Rachel Gilmour MP: speeches

Speeches

• 26 Jun 2025 · Armed Forces Day · Hansard source

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  Rather fittingly, this debate comes in the shadow of the NATO summit at The Hague yesterday, with its headline pledge for defence spending to reach 5% of GDP by the midpoint of the next decade. I echo remarks from across the House about how we live in an increasingly volatile world —perhaps more volatile and more unpredictable than at any other point in the post-1945 era of pax Europaea and pax Americana. We see the bloodiest conflict on European soil since the second world war and death and devastation in the middle east and across Africa, Asia and beyond. In comfort on civvy street, we are perhaps sometimes guilty of forgetting how fragile our freedoms and democracy are, and we forget the threats posed to them. Our values are not guaranteed; they have to be fought for, and we must be reminded of that. We live in an age that is the historical exception, not the norm. Our way of life at home depends on our strength to defend it and how we project ourselves abroad. We recently celebrated the 80th anniversary of victory in Europe. Just a few generations back, still within the memories of many, this country was engaged in a fight for its very life and survival. We would do well to remember that always. Thankfully, the brave men and women who serve today need no such reminder. I come from a military family. My late father served in the Royal Naval Reserve. Two of my three brothers have had long careers in His Majesty’s armed forces. Ben is a brigadier in what I still insist on calling the Black Watch. As officer command in Scotland when the late Queen died, he was in charge of making sure that everything went smoothly; I cannot tell you how proud I was of my baby brother Ben when it did. Johnny, now retired, was a lieutenant colonel in the Grenadier Guards. They have dedicated their lives to the service of our country. I assure everybody that their example, and that of every soldier, sailor and airperson, reinforces my knowledge that our military remains in the best of hands. I say, perhaps with a shred of bias, that Britain’s armed forces are still the finest in the world. I speak with additional pride about my constituency of Tiverton and Minehead, which is home to 4,577 veterans. It is a proud part of the country with a strong military tradition. I take this opportunity to salute the fantastic presence of the Royal British Legion and other veteran organisations in my patch, particularly the wonderful Dunkirk Memorial House at the foot of the Quantock hills and the armed forces breakfast clubs in Minehead and Bishops Lydeard, which provide a sense of community. Having done lots of pro bono work with the Royal British Legion in a previous life, particularly on PTSD and hearing loss, this is a topic very close to my heart. I am delighted to hear the Minister announce that the armed forces covenant will be included in legislation. It is a national obligation to look after those who have served us. Before I was elected, I had to try and help young RAF veteran Owein and his family, including his young daughter, Autumn, who had just been diagnosed with autism. They had become homeless. If only that legislation had been in place then. I know that my colleague, Councillor Claudette Harrower, who is responsible for the covenant at Mid Devon district council, will endeavour to make sure that the very best has been done. The armed forces covenant is not charity; it is justice. We must be alive to the recruitment crisis currently bedevilling our armed forces. We must close that gap. I fear, however, that we are not overly helping ourselves in this regard. Allow me to draw attention to the plight of a young constituent of mine, which I suspect is a frustratingly similar story to that of a number of young people up and down the country. In February 2024, she gave up the chance to study A-levels to attend the Lichfield assessment centre, where, in October 2024, she passed the assessment with scores that were exemplary and such that she was accepted into the Intelligence Corps. However, by June of this year—some 16 months later—she still has not been given a start date, and just receives occasional holding communications from military authorities. Meanwhile, she gets by with a series of menial part-time jobs, but has seemingly been left in the lurch by her Army recruiters. I am not using her name because she has asked me not to, but I will give the Minister her details later in the hope that we can process this matter sooner rather than later. Young people like my constituent, who are prepared to serve their country and so represent the best of their generation, deserve better. Will the Minister comment on that privately? Will the Minister also commit to publishing detailed targets for processing applications, allocating sufficient personnel to the recruitment pipeline and providing all successful candidates with a concrete start date within a reasonable time period? I want to put on the record that the Veterans Minister was known as a legend when he served in the Royal Marines and, to me, he remains a legend. I can send him an email and receive his response within 48 hours, which is enormously helpful to my constituents, who are the people I serve. In finishing, I refer to Aleksandr Solzhenitsyn, who said that he was a patriot, but not a nationalist. As I finish my speech, I reiterate his words: I speak as a proud patriot, but never, ever a nationalist.

