Munira Wilson MP: speeches 2024

Speeches

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  Thank you very much, Mr Speaker, and I am grateful for the Health Secretary’s advice— [ Interruption. ] I did not need coaching—you will hear that soon enough. When I heard that today’s debate would be about schools, I thought, thank goodness, we are finally going to give the crisis in our classrooms the attention it deserves and have a long, overdue serious debate about the squeeze on school budgets, the shortage of specialist teachers, the dangerous state of many school buildings, the crisis in special educational needs provision, or the mental health of children, but no. In fairness, expecting the Conservative party suddenly to start prioritising those issues in opposition, after it spent years neglecting them in government, would be foolishly optimistic. Nevertheless, I hope that we will have the chance to debate them properly soon. A priority for the Liberal Democrats is ensuring that every child, no matter their background, gets the support and attention that they need at school, so that they leave with the skills, confidence and resilience to be happy and successful. That means the Government investing in education as we invest in other vital infrastructure. In fact, Liberal Democrats believe that education is the single best investment we can make in our children’s potential and our country’s future. That is why in our manifesto we set out a number of ways to make that investment. We argued that putting a dedicated qualified mental health professional in every primary and secondary school was important. We argued for an increase in school and college funding per pupil, above the rate of inflation every year. We argued for school meals to be extended to all children in poverty, and for a tutoring guarantee for every disadvantaged pupil who needs extra support. That package of investment in our state schools would improve and boost the performance and opportunities for every child, as well as closing the attainment gap that limits the life chances of too many children from disadvantaged backgrounds. Crucially, we set out in detail how it could all be paid for, including by increasing the tax on social media firms who have done so much to worsen the mental health crisis in our schools. That is a much bolder package of investment than the one this Government have set out so far, and it is paid for fairly, not by taxing parents’ own investment in their children’s education. I think the shadow Education Secretary was advocating raising income tax to invest in education— [ Interruption. ]

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  I thank my hon. Friend for his important intervention. As I have said before, it is best that the policy is dropped altogether, but if the Government insist on going ahead, it should be delayed. We need further provision to exempt all special educational needs children, and not just those with EHCPs. Those are two critical factors in trying to mitigate the damage this policy will do.

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  I thank the hon. Lady for her intervention but I would gently say two things. First, I would not describe private schools as covering a “multitude of sins”. This is also not just a London problem. My hon. Friend the Member for Edinburgh West (Christine Jardine) who represents an Edinburgh constituency says that she has the highest number of private schools in the country. It is a nationwide problem, and the consequences have simply not been thought through. Let me return to my point about special educational needs and disability. For many families, local state schools simply are not equipped to give those children the support they deserve. That is why, as we have heard, there are almost 100,000 children in independent schools who have special educational needs and disabilities but not an EHCP. That is tens of thousands of parents, not the super-wealthy, but carers, who are working hard and making tough choices so that their children can have the nurturing education they need.

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  I thank my hon. Friend for that intervention. She is absolutely right to say that because only children with EHCPs will be exempt from the VAT charge, there will be the unintended consequence of adding yet further pressure to what is already a broken system. Indeed, a parent in my constituency has written to me along those lines to say that they now feel that they will have to go through the application process. So many parents and carers are forced to navigate a postcode lottery and wait months, as my hon. Friend said, to get the support that their children are entitled to.

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  I think many of us—certainly on this side of the House—would recognise the point my hon. Friend makes, and many have already made it. I suspect that quite a few people on the Government Benches would also recognise that this policy will be a real challenge, because Members from all parts of this House have been turning out in vast numbers at any debate on special educational needs to discuss the major crisis in our state school provision for SEND pupils. The system is broken, and it will have further pressures still. I come back to the point I was making on partnership working. The sort of exemplary work I was talking about benefits children in the state and independent sectors, and we want to see it become the norm in every part of the country. I fear that it will be one of the first things to suffer when schools are forced to make cutbacks under the Government’s policy. Let us remember that most independent schools are no Eton or Winchester; 40% of them have fewer than 100 pupils. Those small schools, often in rural places, will struggle to absorb this extra cost.

