Pharmacies and Integrated Healthcare: England

Debate between Steve Double and Anne Main

Wednesday 11th January 2017 Westminster Hall

[Steve Double]

I thank the hon. Lady for that intervention, and in many ways I share her concerns. While I respect the desire of Department of Health’s to ensure that money is well spent and delivers value for money, there are cases of over-duplication, as we have already heard. Some changes need to be made to the funding models. I agree that we need to do all we can to protect our community pharmacies, particularly in more rural areas such as my constituency in Cornwall, where they play such a vital role for rural communities. I was pleased that the Department was able to do something to help—certainly many pharmacies in my area benefited from the changes to the funding—but I respect the fact that that may not have been the case in her constituency, and I will be urging the Minister to do all we can to ensure that these vital services in our rural areas are protected as much as possible.

With the right support, and indeed the right funding streams, our pharmacies could play a role that would take pressure off the parts of our health service that are clearly under severe pressure, in particular primary care and acute and urgent care. We are all aware of the pressure that our A&E departments are under at the moment. I believe that many times, when people go to A&E—perhaps because they cannot get to see their GP as quickly as they would like or feel they need to—they could actually get what they need from their local pharmacy.

Part of this is about increasing people’s awareness of what our pharmacies can offer. Part of the learning curve that I have been on since becoming an MP has involved going to see our local community pharmacies and getting a better understanding of exactly what services they provide, which I was not aware of before. More could be done to promote the role that pharmacies can play and the services that they can offer by making the public more aware of those services. That in itself would take pressure off our GPs.

[Mrs Main]

I did not make this point in my speech, but my hon. Friend is almost making it for me—it is that our pharmacists are hugely qualified, but too often they are the most under-utilised highly qualified local health professional. It is nonsense that their expertise is not being used routinely, challenged or made available, because people do not seek to use it and are not even necessarily aware that it is there for them to utilise.

[Steve Double]

I thank my hon. Friend for making that point, which I completely agree with. There is much more we could do to increase the general public’s awareness of exactly how highly qualified our pharmacies’ staff are and of the excellent services that pharmacies can provide.

My hon. Friend the Member for Plymouth, Sutton and Devonport talked about the need to integrate IT systems better, which I believe is part of the solution we seek. My understanding is that community pharmacies can access summary care records, but on a read-only basis. Many pharmacists I talk to say that if they had read-write access to that information, so that they could input data about treatments they have given to patients, that would be better. For example, if they could take a patient’s blood pressure and input that reading into the patient’s care record, that would save the patient time as they would not then have to go their GP to have the same reading taken and put into their record. I urge the Government to consider carefully whether read-write access could be granted to pharmacies, because I believe it would save a huge amount of time and reduce what I believe is often duplication of work within our health system.

An interesting fact that I discovered in my discussions on this subject is that the average time that someone waits when they go to see their pharmacist—that is, the time between entering the pharmacy and actually getting to see the pharmacist—is eight minutes. Many people in this country would be absolutely delighted if they could see a health professional within eight minutes of asking to see one. I am sure that many hon. Members here today have in-boxes full of people’s complaints about how long it takes them to see their GP. If people were aware that if they went to see their local pharmacist they would only have to wait eight minutes on average to see a very well qualified health professional who has a good chance of providing them with what they are looking for, I believe they would be delighted. That is another example of how we can promote the work of pharmacists, which would provide a far better service to the people of this country and take pressure off the other parts of our health system.

Foreign Aid Expenditure

Debate between Steve Double and Anne Main

Monday 13th June 2016 Westminster Hall

[Steve Double]

I would like to make a little more progress, and then I will accept further interventions.

The issue can be emotive and controversial for some. It is far too easy to get caught up in the attention-grabbing headlines or misled by the wildly exaggerated information out there in the public domain. People want to know how the money is spent and whether it is being spent in our interest, and rightly so. That was clearly demonstrated in the Twitter discussion held this afternoon, in which the Chair of the Select Committee on International Development, the hon. Member for Liverpool, West Derby (Stephen Twigg), and I participated. We had about 3,000 contributions in just an hour. In fact, it was impossible to keep up with the number of people posting, let alone respond to them all, but it was clear from that discussion that there are strong feelings on both sides of the debate.

[Mrs Anne Main (St Albans) (Con)]

I am sure my hon. Friend will accept that there are concerns. My right hon. Friend the Member for Sutton Coldfield (Mr Mitchell) set up the traffic light system that shows how our aid budget is being spent. There are far too many red and amber warnings about how well the money is being spent, and that is what the public are concerned about.

[Steve Double]

I agree with my hon. Friend. It is absolutely essential that we ensure our aid budget is being spent well and wisely and is delivering value for money for the British taxpayer. I am sure that the Department for International Development is committed to achieving that.