Resident Doctors: Industrial Action

Debate between Caroline Nokes and Helen Morgan

Thursday 26th March 2026 Commons Chamber

[Madam Deputy Speaker (Caroline Nokes)]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

People across the country will be extremely concerned about the prospect of further strikes, having faced so much disruption already in recent years. It is important to recognise that the strike is a symptom of an NHS still coming to terms with the damage caused by the previous Conservative Government. Doctors are burnt out from working in high-pressure environments under poor conditions—often trying to save lives on corridors with no space or privacy. However, we all know how difficult public finances are, and that is now being compounded by Donald Trump’s reckless war in the middle east. Therefore, a further 26% pay rise is not affordable or realistic at the moment, and it is time the BMA recognised that.

There is much more the Government could be doing to support both staff and patients. The BMA has a mandate to strike until August, yet patients struggle to get GP appointments and suffer months of pain while stuck on waiting lists. How will the Secretary of State stop the situation dragging on throughout the year and causing yet more harm to patients?

We must also show staff and patients that things will get better. Lib Dem plans to recruit and retain more GPs, offer one-to-one midwife care and fix the social care crisis would offer the NHS the hope that is needed by easing pressure on staff and patients. Will the Secretary of State consider fixing crumbling hospitals as a priority, to give staff and patients the working conditions and dignity that they need and deserve?

At Shropshire’s major hospitals, it is common to see ambulances queuing up outside, unable to offload their patients, while staff inside are struggling to cope with patients in corridors. Will the Secretary of State commit to ending the misery of corridor care by the end of this Parliament? I welcome his intention to build additional training places, but will he outline a timetable for publication of the workforce plan, because that is critical for the future of our NHS?

Rural Affairs

Debate between Caroline Nokes and Helen Morgan

Monday 11th November 2024 Commons Chamber

[Helen Morgan (North Shropshire) (LD)]

I congratulate the hon. Members who made their maiden speeches earlier. I thought they were all excellent, although I obviously take issue with anyone who does not think that North Shropshire is the best place to be an MP. North Shropshire is very rural and is inhabited by some of the best people you will ever meet. I like to spend my Saturdays and Friday afternoons knocking on their doors and asking them what they think. What they think is that they were taken for granted by the previous Government for many, many years, but I fear they are concerned the new Government are about to repeat that trick. I strongly urge them not to.

Farming is the backbone of the economy in places like North Shropshire. Whether farming arable land or dairy herds, people have had an incredibly challenging time, not just because of the phasing out of the basic payment scheme and the botched transition to the sustainable farming incentive, but because farmers with breeding herds trying to export to Europe have been badly let down by the botched Brexit deal. There is no timetable on the horizon for a phytosanitary agreement to resolve that issue; I urge the Government to act at pace to resolve it for farmers who need to export abroad.

The changes to the inheritance tax threshold have been very badly communicated to farmers. According to the Government’s figures, 288 farms in North Shropshire will be affected. Many of the farmers have been in touch with me, and they are extremely concerned, because they need more support not higher tax. If those farmers are wrong, I think the Government need to accept that their communication with them needs to be a great deal better, because at present they are very concerned. I urge the Government not to adopt a high-handed tone but to listen to and engage with them.

Farmers are also concerned because of flooding. They have had an extremely challenging time, with 18 months of continuous wet weather. Many in my constituency who lost a whole field or a larger area last year are still unable to re-till following an appalling October, but in Shropshire we have not been eligible for either the farming recovery fund or the frequently flooded allowance, although many of my constituents are underwater, reliably, every single year. I therefore urge the Government, when they look at flood defence spending, to consider those who are being clobbered by the weather year in, year out but have so far been ineligible to receive the support that they need to recover.

I also urge the Government to think about how the sustainable farming incentive might be used to encourage farmers to hold water upstream. An hon. Member—I apologise for forgetting which one—mentioned reservoirs; I urge the Government to consider building that issue into their plans, so that water can be managed effectively for the farmers who have had such an appalling time over the last 18 months.

Healthcare is problematic in rural areas. Because ours are not big university hospitals, it is difficult to attract staff to come and work in them—they are not necessarily looking at a glittering career investigating all sorts of exciting conditions—which means our health services are much worse than those elsewhere in the country. When I was elected, the problem of ambulance waiting times was the top issue that people raised on the doorstep, and it remains awful. October was the third worst month on record for handover delays at West Midlands ambulance service. Last week one of my constituents had to wait 24 hours in pain on a plastic chair before being diagnosed with heart difficulties. Every month over 2,000 patients spend more than 12 hours in the A&E departments of Shrewsbury and Telford Hospital NHS Trust.

We must address the important issue of the recruitment and retention of health staff in rural areas. Obviously, the Budget has raised the question of how healthcare providers will handle the increased NICs. That is probably an issue for a separate debate, but I urge those in the Department for Environment, Food and Rural Affairs to liaise with their colleagues in the Department of Health and Social Care and discuss how we can get staff into rural areas and ensure that people have the same outcomes as those in the rest of the country, because at present they are being poorly served.

People need to have access to healthcare, as well as education and work opportunities, but transport is a huge problem, and that is killing off the high street. According to the jobcentre in Oswestry, the single biggest issue is the inability of workers to get back into work because public transport is so poor that they cannot access a place of work. Shropshire has lost 63% of its bus miles since 2015, while the national average is 19%. That will give Members some idea of how difficult it is for us. In the Budget, the Government did not mention public transport investment in rural areas. I strongly urge the Minister to address that with his colleagues and, in particular, to consider really good schemes such as the Oswestry-Gobowen railway line, and the desperate public transport desert that is Market Drayton.

I have very little time, so I will just say this. The Government must make sure that the shared rural network is delivered and is effective, but if it is not, they must ensure that people can roam between networks. Local councils must be fairly funded so that the cost of delivering services over a vast area is reflected in the funding settlements that they receive. When it comes to healthcare, transport and digital services, rural areas are struggling, and we must have—

[Madam Deputy Speaker (Caroline Nokes)]

Order.