Access to GPs

Alex Easton Excerpts

Monday 23rd June 2025 Commons Chamber

[Alex Easton (North Down) (Ind)]

The ability to access GPs and maintain face-to-face appointments is a pressing issue that affects not just my constituency of North Down but constituencies across the UK. Across England, Scotland, Wales and Northern Ireland, considerable inequalities exist in access to GP services. Evidence indicates that Northern Ireland receives the lowest investment in GP services among the four regions of the UK.

I acknowledge that we live in an era of high-tech advancements and rapid changes in healthcare delivery. I am intrigued by the potential of electronic prescribing and artificial intelligence to enhance our healthcare system. However, amid these innovations, access to GP services remains as crucial as ever. Access to GP services is a cornerstone of the NHS, providing a fundamental element that allows the health service to operate effectively. However, when comparing the data, I find it concerning that during the same period, 70% of GP appointments in England were conducted face to face compared with only 45% in Northern Ireland.

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Motion made, and Question proposed, That this House do now adjourn.—(Keir Mather.)

[Alex Easton]

Although the figure in Northern Ireland has recently increased to 57%, the disparity remains worrying. I am confident that every MP aspires to see good access to GP services throughout the UK and to preserve the essential interactions within GP care that are vital to the health and wellbeing of our nation.

GPs are often the first point of contact for medical attention and their role is vital. I commend their comprehensive efforts in tackling acute illnesses, managing chronic diseases and providing preventive care, among other crucial responsibilities. However, as the MP for North Down, I share the concerns of many regarding the growing demand for GP healthcare services and the accessibility of these essential services for my constituents.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Member for North Down (Alex Easton). He is my neighbour and has been my friend for many years. We served in the Assembly before we ever came here. It is a pleasure to see him secure what I understand is his first Adjournment debate; it will be the first of many, no doubt.

Does the hon. Gentleman agree that trust in some GP surgeries has diminished due to the lack of face-to-face contact? While sending photographs and having discussions over the phone suits some working constituents, for others the lack of face-to-face interaction can mean that symptoms are missed that can only be seen face to face. Does he also agree that GP surgeries are struggling due to the lack of support, and that surgeries throughout the UK must be given more help and assistance so that they can thereby provide more access for their patients?

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[Alex Easton]

I thank the hon. Member for his intervention and I totally agree with everything he said. People across Northern Ireland are not able to see their GP as much as those in other parts of the UK. That is leading to big frustrations for our constituents. The lack of support and funding for GPs is adding to the frustration that is felt across the board.

[Robin Swann (South Antrim) (UUP)]

This is a debate about GP access across the United Kingdom, but one issue in Northern Ireland is GPs’ ability to access indemnity insurance, whereas in England and Wales there is a Government-provided scheme. Does the hon. Member agree that if the Government worked with the Department of Health in Northern Ireland to allow our GPs to access that indemnity insurance scheme on a national level, it would ease some of the burden on our GPs?

[Alex Easton]

I agree, and perhaps the Minister will take that point on board in looking at how we can improve our GP services.

One of the significant challenges across the UK is the shortage of GPs, which inevitably leads to longer waiting times and, unfortunately, sometimes to a compromised quality of care.

[Chris Coghlan (Dorking and Horley) (LD)]

On that point, 4,000 residents in Westvale Park, a new housing development in my constituency, were promised a GP, and they had legally binding section 106 agreements in place. The construction money is there for a GP surgery, but the NHS has not provided the operational funding required for a GP. Does the hon. Gentleman agree that the NHS should be providing the operational funding for new GP services on housing developments, and that the entire Government case for new housing developments is undermined if this infrastructure is not provided?

[Alex Easton]

I totally agree. There is no point in building new houses if we are not going to put in the infrastructure, including health infrastructure and GPs.