• 24 Jun 2025 · Ministry of Housing, Communities and Local Government · Hansard source

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  My observation is that there is simply no such thing as affordable housing in my constituency. If someone is earning £12 an hour and £20,000 a year, a house that costs £30,000 is not affordable. Does my hon. Friend agree that the only sort of housing that people can afford in my constituency is social housing?

• 24 Jun 2025 · Department of Health and Social Care · Hansard source

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  There are very legitimate concerns about rumoured plans to merge integrated care boards across the country. When ICBs merge, the promise of unified oversight gives way to a bureaucratic structure that prioritises large-scale efficiency over the nuanced understanding of local communities. Each locality and its environs has its unique challenges, such as variable demographics, socioeconomic disparities and distinctive health issues that demand targeted solutions. A merged ICB risks offering one-size-fits-all strategies that overlook the finer details of local care. The resultant dilution in responsiveness not only alienates patients, but stifles innovative local approaches that have proved successful in addressing community-specific challenges. While attempts at driving efficiency are certainly laudable, we risk sacrificing the local approach for local needs. In my constituency of Tiverton and Minehead, community hospitals in Williton, Minehead, Tiverton and Dene Barton in Cotford St Luke are anchor institutions providing essential care for my constituents. Communities in rural areas simply cannot afford to lose them. These facilities are often the only nearby source of medical attention, and that is critical when timely treatment can mean the difference between life and death. Moreover, community hospitals offer the family and friends of patients the opportunity to visit and check on them without having to travel great distances to do so. As we know, this familiar contact is so often a crucial part of a patient’s journey to recovery. It is certainly true in Tiverton and Minehead that community hospitals help to reduce the health disparities found in rural settings compared with urban centres. Without them, residents in more remote areas would simply not have access to the same level of healthcare as those in more built-up areas. That is why, where possible, we must resist administrative reforms that ignore local distinctiveness, and at the same time invest robustly in the community pharmacy network and community hospitals.

• 19 Jun 2025 · Social Mobility: Careers Education · Hansard source

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  It is a pleasure to serve under your chairmanship, Ms Lewell. In my constituency of Tiverton and Minehead, we have almost no sixth-form provision, with the exception of a small number of places at Petroc college in Tiverton and West Somerset college in Minehead. At the crucial juncture of 16 to 18, when most people will begin to look ahead at future career paths, my younger constituents are in the unenviable situation of lacking access to conventional careers guidance. Instead, they have to travel long distances, often entirely at the mercy of the quirks of an unreliable and insufficient public transport network. There are very high levels of socioeconomic deprivation in my constituency, particularly along the coastal belt of west Somerset, which is 324th out of the 324 areas of England on the social mobility index. There are very few options to attend post-16 education, and the transport system is underdeveloped and unreliable. That is hardly a recipe for improving social mobility. The recently launched Ada in Porlock community initiative looks to propel young people with potential, particularly those of lower socioeconomic status, into careers in science, technology, engineering and maths. The initiative seeks to reimagine careers support by providing resource-rich guidance and a pathway into dynamic networks of opportunity and mentorship. At its recent launch, I was inspired by the project, which is named after Ada Lovelace, who created the first computing system in 1844, more than 100 years before Alan Turing. It will act as a stimulus for my many talented young constituents, especially young women. As their MP, my message to all my constituents is: think big, dream big and always aspire to be the best person you can be. They can rely on me to do my best to help to make it happen.

• 17 Jun 2025 · Disabled People in Poverty · Hansard source

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  My hon. Friend reminds me of a remarkable institution in my Tiverton and Minehead constituency called Foxes Hotel, which trains people with mental disabilities to become employed in hotels and hospitality centres across the country. In fact, one young lady from Foxes works in our kitchens in the House of Commons. It is not all doom and gloom, but suffice it to say that Foxes is known within the disabled community as the Oxbridge of training—it is unique, and is not the norm. Did my hon. Friend know that?

• 22 May 2025 · Independent Sentencing Review · Hansard source

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  Having sat on the Public Accounts Committee inquiry into prison overcrowding, I know full well the issue at hand and who to blame. Can the Lord Chancellor assure me and my constituents that they will not be placed in more danger by the Government not jailing criminals? When those individuals are in the community, the local community must have a voice in the effectiveness and planning of these new sentences, lest we end up with community concerns similar to those about bail hostels in Tiverton and Minehead.

