Access to GP Services and NHS Dentistry

Mohammad Yasin Excerpts

Tuesday 21st June 2022 Commons Chamber

[Mohammad Yasin (Bedford) (Lab)]

It is a great honour to follow my hon. Friend the Member for Bradford East (Imran Hussain). I have received a steady stream of complaints from my constituents in Bedford and Kempston about excessive GP and dental waiting times. They are angry, frustrated and bewildered that the system is failing them, but there is also a sense of fear that the NHS they knew and loved is no longer there for them.

For over a decade, Opposition MPs have warned about the impact of underfunding the NHS and of the harmful top-down reforms; and about what would happen if the Government failed to take seriously the recruitment, retention and training problems for GPs and dentists. We expect an announcement on dental contract reform before the summer recess, but we need more than short-term quick wins to reform that fundamentally flawed contract. For patients across the country to see any real difference in the level of access to NHS dentistry, we need genuine, meaningful contract reform, yet formal negotiations on such reform have yet to begin.

Over recent months, I have met GPs across Bedfordshire, who have all made it clear to me that there is a crisis in general practice. In Bedford, there is only one GP per 2,500 people, which makes it one of the places worst hit by GP shortages in the whole country. Those shortages are leading to staff burnout and poor retention, and unfortunately are hitting patients in need of care hardest. Surgeries are being assimilated into trusts to try to rectify those issues, but as GPs take on more acute care from hospitals that face their own backlogs, surgeries are seeing increased demands from patients.

Worryingly, we are also seeing escalating levels of verbal and physical abuse directed at GPs, dentists and surgery staff. Much of the current narrative, which is actively encouraged by those on the Tory Front Bench, is that GPs are hiding behind remote appointments and are working part time. That is not true; the truth is very different. GPs who are considered part time often find themselves in their surgeries covering full-time hours due to the growth in administrative work.

GP bashing only leads to more doctors and their staff leaving the profession. With too few doctors available to treat patients, that combination has led to growing waiting times for patients to access appointments. The BMA says that doctors are feeling a sense of “moral distress”, because they cannot give patients the care and support they deserve.

Now that covid restrictions have eased, it is, of course, vital that in-person appointments are there for those who need them. By enabling some remote consultations, many surgeries aim to clear the backlog of appointments more quickly and free up capacity to treat patients who need physical appointments. Covid accelerated and exposed the existing crisis, but the Government know that we were well on our way to this point before the pandemic.

The Government may be trying to patch the funding holes with emergency money, but too often they fail to invest in sustainable long-term plans, such as the well-thought-out Kempston health hub bid that they rejected. We urgently need a convincing plan to get to grips with the serious workforce crisis and get the NHS back to how it was under the last Labour Government.