Commons Sense

House of Commons · Westminster Hall

Healthcare Provision: East of England

03 September 2024 · 13 other contributors · 13,581 words

Opened by Clive Lewis Lab Norwich South

Responding minister: Karin Smyth

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Clive Lewis raised concerns about healthcare provision: east of england in Westminster Hall. A government minister responded.

Key points

  • The hon. Member is concerned about long ambulance waiting times, high mental health referrals, and poor dental care in the East of England.
  • The hon. Member asks about improving healthcare outcomes under previous Government cuts and inquires about the cap on care costs and prevention-focused healthcare plans.
  • The Minister mentions plans for digital health checks and aims to provide 700,000 more urgent dental appointments.

Key requests to Government

The hon. Member asks the Minister how healthcare outcomes will be improved while implementing previous Government cuts. He also queries whether there is news on the implementation of a cap on care costs and what plans exist for prevention-focused healthcare provision. Lastly, he inquires about simplifying NHS structures and establishing an undergraduate dental school to address dentist shortages.

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Opened the debate

Clive Lewis Lab Norwich South

The hon. Member is concerned about the systemic crisis in healthcare provision in the eastern region, including long ambulance waiting times, high rates of mental health referrals and poor dental care. He highlights that areas like Norwich have one dentist per 2,600 people and are experiencing a significant backlog in social care assessments. The MP also points out that climate change exacerbates health issues due to flooding and its aftermath.

Other contributors (13)
  • Adrian Ramsay Green Waveney Valley

    Ramsay highlighted the decline in health services in rural areas, particularly long waiting lists and difficulty accessing GP or dental services. He also discussed Hartismere Hospital's need for better facilities such as an X-ray scanning unit and community consultant. Additionally, he raised concerns about dentistry and optometry shortages.

  • Ben Spencer Con Runnymede and Weybridge

    He thanked the hon. Member for Norwich South (Clive Lewis) for securing the debate, highlighted the passion of MPs for delivering health services to their constituents, and expressed concern about the language used by the Minister regarding the state of the NHS which could negatively impact morale among NHS workers.

  • Blake Stephenson Con Mid Bedfordshire

    Mr. Blake Stephenson raised concerns about the lack of infrastructure, particularly GP surgeries, in areas experiencing significant population growth, such as Wixams in Mid Bedfordshire. He highlighted that while 5,000 people currently reside there, the final population could reach 20,000 with no GP surgery in sight despite years of community efforts and frustrations. Stephenson also discussed hospital modernisation needs, especially in Bedford where significant maintenance is required. Lastly, he addressed health inequality in rural areas, advocating for better access to healthcare services within a short journey from people's homes.

  • Daisy Cooper Lib Dem St Albans

    Ms Daisy Cooper discussed the crisis in NHS services across the east of England, particularly highlighting issues with dentistry and the need for an improved dental contract. She asked the Minister to outline a timeline for negotiations with dentists and mentioned challenges such as long wait times for ambulance services and crumbling hospitals in King's Lynn and west Hertfordshire. Ms Cooper also urged Labour Ministers to approve plans for new hospital construction and stressed the importance of recruiting 8,000 GPs.

  • George Freeman Con Mid Norfolk

    Thanking the hon. Gentleman for raising the issue and pointing out that the NHS has thrived under Conservative Governments, noting it is part of the fabric of the country and supports entrepreneurship. He also questions whether the Opposition intends to continue implementing the previous Government's dental plan. The hon. Member briefly acknowledged the broad context of healthcare issues raised by Mr Lewis, focusing on the debate's relevance to his constituency and region. My hon. Friend highlights the importance of productivity in the health system, noting that delivering more for less can lead to reduced funding. He suggests a need for decentralisation and an integrated patient pathway in Norfolk.

  • Jerome Mayhew Con Broadland and Fakenham

    Asking the hon. Member if he will support the Government's removal of the winter fuel allowance, highlighting its link to illness due to fuel poverty. I congratulate my constituency neighbour on securing the debate. The hon. Member notes that despite increased NHS funding of £28 billion since 2019, productivity decreased by about 5.8%. He calls for improvements in productivity rather than just staffing and funding increases. He also highlights issues with hospital infrastructure and the need for an undergraduate dental training school at UEA to address the 'dental desert' in Norfolk. He intervened to ask if the Minister's 10-year NHS plan includes a full rebuild of both the Queen Elizabeth hospital and the James Paget university hospital.

  • Jessica Asato Lab Lowestoft

    The NHS is in crisis, with many constituents frustrated by long waiting lists and inaccessible GP appointments. Lowestoft hospital closure remains unresolved, while the James Paget University hospitals rebuild is critical due to RAAC issues. The author highlights East Coast Community Healthcare as a model of community-based NHS care that operates efficiently despite funding constraints. Concerns over dental health are widespread, with east Suffolk ranking seventh for lowest number of dentists and no practices accepting new NHS patients in 2022. Poor oral health disproportionately affects disadvantaged children, leading to hospital admissions for tooth decay.

  • Jim Shannon DUP Strangford

    Thanking the hon. Gentleman for raising issues relevant across the UK, highlighting the need for pharmacies to play a bigger role in treating minor ailments and addressing access to GP appointments for elderly people. He also raises concerns about cataract surgery being dependent on postcode.

  • Mohammad Yasin Lab Bedford

    Yasin noted population growth in Bedfordshire, Luton, and Milton Keynes areas since the 2021 census. He highlighted GP and dentist appointment struggles due to a shortage of GPs.

  • Pippa Heylings Lib Dem South Cambridgeshire

    In South Cambridgeshire, an outdated funding formula exacerbates healthcare inequality, with the region receiving the lowest primary care funding per person. GPs are overwhelmed by increasing patient demands due to population growth and financial strain, leading four respected family GPs to hand back their contracts this week. The Carr-Hill funding formula fails to account for deprivation in areas dealing with more complex needs.

  • Sam Carling Lab North West Cambridgeshire

    Discussed the undervaluation and overwork of NHS staff in East of England, highlighting that GPs in Cambridgeshire carried out 547,804 appointments, with 62.5% being face-to-face. Stressed issues like GP shortages, funding allocation problems, and private companies taking over APMS contracts at higher costs. Emphasised the need for addressing healthcare inequalities and supporting innovative methods to tackle social care crises.

  • Sarah Owen Lab Luton North

    Ms Owen highlighted significant disparities in healthcare and life expectancy within Luton, noting a gap of up to 10 years between different areas. She pointed out the high levels of child poverty despite many families being employed but struggling financially. Ms Owen also addressed oral health issues among children, citing high rates of tooth decay. She called for better access to dentistry and supported Labour's plan to increase urgent dental appointments and improve incentives for graduates in underserved areas like Luton. Additionally, she discussed the importance of community engagement in addressing health inequalities, referencing initiatives such as the Equality PCN and Love Luton RunFest.

  • Victoria Collins Lib Dem Harpenden and Berkhamsted

    The hon. Member called for more cross-party talks on social care, which is often crucial for those entering hospital.

Government Response

Karin Smyth

The Minister responded to various concerns regarding healthcare provision in the East of England, including NHS health checks that prevent heart attacks and strokes but have low take-up. She mentioned plans for digital health checks and improvements in access to dentists with a goal to provide 700,000 more urgent dental appointments. The Minister also addressed mental health services, hospital building safety issues, climate change impacts on health service provision, and productivity concerns. She stressed the need for structural stability rather than further reorganisation.

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