GP Services: Melton and Syston

Zubir Ahmed Excerpts

Thursday 30th October 2025 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)]

I thank the right hon. Member for Melton and Syston (Edward Argar) for raising the crucial issue of GP provision. As a relatively junior Member of this place, I have always looked around at the Benches on both sides of the House for elder statesmen and women who are exemplars of how to conduct oneself in this Chamber. He is certainly one of those Members. We miss him on the Front Bench, and we are grateful for all his contributions.

[Edward Argar]

I am grateful to the Minister for that. The only point I would make is that when, at the age of 47, one is described as an elder statesman, one can see retirement looming. I want to reassure him that I have no intention of retiring or stepping back from my duties in this House.

[Dr Ahmed]

As a medical practitioner, I can assure the right hon. Member that he is ageing well, and I am sure he has many more years of service to give.

I will now take on some of the challenges that the right hon. Member said faced GP services in Melton Mowbray and Syston. He is knowledgeable—possibly more knowledgeable than me—about the Carr-Hill formula. I can assure him that my hon. Friend the Minister for Care, whose portfolio this comes under, is very engaged in reforming the Carr-Hill formula. I am sure he would be pleased to give an update on how he is getting on with that. The right hon. Member wishes for a meeting with the Minister of State, and I would be delighted to arrange that for him—I am afraid I cannot confirm the location, but I can certainly arrange the meeting.

When asked about their top priority for the NHS, the public overwhelmingly call for us to fix general practice and access to it. That is at the heart of what people care about in this country, and it is what they need first and foremost from their health service. General practice remains the front door to our NHS, delivering vital care to millions across this country, yet we all know the challenges faced by both patients and GPs—the right hon. Member alluded to many of them in his excellent speech: access to appointments, capacity and workforce pressures, to name but a few. The Government are absolutely committed to tackling these issues, to ensure that everyone receives the care they deserve.

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

On the subject of capacity, one of the biggest concerns that is raised with me when new houses are proposed for a particular area of Doncaster East and the Isle of Axholme is access to appointments in the future. Can the Minister reassure me and my residents that discussions take place between his Department and the Ministry of Housing, Communities and Local Government on forecasting future appointments, to ensure that everyone gets the support that they require?

[Dr Ahmed]

That relates to the point made by the right hon. Member for Melton and Syston about section 106 funding. It would definitely be in the spirit of mission-driven government to work collaboratively across Departments—in this case, the Department of Health and Social Care and the Ministry of Housing, Communities and Local Government—to ensure that, as we build the millions of homes that we wish to in the lifetime of this Parliament, we do not neglect the services required to make those homes happy and fulfilling for the communities who live in them.

Timely access to GP appointments is at the heart of a strong and responsive healthcare system. To deliver more appointments, we must have more GPs. That is why, in October 2024, we took decisive action, investing £160 million in the additional roles reimbursement scheme, or ARRS. This targeted funding has enabled the recruitment of over 2,500 new GPs across England, directly increasing appointment availability and improving care for thousands of patients. Our new £102 million primary care utilisation and modernisation fund will create additional clinical space in over 1,000 GP practices. That will enable them to deliver over 8.3 million more appointments, further expanding appointment capacity and enhancing patient care. In our newly published medium-term planning framework, we have also set an ambitious new target for practices to deliver all urgent appointments on the same day, helping to ensure that patients who need urgent care will be prioritised.

This Government have invested an additional £1.1 billion in general practice—the largest such investment in over a decade. This 8.9% boost to GP contract funding for 2025-26 surpasses the overall NHS budget growth, marking a generational uplift in funding, and it means that we are beginning to reverse a decade of a dwindling share of NHS resources going to general practice.

We are not just investing but reforming contracts, giving GPs streamlined targets, incentivising improved continuity of care for those who would most benefit—usually people with chronic illness—and, crucially, requiring practices to make it possible for patients to go online to request an appointment throughout the duration of core opening hours. That will also free up time for patients who might require an in-person visit or a phone call.