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  Mr Speaker, I would not dare to second-guess your position on this issue. The best way to deal with this issue is to drop the policy entirely, but if we are to exempt children with special educational needs, a good place to start is the SEND register. Just yesterday, I was discussing with one of the headteachers in my constituency the number of children on their SEND register and how they go about identifying them. Schools already do that in the state sector to support children. We could apply those same rules and regulations in the private sector, and those children should be exempted. However, I would rather this policy was just dropped altogether. For all these reasons, the Liberal Democrats do not support ending the VAT exemption for independent schools. Instead, we want to see a better partnership between independent schools and local state schools. Many already do that, and I am not just talking about a few bursaries here and free use of a pool there; I am talking about genuine partnership working and the sort of brilliant collaboration that I have seen in schools in my constituency, where Hampton school and Lady Eleanor Holles school share staff time with Reach academy in Feltham. They have also been mentoring and coaching pupils for medical school and other university places, and the results have been phenomenal in a disadvantaged part of west London, where typically students were not going on to further or higher education. That partnership has borne immense fruit for those young disadvantaged people.

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  I apologise, Mr Speaker. I was just coming on to the last paragraph of my speech, but I wanted to take some interventions from those on the Liberal Democrat Benches.

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  May I just finish by urging Ministers to look, instead of a damaging and counterproductive tax on education, at ways to get independent schools to do more of that great partnership work with state schools and their communities and to ensure they are investing in that local community? Let us ensure that every child, no matter their background or circumstances, is given the support and opportunities they need to thrive. Let us support investment in our education, not penalise it.

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  I would rather the Government do not go through with this policy at all and drop it, but if they insist on pressing ahead with it, all children with special educational needs, whether or not they are on the SEND register—they can be identified in other ways—should be exempted. I will share a story from a constituent who contacted me recently. They have two children, both of whom have complex learning needs and have struggled to thrive in their local state school. After moving to a private school that was better able to support them, they are finally making progress and most importantly, to quote the parent, they “don’t feel like they are failing”. The children’s family has made huge financial sacrifices to give them this education, including remortgaging their home and cashing in pension plans. As this policy is set to be introduced in the middle of the school year, this family and thousands of others have little time to prepare or save. It will be disruptive for children who have already suffered enough disruption to their education in recent years. This parent who contacted me told me: “We are terrified of the prospect of having to uproot our children for a second time because we can’t see a way to afford this rise.” Labour’s rushed-through and ill thought-through plans will snatch opportunities away from thousands of children just like my constituents.

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  The shadow Education Secretary was suggesting to the Minister that that is where he could find some money— [ Interruption. ]

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  Thank you, Mr Speaker. As we have a Treasury Minister rather than an Education Minister opening the debate for the Government, I say gently that he should look at what the Liberal Democrats proposed on reforming capital gains tax as a way to fund some of the important investment that we need in education, rather than looking at taxing parents’ choices to invest in their children’s education. The Government’s policy would undermine two important principles. First, education should simply not be taxed. As we have heard, all education provided by an eligible body, including university education, music lessons, and tutoring are exempt from VAT, and VAT should not be imposed on any of those things because education is fundamentally a public good. Secondly, parents have the right to choose what education setting is best for their child. As Liberals we have always championed choice, and believe that nothing should get in the way of those important choices. Of course we want to get to a point where every parent can choose a local state school that meets their child’s needs and gives them the best possible start in life, and opportunities to flourish. But let us be honest with ourselves: that is not the reality facing many parents today, especially when their children have special educational needs. Liberal Democrats have many times raised the crisis in SEND provision. Conservative cuts to school and council budgets mean that many parents and carers simply cannot get their children the support they deserve. The Minister talked a moment ago about sorting out state-school SEND provision, so that no parent with a child with SEND would need to send their child to a private school, but does he recognise that in order to sort out and fix our broken SEND system we will need not millions but billions of pounds? I am not entirely sure that the Chancellor will be giving that kind of money to the Department for Education.

• 8 Oct 2024 · VAT: Independent Schools · Hansard source

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  I point out for a start that when the Liberal Democrats were in government, school budgets increased in real terms, and we introduced the pupil premium to help the most disadvantaged children. When the Tories were left to their own devices, they slashed budgets, and the pupil premium has been devalued over the years.