While I welcome initiatives aimed at recruiting and retaining GPs, it is concerning that in Northern Ireland we have recruited only 121 GPs when we need 161 merely to restore the levels we had in 2014. The growing UK population, coupled with increasingly complex health needs, is exerting significant pressure on existing resources. In Northern Ireland alone, the population has risen by 70,000 over a decade, while 38 GP practices have closed—a reduction of 11%. It seems clear that as the population grows, funding should increase. We must also recognise that since April 2023, there have been 17 GP contract hand-backs, resulting in a decrease of 12 GP practices, leaving us with a total of 305.

[Warinder Juss (Wolverhampton West) (Lab)]

Does the hon. Member agree that we need to address the disparity he mentioned—the inequality in GP funding allocations—across the United Kingdom? Despite having some of the most deprived areas with a higher demand, the funding Wolverhampton receives is, on average, 10% less than more affluent areas. The ratio of GPs to patients is therefore lower, which increases the length of time people have to wait to get an appointment with the GP. Does he also agree that the experiences of patients differ? When I speak to my constituents in Wolverhampton West, they give me different accounts of the experiences they have had and the level of service they have received from their GP, depending on the surgery that they use. We need to achieve greater consistency in access to GP surgeries.

[Alex Easton]

I totally agree with everything the hon. Member says. There are areas across the UK where there are inequalities in people’s access to GPs, and there needs to be a level playing field across the board.

We must consider value for money. Evidence indicates that every £1 invested in GP services yields a £14 return for the local economy. Let me revisit the crucial role of face-to-face appointments. In an increasingly digital world, it is pertinent to ask just how important in-person consultations truly are. While the question is valid, what remains crucial is that face-to-face interactions allow GPs to deliver holistic care that surpasses what is achievable in the virtual environment.

Face-to-face appointments facilitate physical examinations, which are indispensable for accurate diagnosis and treatment planning. While the advances in telemedicine are certainly welcome, physical examinations remain essential for certain symptoms and conditions. In-person consultations are key to effective communication, as they enable GPs to observe non-verbal cues and facial expressions that are crucial in understanding a patient’s needs. Such interactions foster trust, empathy and understanding, greatly enhancing personalised care. This trust encourages patients to be more honest and forthcoming, directly contributing to improved health outcomes. For many vulnerable groups, such as the elderly or individuals living with poor mental health, face-to-face appointments serve as a lifeline. They offer reassurance and a sense of connection, helping to combat isolation and ensure comprehensive care.

In 2022, as we emerged from the covid pandemic, there were 9.7 million GP consultations in Northern Ireland. In 2023, that number increased to 10.1 million. However, we must face the reality that one third of GP practices need the support of the practice improvement crisis response team. I am troubled that with private GP services, we risk creating a two-tier system that exacerbates health inequalities, both in North Down and across Northern Ireland and the rest of the UK. We must have a GP service that is accessible to all, not just a service reserved for those who can afford it.

We need to invest in our GP workforce and develop effective retention strategies. I direct the House’s attention to the 17 recommendations made by the Royal College of General Practitioners Northern Ireland in its document “A Workforce Fit for the Future”, which warrants thorough consideration followed by decisive action. Other solutions, such as the Pharmacy First programme, deserve detailed consideration. That practice, enabled across the UK, has been shown to effectively serve deprived communities and has real potential to alleviate the workload on our GPs. Therefore, this challenge is not a matter of choosing one over the other, but rather of finding a balance where digital and face-to-face services complement each other in delivering optimal healthcare.

Patients are becoming increasingly frustrated at not being able to speak to or see their GP. GPs are becoming increasingly frustrated at the ever-increasing workload, which has a knock-on effect, with many people having to go to their nearest accident and emergency unit. Those have some very long waiting times, and that adds more pressure to the health system. I emphasise and underline that access to GP services and face-to-face appointments are vital to maintaining a robust health system across the UK.

As I finish, allow me to pose some questions informed by the Royal College of General Practitioners Northern Ireland. Is it not true that Northern Ireland has the lowest proportion of its healthcare budget allocated to GP services, compared with the rest of the UK? Can anyone point to anywhere that spends less? Does the Minister agree that Northern Ireland deserves better?