• 15 May 2025 · Youth Services · Hansard source

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  As a mother of four born Devonians, I know that my constituency is a wonderful place to grow up. It embodies the best of England’s green and pleasant land. It is also home to a vibrant network of youth circles. I pay tribute to the fantastic sports clubs, big and small, across the patch, the strong presence of the young farmers clubs, and to the cadet branches of our armed services in Minehead, Uffculme, Doniford—though they meet in Watchet—and Tiverton. I also pay tribute to the myriad scout and guide troops across my constituency, and the King’s award-winning Exmoor Young Voices, whom I very much look forward to welcoming to Parliament next week. I apologise if I have left anybody out. In an age when screens are increasingly a fixture in daily life for the young generation, the chance to spend time in the countryside is becoming all the more important. It boosts mental health, encourages exploration and lays the foundation for a lifelong appreciation of our natural environment. I sometimes wonder whether the greatest youth service in my constituency is the natural environment. I am keen to ensure that young people appreciate nature’s grounding force. However, opportunities sometimes lie elsewhere for isolated and distant communities. That is a direct result of the underfunding of youth services—a short-changing of future generations. I was shocked, but not entirely surprised, when I saw the figures for 2023-24, which indicated that Somerset funded a youth service for 11 to 19-year-olds to the tune of only £4.21 per young person. Compare that to Hull, which provided £287 per 11 to 19-year-old. If only the Conservatives had not run Somerset into the ground, and underfunded local government across the country. Finally, as we consider the future of youth services, we cannot ignore the benefits of adopting an EU youth mobility scheme. This initiative would allow young people in the UK greater access to work placements, study exchanges and cultural experiences in Europe. It would broaden horizons and foster international co-operation. Giving our youth the ability to explore, grow and develop skills beyond our borders is not just beneficial to them; it strengthens our economy and enriches our society. Surely that scheme would represent one of the greatest services to the young people of Tiverton and Minehead. Either we get serious about the issues facing our youth services, or we fail to tackle them head-on and risk losing what we have, which would be detrimental to all.

• 14 May 2025 · Future of Public Libraries · Hansard source

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  I thank the hon. Member for securing the debate. Clearly, there is much agreement on the importance of public libraries, but in rural communities such as those in my constituency, access is often limited by insufficient transport and the rural premium associated with running services. Does he agree that the Government should urgently review steps to support access to rural libraries, so that constituencies such as mine are not left without these treasured community assets?

• 14 May 2025 · Rebalancing Regional Economies · Hansard source

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  My constituency is both rural and coastal, which presents a unique set of challenges in terms of deprivation and neglect. Urban areas often receive targeted investment, but rural and coastal communities can be overlooked. Does the hon. Member agree that the Government must adopt a tailored approach, taking into account the rural premium in the index of multiple deprivation, to specifically address the distinct needs of such areas and unlock their significant economic potential?