• 7 Oct 2024 · NHS Performance: Darzi Investigation · Hansard source

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  Lord Darzi’s report was utterly damning about the treatment of children in our health system. He said that too many children were being let down, and pointed out that they account for 24% of the population, but only 11% of NHS expenditure, and that over 100,000 children wait for over a year to be assessed for mental health treatment. He said we must do better, so will the Secretary of State commit to putting children front and centre of the 10-year plan, and to making them a priority, because for a decade, the Tories let our children down?

• 9 Sept 2024 · Topical Questions · Hansard source

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  Disadvantaged pupils between 16 and 19 are likely to be up to four grades behind their more affluent peers. We know that funding drops by about a third at 16, yet 16-to-19 tuition was axed in July, and the pupil premium has never applied to that age group. If the Secretary of State is serious about smashing the glass ceiling, will she consider increasing funding targeted at this group?

• 9 Sept 2024 · Teacher Recruitment · Hansard source

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  The new Government’s focus on the serious recruitment and retention crisis is welcome. However, as we have heard, the recent pay announcement overlooked teachers who work in colleges, who already face a pay gap of more than £9,000. We have twice the proportion of students from disadvantaged backgrounds in our colleges as in school sixth forms, so the recruitment issue is even more pressing in our colleges. Why is it that teachers of 16-year-olds in schools deserve a pay rise, but teachers of 16-year-olds in colleges do not?

• 5 Sept 2024 · Topical Questions · Hansard source

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  One Air is a small and growing cargo airline based in my constituency, which is having to deal with huge amounts of additional red tape and costs as a result of the Brexit deal and the end of reciprocal arrangements with the EU. Can the Secretary of State give an assurance that, when Ministers negotiate mutual recognition of professional qualifications, the aviation sector will be included?

• 5 Sept 2024 · SEND Provision · Hansard source

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  I am not sure I have the time; I am so sorry. The national body for SEND would also act as a champion for every child with special needs or disabilities and promote widespread inclusive practice. Additionally, Liberal Democrats would like to see councils funded to reduce the amount that schools pay towards the cost of a child’s education, health and care plan. The current £6,000 threshold acts as a disincentive in the system, which can hinder schools from identifying and establishing a need before it impacts the child’s schooling. We cannot wait for things to go wrong before we fix them. As the hon. Member for Gosport (Dame Caroline Dinenage) said, early intervention is key. That is why, as we have heard from many Labour Members, boosting training for teachers and for early years practitioners, so that we can identify needs early and support early, is so crucial. Behind every statistic and case study we have heard about today, there is a child who is struggling, with parents and carers who are under stress. We have a duty to act. Liberal Democrats believe that every child, no matter their needs and background, deserves the opportunity to thrive. I look forward to hearing the Minister’s comments and to working with the Education Secretary to fix our broken SEND system. The children deserve it.