I turn to the GP-patient ratio in Melton and Syston. As a result of our investment, primary care networks in Melton and Syston have recruited an additional 64 GPs through the additional roles reimbursement scheme, bringing patients in the right hon. Member’s constituency the care they need. Today, the median number of doctors in general practice per 10,000 registered patients in Melton and Syston is 6.2 full-time equivalents, which is above the England median of 5.6 full-time equivalents.

I reassure the House that we are listening to patients in the right hon. Member’s constituency and trying our best to respond to their needs. For the first time, more patients are contacting their GP online than by phone. That is why, from 1 October, we extended access to GP online services throughout core hours—8 am to 6.30 pm—making it easier for patients to reach their practice in their preferred way. That is a huge step in delivering our manifesto commitment to ending the 8 am scramble, which has long been a barrier to care up and down the country.

Most importantly, practices already using online systems have gone on to see bigger improvements. If I may talk about London for a moment, one London GP surgery reduced its waits from 14 days to just three, with 95% of patients seen within a week. I turn to digital health, which is transforming access in healthcare in Melton and Syston. Patients can now access their GP through the NHS app. They can use it to book appointments, order prescriptions and even receive rapid online consultations, with AI-supported triage ensuring that urgent cases are prioritised within hours.

The GP patient survey shows that in the right hon. Member’s integrated care board area of Leicester, Leicestershire, and Rutland, the percentage of patients using online GP services has increased from 65% to 73% over the past year. The ICB operates virtual wards as part of its “home first” strategy. It uses secure remote monitoring, which saved 11,000 bed days across Leicestershire in 2024 and enables patients in Melton and Syston to recover safely at home.

The Government have approved a spending review settlement that will bring care closer to the community, shift the NHS from sickness to prevention and from analogue to digital, and ensure that the NHS is more people-centred. We will provide additional funding by 2028-29 to bring back the family doctor by training thousands more GPs, delivering millions of appointments more over the spending review period, and building further on the 2,500 GPs already recruited.

Patient satisfaction needs to be our guiding star. As a result of all our efforts, 8 million more appointments have been delivered this year compared to last, and it is making a difference to patients’ lives. According to the latest health insights survey, 73.1% of patients reported a good overall experience. That is up from 67.4% in July 2024, and reverses years of patient dissatisfaction.

I understand that the development of a new primary care facility in the right hon. Member’s constituency has been a matter of local concern for some time. I am grateful to him for bringing it to the Government’s attention. I have been informed that Leicester, Leicestershire and Rutland ICB is working with Melton borough council to explore options to improve access and extend service capacity for Melton residents. I very much take on his suggestion that it could be a location for a health centre under the Secretary of State’s new programme of neighbourhood health centres; I will certainly pass that on to the Secretary of State.

The ICB is working with Latham House to increase the ways in which the practice can support local residents. Proposals include a new digital suite at the main site, and an approved redevelopment of a property owned by the practice on Sherrard Street to extend clinical services. The ICB and Melton borough council will continue to meet to discuss progress. The ICB will revisit the scheme’s progression in the fourth quarter of 2026-27 to allow more certainty about developer contribution, the impact of new registrations and staffing availability.

Let me talk briefly about industrial action. The Government are firmly committed to supporting general practice, and we want to continue engaging constructively with colleagues in the profession as we shape the future of general practice together. Since coming into office just over a year ago, this Government have made significant strides in supporting general practice, and we are asking our colleagues in general practice not to close the door on patients, but to work with the Government to rebuild the NHS for the benefit of patients in the right hon. Member’s constituency, and indeed the country.

In conclusion, everything that this Government have done since the election has been geared towards saving the NHS and giving it back to the people, primarily through the lens of community and largely through general practice. We are placing power back into the hands of patients—where it rightly belongs—because this is their health service and it must work for them. Ensuring that every patient has access to the care they need is not just a priority; it is a guiding star for this Government. The Government are committed to delivering on that promise. I end by associating myself with the remarks of the right hon. Member about the hard-working staff in GP practices up and down our constituencies, and the quality of care that they provide. I know how hard it is to work in difficult circumstances, and it is this Government’s job to make the working lives of those staff easier, more valuable and more fulfilling. I look forward to working constructively with the right hon. Member, to the benefit of patients and citizens up and down Melton and Syston.

Question put and agreed to.