Healthcare: Bolton

Yasmin Qureshi Excerpts

Wednesday 15th October 2025 Westminster Hall

[Yasmin Qureshi (Bolton South and Walkden) (Lab)]

It is a pleasure to serve under your chairmanship, Ms Lewell. I thank my hon. Friend and neighbour the Member for Bolton North East (Kirith Entwistle) for securing this important debate. As she said, our other hon. Friend the Member for Bolton West (Phil Brickell) has a prior commitment, so he is not able to attend this debate. I mention that because the three of us work well together in campaigning on many issues of concern to our constituents. One of the things we do is have a regular meeting with the chief executive of our hospital, as we did only last week, to raise those issues.

Healthcare in Bolton is really important for us and one of the most serious concerns raised by our constituents. When people in Bolton talk about the NHS, they are full of respect for the doctors, nurses and frontline staff. Their frustration is directed not at individuals, but at a system that leaves them waiting for months without answers or support. One constituent with a serious heart condition told me that she had waited more than a year to see her cardiologist at the Royal Bolton hospital. At one point she was informed that the waiting list had actually been closed. She paid to be seen privately, but then her appointment finally arrived, one year after she had last inquired about it. She said:

“I do not expect luxury. I just do not want to be forgotten.”

Ahead of this debate, I invited constituents to share their own experiences of healthcare in Bolton. What I received were not statistics, but stories of worry, delay and a sense of being left behind. Parents spoke about their children waiting for assessment. Women described living in pain while waiting for treatment. Older residents asked whether their names still even existed on any list at all. People said that it was almost impossible to get a GP appointment unless they were online at 8 am. Others described the long phone queue, with no certainty of being able to secure an appointment, and being told that they would need to call back the following day or try again. Many spoke about digital systems that shut people out, especially those who are elderly, disabled or unwell.

I received accounts of hospital letters arriving late, or of appointments missed because no update had been received. Parents of children with mental health needs said that they were given information sheets instead of meaningful support. I hear their concerns, and they must be addressed. I recognise that secondary care is outside of the Minister’s direct brief, but obviously we cannot separate primary and secondary care when patients are stuck between them.

When referrals disappear and no update follows, it is the GPs who are left to manage their patients’ anxiety, without any information to reassure or support them. Communication must be treated as part of care, not an afterthought. In general practice there are concerns about not only access, but continuity. Constituents tell me that they never see the same doctor twice; they repeat their story at every appointment with no sense of follow-up or a clear plan. When ongoing conditions rely on repeated re-telling rather than joined-up care, confidence in the system is lost. Primary care needs support to provide consistency, not just capacity.

Mental health is another deeply worrying area. In Greater Manchester, the number of adults waiting for ADHD assessments has risen sharply; some of my constituents have been waiting eight months or more without being allocated a clinician. Parents spoke to me about their experience with child and adolescent mental health services, where children in real distress are waiting months and months for assessment and intervention. Without early support, families are being left alone to cope.

Another area is women’s health, where the disparities are clear. Girls born in the north-west can expect fewer healthy years than those born in other regions. Manchester University NHS Foundation Trust, which serves parts of Bolton, has the highest gynaecology waiting list in England. Women describe missing work, living in pain and caring for families while waiting for basic investigations. I therefore welcome the Government’s women’s health strategy and the development of women’s health hubs. Liverpool has hubs that bring together contraception, screening and menopause care in one place, and Bolton should receive the same opportunity to deliver accessible women’s care in community settings.

As chair of the all-party parliamentary group for dentistry and oral health, I know that NHS dentistry faces an existential threat. Almost 14 million people were unable to access dental care in the early part of 2025. From 2010 to 2024, expenditure on dentistry went down from 3% of the NHS budget to 1.5%. Although we welcome the 700,000 new appointments, we actually need 2.2 million of them, as the Government have accepted. Morale among NHS dentistry practitioners is at an all-time low, and many are leaving. The Health and Social Care Committee said in 2023 that the current dental contract is “not fit for purpose”. It needs reform.

Another issue is that, while there are qualified dentists, the process by which they have to register to practise seems to be taking a very long time. It is an administrative process, not a process for assessing professional, clinical requirements. That needs to be addressed. Many residents tell me that they cannot get dental appointments and are living in pain, with untreated problems. I have personally had to ring dentists to get appointments for a number of constituents. I know that the Government have a 10-year plan for the NHS, but dentistry cannot wait 10 years for the situation to be resolved.

Finally, we cannot discuss healthcare in Bolton without confronting inequality. One in four children in the north-west grow up in poverty. Delayed treatment, poor health and limited support are not separate issues; they are experienced by the same families. The 10-year health plan must deliver not only nationally, but locally, in towns such as Bolton where the need is greatest.

My constituents are not asking for perfection; they are asking not to be forgotten. They want to know that if they seek help, the system will acknowledge them, guide them and not let them fall between services. If we are to restore confidence, we must ensure that patients are not lost between primary and secondary care, and that dignity and fairness remain at the heart of healthcare delivery. With focus, co-ordination and commitment, we can deliver the timely, compassionate care that the people of Bolton deserve.