• 5 Sept 2024 · SEND Provision · Hansard source

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  It is a pleasure to serve under your chairmanship, Mr Betts. I congratulate the hon. Member for Leeds East (Richard Burgon) and pay tribute to him for securing this incredibly important debate. The fact that it is such a packed Chamber—standing room only—is testament to both the passion with which he set out his case and the stories that we have heard. We have so many new Members, but those of us who have served one, two, three or more terms know that inboxes and postbags are bulging with stories and heartbreaking cases across the country. In the time available, and given the number who wish to speak, I will not do the customary paying of tribute to the various speeches, but I may refer to various contributions as I go. I would particularly like to recognise those new Members who were formerly teachers. It is so good to have more teachers in the House and it is important that we hear their voice. I thank the hon. Member for Plymouth Moor View (Fred Thomas) for paying particular tribute to the hard work of staff up and down the country who have to battle in this system alongside parents and pupils. As we have heard, too many vulnerable children who should be receiving crucial support to learn, play and thrive are being let down by a system that is broken. According to the latest Government data, more than 1.6 million children in England have a special educational need—that is almost one in five of our pupils. We have heard of the huge growth in the level of demand in the past few years, with the number of pupils with an education, health and care plan growing by almost 12% in the past year alone. More than half a million children are now on EHCPs. Despite the best efforts and dedication of everyone involved in the sector, including teachers, parents and charities, it is clear that services are struggling to keep up with demand. As a result, too many children with SEND are being left behind. The new Government have an immense challenge on their hands and, for all their rhetoric, education was not a priority for the previous Conservative Government once they were left to their own devices from 2015 onwards. I have no doubt that the shadow Minister today will point to a plethora of announcements on SEND and promises to build special schools in response to the overwhelming and growing need. Actions sadly never met the rhetoric. The evidence is crystal clear, as has been backed up by the stories we have heard from across the House today: we know that parents and children are stuck in an adversarial system, fighting, and waiting many months—sometimes even years— to get the support to which their children are entitled. The previous Government’s own SEND review in 2022 stated that the system was “failing to deliver for children, young people and their families.” As we have heard, the former Education Secretary, Gillian Keegan, even described it as “lose, lose, lose”. We also know that headteachers are at their wits’ end, with teachers and teaching assistants being driven out of the classroom because of the strain on them. Last year, on a visit to Harrogate, my hon. Friend the Member for Harrogate and Knaresborough (Tom Gordon) and I met the SENCO for Coppice Valley primary school, who was leaving because he felt he could not meet the needs of his pupils and provide the support that they deserved. In my own constituency, I have heard about serious safeguarding incidents in schools involving children with SEND who are not getting the support that they desperately need and deserve. It is unfair not only on those particular children, but on the whole class, and it is unfair on the teaching staff who are doing their very best to provide a good education for all. With school budgets so stretched, I know that many schools are struggling to offer the inclusive education they want to. Many are laying off teaching assistants to deliver the cost savings they need, and it is often those teaching assistants who are providing the support for a child with special educational needs to remain in a mainstream classroom. At the same time, local authorities cannot possibly plug the funding gaps from their own budgets, given the parlous state of council finances.

• 5 Sept 2024 · SEND Provision · Hansard source

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  I thank the hon. Member for her intervention and I agree that, where possible, we need to be as inclusive as possible. Equally, there are children whose needs cannot be met in a mainstream setting and we need to have special provision for them—I will touch on that in a moment. The funding for special needs has fallen so far short of what is needed that local authorities across the country now have a cumulative high needs deficit of approximately £3.15 billion. Many local authorities’ financial viability is being put at risk by these growing deficits. Although the safety valve programme that my hon. Friend the Member for Thornbury and Yate (Claire Young) mentioned, of which my own borough of Richmond upon Thames was an early member, has provided some relief, it is a sticking-plaster solution, kicking the can down the road. Once the agreements run out, those local authorities are projected to start racking up big deficits again. As well as the cost of providing the support to which children are legally and morally entitled, councils are also seeing their SEND transport bills skyrocket. As my hon. Friend the Member for Harpenden and Berkhamsted (Victoria Collins) pointed out in the case from her constituency, we know that the number of children having to make long journeys has increased by almost a quarter over the past five years. Vulnerable children are having to travel ever further distances because specialist provision is not available locally for many. Two thirds of all special schools are full or over capacity. The last Government was incredibly slow in building the special schools that they promised, and they turned down many applications from councils to build and open their own SEND schools to make that provision available. Councils face a double whammy: not only are they paying transportation costs, but they are having to buy in private provision. Many independent SEND schools are brilliant not-for-profit charities, but there is also obscene profiteering from some special schools run by private equity firms, which are bleeding councils up and down the country dry. I hope the Labour Government will look at that because my calls to the Conservative Government fell on deaf ears. I want to pick up a point made by the right hon. Member for Tatton (Esther McVey) about the many families whose children are not eligible for EHCPs or who cannot face the gauntlet of trying to secure one. They turn to mainstream, small independent schools to better support their child because larger mainstream schools cannot support that need, but those families will be penalised by the new Government’s plan to slap VAT on independent school fees from January. Those who will not be able to afford the additional cost will turn to the state sector, putting more pressure on, as we have heard, a system in crisis. Furthermore, the proposal to have a VAT exemption for those with EHCPs will incentivise even more parents to apply through the system. I have heard from a constituent just this week who will probably have to do that, which will put yet more pressure on a system that cannot cope with more. I look forward to hearing what the Minister has to say about the 100,000 children who have SEND and are in the independent sector. All of us recognise that SEND provision is an enormous challenge that will not be resolved overnight despite what the Secretary of State hopes to be able to do. I stand ready to support her in any way I can to make sure that we tackle the issue. The recent Liberal Democrat manifesto set out several ideas that I hope the Minister will look at. First we propose that a new national body be established for SEND that would be responsible for funding the support of children with very high needs. The national body for SEND would pay for any costs above £25,000 for children with high needs. It would reduce risk for local authorities and help to tackle the postcode lottery that we have heard about.

