherapy treatment is both effective and cost-effective, and a worthwhile investment for the NHS to consider from a financial perspective.

I also want the Minister to commit to introducing a 10-year workforce plan for radiotherapy as part of the national cancer strategy to which the Government are already committed, to ensure that people get the care they need, when they need it, with the appropriately qualified professionals necessary to deliver it.

Finally, we must address the problem of building space. Many of our hospitals, as we all know, are crumbling. Care must be delivered in an appropriate setting, as my hon. Friend the Member for Wokingham has outlined on a number of occasions. In conclusion, we welcome the Government’s steps so far, but I would like to push them to go further.

Access to Primary Healthcare

Debate between Tim Farron and Helen Morgan

Wednesday 16th October 2024 Commons Chamber

[Helen Morgan]

That is an important point. In my constituency, carers who go to pick up prescription medicines are finding that the pharmacists are not there because they are relying on locums. The pharmacy funding problem needs to be addressed as a matter of urgency, and I will say more about that later.

Growing the economy is so important that we need to get people off the waiting and referral lists and back into work. Liberal Democrats believe that people should be in control of their own lives, not “chained up” at home, unable to get out of bed, because they have no access to healthcare. They should be able to get the help that they need, when they need it, in their own homes and communities.

Let us start with GPs. The Liberal Democrat manifesto—it was well received, which is why there are so many Members sitting behind me on these Benches—called for the right to see a GP within seven days or 24 hours if the situation is urgent, and for those aged over 70 or with a chronic health condition to have access to a named GP. Those rights are extremely important. People who go to the same GP for more than 15 years have a 25% lower chance of dying than those who have seen a new GP in the last year. Primary care networks tell me that their inability to deliver continuity of care because of the shortage of GPs is one of the problems that worry them most.

[Tim Farron (Westmorland and Lonsdale) (LD)]

My hon. Friend is making a brilliant introductory speech. Is she aware that perhaps only a third of those leaving medical school and seeking to go into general practice are able to find jobs, partly because the additional roles reimbursement scheme—which does exist—cannot be extended to enable some of those would-be GPs to be recruited? Is it not mad that although we are creating enough potential GPs through medical school, we cannot give them jobs because of the funding mechanisms that this Government inherited from the last one? We are losing them from general practice, and, in some instances, losing them from the country altogether.

[Helen Morgan]

My hon. Friend is entirely right. I believe that the Government are taking steps to address that, but he has made an important point about the need for flexible GP funding. A general practice may have money to spend on professionals and need more fully qualified doctors to deal with its patient list, but can only spend that money on another pharmacist or another nurse. That is a ridiculous situation, and I am pleased that the Government are dealing with it.

Sustainable Farming Initiative

Debate between Tim Farron and Helen Morgan

Tuesday 19th December 2023 Westminster Hall

[Tim Farron]

I go back to what I said at the beginning. The hon. Gentleman is right to say that there are clear advantages in the scheme, and we support its principle. The problem is that they are outweighed across the piece by the negatives.

What does the botching of the transition mean for individual farmers? Last week, I met a group of farmers in north Westmorland at Ormside near Appleby. One told me that SFI would replace just 7% or 8% of what he is losing in basic payment. Another explained that if he maximised everything in his mid-tier stewardship scheme and got into all the available SFI options, he would replace only 60% of what he received through BPS. The others in the room looked at him with some envy: he was the least badly affected.

Last month, I met a group of farmers in South Westmorland, in Old Hutton near Kendal. One told me that the loss of farm income meant that he had to increase the size of his flock to make ends meet. He knew that in making that choice he was undoing the good environmental work that he and his family had been doing for years, but he could see no other way to keep afloat. That is a reminder that the Government’s handling of these payments means that they are often delivering precisely the opposite of what they intended.

[Helen Morgan (North Shropshire) (LD)]

One issue that farmers in my constituency have raised is that existing schemes to help the environment are not eligible under the sustainable farm incentive, so farmers are incentivised to rip those schemes out, undoing good work that they have done and damaging the environment. Does my hon. Friend agree that a tweak to the payments to recognise good work that has already been done would be welcome?

[Tim Farron]

My hon. Friend makes a really good point, and that also happens in my constituency. Accidentally, the Government are acting in a counterproductive way when it comes to the environment.

Others at that meeting in South Westmorland near Kendal told me that they are putting off investing in capital equipment because the loss of BPS and the lack of replacement income means that they do not have the cash flow to invest in a long-overdue new dairy parlour, a covered slurry tank or other things that would increase productivity and improve environmental outcomes. The Minister will say that many grants are available to farmers to help them in that respect, and in some cases they absolutely can, but not if contractors need to be paid up front as DEFRA expects farmers to demonstrate that they have the money in the bank to do that before releasing those grants.

DEFRA’s own figures show that upland livestock farmers have lost 41% of their income during this Parliament, and that lowland livestock farmers have lost 44%. One famer near Keswick told me, tongue in cheek, that he had calculated that the fines he would receive for committing a string of pretty terrible crimes would not amount to what he lost in farm income thanks to this Government.

Avian Influenza Outbreak

Debate between Tim Farron and Helen Morgan

Wednesday 30th November 2022 Westminster Hall

[Tim Farron]

I absolutely agree that this needs to be a whole-UK project. I thank my friend and neighbour for her contribution—not least for reminding me how much younger she is than me. If we had an outbreak of foot and mouth on the same scale today, it would have an economic impact of £12 billion. As I said, there are impacts that are not quantifiable but even more devastating.

What do the Government need to do? I will briefly suggest three things. First, they should support our farmers through the current crisis. As the right hon. Member for Maldon rightly said, the compensation scheme is not fit for purpose, and the Government must bring it into the 21st century. The legislation that it was built on was introduced in 1981. It is practically prehistoric —like me. Farmers are able to receive compensation only for birds that are alive when the flock is seen by a vet.

[Helen Morgan (North Shropshire) (LD)]

As the representative of a constituency that has a large number of intensive poultry farms, and as someone who has kept a backyard flock and been the financial controller of a poultry farm, I have seen at first hand the difficulties of trying to house poultry. Most importantly, I have seen the difficulties that the farming industry faces when trying to insure against avian influenza. It used to be possible to obtain insurance, because the disease was an unlikely event—it was a peril that insurers would happily insure against—but now it is almost impossible. Does my hon. Friend agree that taking preventive action—

[Sir George Howarth (in the Chair)]

Order. If the hon. Lady wants to make a speech, she should indicate so. Interventions should be brief.