• 3 Sept 2024 · Ofsted · Hansard source

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  The death of Ruth Perry was a tragedy and underscored the high-stakes nature of Ofsted inspections. I have witnessed at first hand how headteachers and teachers in my constituency have suffered under the strain and stress of Ofsted inspections, but others have also told me how helpful they have found them and how brilliant Ofsted inspectors have been. We Liberal Democrats certainly welcome the move away from one-word judgments, which we have long been calling for. At the same time, we believe that a robust and fair inspection and accountability regime is essential to ensure that schools are operating at a high standard and are safe, nurturing and inclusive environments in which our children and young people can thrive. Although the change is a welcome first step, could we have some reassurances that it will be followed by proper root-and-branch reform? For too long, Ofsted has been seen as an adversary, but it should be seen as a helpful friend. Can we see the announcement as a first step towards a world where Ofsted is a helpful, respected partner for schools? Perhaps the regional improvement teams will provide that—I sense that local authorities used to do so before they had that function taken away from them. Finally, Ofsted should be looking at a broad, varied and rich curriculum. How will the Minister’s curriculum review connect with the Ofsted changes?

• 2 Sept 2024 · Topical Questions · Hansard source

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  When the Secretary of State looks at the rules around local authority compulsory purchase orders, and at removing hope value for house building purposes, will she look at having the same rules for playing fields that local authorities want to keep as playing fields and not build on? That would allow sites such as Udney park playing field in my constituency, which has lain derelict for a decade under private ownership, to be brought into community use again.

• 29 Jul 2024 · Violence against Women and Girls · Hansard source

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  Next month, the community in Twickenham will once again remember Amelie Delagrange, the French student who, many Members will remember, was brutally murdered on Twickenham Green some 20 years ago. Sadly, so little has changed since then. In a local survey by Richmond and Kingston youth council, 69% of boys said that they would not intervene, or would be unsure about intervening, if they witnessed friends sexually harassing someone. May I reiterate calls from both sides of the House for work with the Department for Education to make sure that boys, as well as girls, learn what is and is not acceptable?

• 26 Jul 2024 · Pharmacy Provision: Hampton · Hansard source

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  I thank my hon. Friend for his intervention, and I congratulate him on his excellent maiden speech. I completely agree with him. We want doctors to use community pharmacy more to alleviate the pressure on other parts of the health service, but frankly, if the pharmacies are not there, the remaining ones will be overwhelmed. I talked to local GPs in the Hampton area following these closures, and they were desperate to see more provision. They thought about trying to set up their own community pharmacy provision, but they just could not make the numbers add up because of the funding shortfall. The Company Chemists’ Association estimates an average funding shortfall of £67,000 per pharmacy. That is based on an analysis of data published by the Department of Health and Social Care in a written parliamentary answer at the beginning of last year. Many pharmacists are left out of pocket, as they are reimbursed less for a number of medications than the price they pay, and there are stories of some using credit cards and overdrafts to purchase medication. These funding pressures are coupled with major workforce challenges. When I met Boots following the news that it is closing two branches in Hampton, it cited a lack of pharmacists as a major reason for closing some 300 pharmacies across the UK, although commercial pressures were clearly the main driver. Layered on top of these issues are regular medicine supply shortages, which add more work and create more stress for already overstretched pharmacists. Community Pharmacy England reported last year that 92% of pharmacies were having to manage supply issues daily. It is a perfect storm for community pharmacy at a time when we need preventive healthcare and self-care more than ever. The potential of community pharmacies to improve patient health and reduce the pressure on NHS hospitals and GPs is immense, yet they are closing in their hundreds every year. We should be relying on pharmacies even more to keep the nation healthy. The previous Conservative Government’s announcement of the Pharmacy First initiative was very welcome in its ambition, but if pharmacies are not even funded for the basics right now, with big gaps in provision opening up all over the country, it is hard to see how Pharmacy First’s ambitions will be achieved. The Liberal Democrats would like to see the Government building on the Pharmacy First principle and giving pharmacists more prescribing rights and public health responsibilities. As in so many areas of public health, the “invest to save” argument is compelling, and I look forward to hearing the Minister’s comments on what the new Labour Government will do on funding to enable community pharmacy to not just survive, but thrive and grow as an essential part of our primary care infrastructure. Having addressed the causes of these closures, I will spend some time exploring the processes involved in local communities being informed of pharmacy closures, and their input, or lack thereof, in them, as well as discussing the complete lack of transparency or accountability in relation to applications for new pharmacy licences. For starters, only those organisations designated as “interested parties” in the regulations are informed of new applications, and only their feedback has to be taken into account. Anyone else who is interested, such as me as a local MP, needs to make a freedom of information request, unless someone in the local health community passes on the information. My views, and the views of other people in the community, can be ignored. To describe the bureaucratic process that sits around new applications as byzantine would be generous. I hope the Minister, Madam Deputy Speaker and other hon. Members will bear with me while I try to explain what happened in Hampton. We are part of the South West London Integrated Care Board, but NHS England has delegated the pharmacy market entry function for the whole of London to the North East London ICB, which is on completely the opposite side of the city. Officials have no local knowledge of our area, no understanding of local transport links and no relationships with the local health system. Let me start with the closures. The Minister will be aware of the statutory three-month notice period for pharmacy closures; last August, Boots would have had to give NHS England three months’ notice of its intentions in Hampton. That information was not passed by NHSE to the Richmond health and wellbeing board. I find that utterly staggering. The first that local councillors, the local health community in the area and I as the MP knew about the planned closures was when Boots placed signs in its windows to inform customers, and concerned constituents started to contact me about the likely impact of the closures. At the end of August 2023, while this was going on and we were all in the dark, the local health and wellbeing board published a pharmaceutical needs assessment, but it was inaccurate and failed to identify an imminent future gap in need in the Hampton North area because it had not been notified of the closures. The Tangley Park Boots subsequently closed in late October. The Priory Road Boots, which was directly opposite a busy GP surgery, closed in early November. In November, an application was received for a new independent pharmacy licence on the Tangley Park Boots site. Once again, the local health and wellbeing board was not notified of the application—this time, for two whole months. During this period of complete silence, the health and wellbeing board issued a supplementary statement to the local pharmaceutical needs assessment, which identified the gap in Hampton. However, because the application for a new pharmacy was made in November, and it referred to the original needs assessment that was made before the supplementary statement was published, it was rejected, even though the application itself identified the gap, which was officially made clear in the supplementary statement subsequently published in December. Not only that, but it took the North East London ICB a full eight months to issue the rejection; tht happened earlier this month, even though the decision used evidence received in December to justify the rejection. Madam Deputy Speaker, if you and other hon. Members are still managing to follow this sorry story, I hope you will agree that this decision is utterly perverse. It is also utterly unreasonable that timely applications to open pharmacies in response to multiple closures should be inherently prevented in this way. The delays in sharing information with the local health and wellbeing board and the delays in decision making are unforgivable. During the lengthy delay, the local authority received a planning application to change the Tangley Park pharmacy site into a fast food outlet. Thankfully, that was rejected earlier this month after representations from the public health team and councillors, but I am sure the public health Minister will agree that it would be unfortunate, to put it mildly, if a pharmacy were replaced with a fast food outlet. One local official told me yesterday that the systems architecture is too complicated, and that there is a need for clearer responsibilities and accountability. Amen to that, I say. Healthwatch Richmond has demanded answers from the North East London ICB, but it has received a frankly woeful response that does not address the substantive question of why the application was so badly handled. The response passes the buck and blames regulations. To be clear, Healthwatch and I are not qualified to comment on the merits of an application; what we are doing is challenging the unfathomable process. I say to the Minister that the huge funding challenges facing community pharmacy are pressing. I appreciate that they may be extremely difficult for him to address, given that the Chancellor has an iron fist as far as any additional public spending is concerned, but the Minister must wage a campaign to improve the funding situation. It makes financial sense. We will not grow the economy without improving the nation’s health. In that campaign, he will have cross-party support from Members on the Opposition Benches. Revisiting the regulations and how NHS England is implementing them will cost next to nothing. There should be proper consultation with and involvement from the local community on closure notices, and changes in the process for new licences could ensure that we can quickly plug pharmacy gaps when they open up in areas such as Hampton. Crucially, those powers need to be delegated to the local ICB, with full involvement from the local health and wellbeing board. They know their communities and their geography best—trust them. Finally, if the Minister could step in on the specific issues in my constituency—the application that has been rejected and is going NHS Resolution on appeal—simply to ensure a common-sense approach, the residents of Hampton North and I would be very grateful. We desperately need a new pharmacy for our community. I look forward to his response.

• 26 Jul 2024 · Pharmacy Provision: Hampton · Hansard source

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  May I start by congratulating you, Madam Deputy Speaker, on your election? It is a pleasure to see you in the Chair. I also congratulate the Minister on his appointment. We have worked closely together in recent years in the all-party parliamentary group on kinship care, so I have no doubt that he will do an excellent job. I suspect that young Lyle is very proud of his granddad right now. I am delighted to have secured this Adjournment debate. You might be surprised to learn, Madam Deputy Speaker, that this is the first I have managed to secure since my election in 2019, so I want to use this exciting opportunity to bring to the Minister’s attention the impact of pharmacy closures on the local community in the Hampton area of my constituency, as well as the immense financial challenges facing community pharmacy right across England. I will also raise concerns about the impenetrable bureaucratic processes, which need overhauling, in new pharmacy licence applications and pharmacy closures. Let me set the scene. Last autumn, two Boots pharmacies in the Hampton area were closed. One of those pharmacies was in the Hampton North ward, one of three wards of relative deprivation in the London borough of Richmond upon Thames. The west of the ward is within the 20% most deprived areas of the country; it is densely populated with a significant amount of social housing. As a result of that closure in Tangley Park, the entire ward is now without a community pharmacy. Hampton North is poorly served by public transport: there is no station, and the two bus routes serving the area are notoriously unreliable. The nearest pharmacy is now a mile away on foot, a distance that is difficult to cover for the elderly and those with mobility issues. It is certainly more than a 20-minute walk away, which is the measure that previous Ministers liked to use to highlight pharmacy accessibility. Predictably, those closures have put a lot of pressure on the nearest remaining pharmacies, which face queues and stock issues. Again, that is not exactly convenient or practical for elderly and vulnerable patients. At this point, I pay tribute to Mike Derry and Healthwatch Richmond for their brilliant work championing local patients and giving them a voice. Healthwatch undertook a survey of some 700 residents in the Hampton area at the start of the year to demonstrate the impact of the closures. One person said: “I have gone without medication as I can’t stand very long. There are queues—I have waited over half an hour.” Healthwatch England highlighted the plight of 87-year-old Gill. She used to just about be able to get across the road from her house to the Tangley Park pharmacy. Now the nearest pharmacy is over a mile away, and Gill, who does not drive, cannot access that service because of the distance that she would have to walk to get there. She even paid the nearest pharmacy to deliver her medicines to her home each month, but in the eight months since she purchased the delivery service, it has shown up only twice. Her carer has to travel to collect the medication in person for her. Hampton is not unusual in losing pharmacy provision. I am sure that the Minister is aware of the crisis facing the community pharmacy sector. Data from the Community Chemists’ Association shows that there has been a net loss of over 1,200 pharmacies—1402 closures and only 179 openings—since 2015. More than a third of those losses have been in the most deprived areas of the country. The National Pharmacy Association reports that the number of pharmacies that have closed so far this calendar year—the equivalent of 10 pharmacies a week—is nearly 50% higher compared with the same point in 2023. As well as independent pharmacies, big chains such as Lloyds Pharmacy and Boots have significantly accelerated closure numbers over the past 18 months. A big driver of these closures is a significant real-terms reduction in funding for pharmacy; that funding has dropped by around 30% since 2015.

• 26 Jul 2024 · Pharmacy Provision: Hampton · Hansard source

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  On the point about the 20-minute walk and the four in five statistic, does the Minister recognise that a 20-minute walk for me or him is actually much longer for an elderly person or somebody with multiple health conditions or mobility issues? We have to work out what measure we are using. Yes, the Twickenham constituency may have many pharmacies, but we must look at that highly localised level. That is why we need the local authority and local health boards to be involved, because actually in Hampton, as a community, the transport links are terrible.