• 25 Mar 2025 · Veterinary Products in Waterways · Hansard source

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  I thank the hon. Member for his interesting intervention. I agree, and I will talk about farmers in particular in a moment. It is also important to note that the economic cost of mitigating the environmental and health impacts of these chemicals is substantial. Water bills are set to rise precipitously this year, causing pain to the average consumer. In Tiverton and Minehead, rises of 20% and 32% have been announced by the two water companies that supply us. Purifying contaminated waterways and restoring the ecosystems blighted by those chemicals requires significant financial resources, placing a burden on communities and straining local government purses. How much of that financial impact is reflected in these bill rises? Are consumers facing price rises in their water bills because we are not effectively regulating problem products such as neonics? We know that there is an issue with our water quality—the issues at Dunster beach and Blue Anchor in my constituency spring to mind. That is why the Government passed the Water (Special Measures) Act 2025—and why my party leader fell into Windermere several times during the general election campaign to raise awareness. When will we clean up our act and put in place the firmest restrictions on these polluting water companies? When will we look at what we can do to stop other pollutants from getting anywhere near our waterways in the first place? I will be interested to hear from the Minister whether this cost has been factored into the Government’s thinking on this issue, and whether there could be some answers to the questions I have posed. On a broader note, I will touch on how we can help our farmers and those in our rural communities with these environmental challenges. Our waterways make up a key part of our natural biodiversity, but each part relies on the other. That makes the recent decision to axe the sustainable farming incentive scheme all the more worrying and damaging to our rural communities. If there is not the money for sustainable farming, agricultural practices will naturally follow economic sense, if not the careful environmental custodianship on which our farmers pride themselves. Farmers are suffering at the hands of this Government, and with them so suffers our environment. Will the Minister take this opportunity to reassure the House that her colleagues in the Department for Environment, Food and Rural Affairs are doing everything they can to support our farmers as they balance the agricultural and environmental needs of the land? Will she also ensure that due consideration is given to the restoration of the SFI scheme, so that we can keep making progress on our environmental goals, hand in hand with farmers, and not be distracted from the harms of damaging products such as the neonics that I have been talking about by losing our much needed local and rural allies? I am aware that this speech has been slightly doom and gloom, but I will now turn to what we can do as an alternative. Research has shown that the likes of coconut oil, citronella oil, good old lavender and eucalyptus provide good natural and, most importantly, non-toxic alternatives for flea and tick repellents. The market is awash with collars for cats and dogs infused with these essential oils, which are both practical and natural. There has been very little emphasis on these solutions. We should be doing much more to promote the benefits of these chemical-free remedies. As seen in recent developments in Switzerland, where the Government are carrying out water testing, there is a clear need for environmental impact assessments of the use of fipronil and imidacloprid. These should be launched as a matter of urgency, and I would welcome the Minister’s reflections on this point. We Liberal Democrats have called for any emergency authorisations of neonics to be revoked, and for the introduction of tighter restrictions on their use. I invite the Minister to comment on the state of play and whether there is a serious appetite in the Government to address this issue. It is clear that we have a serious challenge on our hands. As the hon. Member for Truro and Falmouth (Jayne Kirkham) said, these products are advertised widely and sold ubiquitously. I am not blind to the fact that these products have brought undeniable benefits in pest control, but their unintended consequences serve as a stark reminder of the need for sustainable and nature-friendly practices. I genuinely believe that there is a desire to do more to regulate these highly toxic chemicals. Lawmakers were right to impose a blanket ban on fipronil and imidacloprid in agricultural settings in 2017 and 2018. The will should be there to ensure that these products cannot be allowed to continue damaging our freshwater ecosystems. Further regulation is the only way forward to remove harmful contaminants and arrest the degradation of aquatic fauna in this country’s waterways. The Government also need to go further and faster in regulating our waterways and the water companies damaging them overall. The Water (Special Measures) Act is a good first step, but the Government can and must do more. Ofwat is failing in its duties. The time has come for a new clean water authority to replace it as we up our game in protecting our precious waterways. I see no reason why reforms designed to keep neonics out of our waterways cannot come hand in hand with our push to keep sewage and other contaminants and pollutants out of our waterways. In the short term, for neonics, restrictions should be placed on the trade of fipronil and imidacloprid, with the only exception to their continued use coming under strict conditions of prescription only by veterinary medical professionals and for a limited time period. We know that Amazon and the over-the-counter market in pet stores can lead to the propagation of those products in our natural environment, so restrictions would make some sense. When the time allows, a ban for all other usage should certainly be in the Government’s scope. It is clear that decisive action must be taken on this matter. Could the Minister shed some light on whether the Government would be willing to assess the potential merits of moving in that direction? From all that I have seen, that appears the prudent—and perhaps only—direction to take.

• 11 Mar 2025 · English Rugby Union: Governance · Hansard source

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  It is a pleasure to speak in this debate. I thank the hon. Member for Camborne and Redruth (Perran Moon) for raising the issue of the state of governance of rugby union in England. I have some wonderful rugby clubs in the constituency I am proud to represent—Tiverton and Minehead—including Tiverton, Minehead Barbarians and Wiveliscombe, who punch well above their weight. Rugby has been a large fixture throughout my life. My father donned the famous red rose at international level, and also captained both Harlequins and Northampton. It would be a struggle to find a stronger supporter and lover of rugby than me. But it is safe to say that English rugby union has changed a great deal since my father’s playing days. The governance of rugby union in this country is on shaky ground, and although recent success in the Six Nations has provided some immediate buoyancy among the England rugby faithful, it is clear that there are serious structural issues at play, many of which the hon. Member for Camborne and Redruth mentioned. At the grassroots level, rugby is really suffering. The community game is collapsing under the weight of insufficient finances. The RFU is not sufficiently supporting the wider rugby ecosystem in this country. Most notably we have seen—and it has been well documented by hon. Members this morning, and will continue to be—English clubs, great and historic rugby institutions, go under in recent years, such as Wasps and London Irish. All that is while C-suite salaries and bonuses have continued to be very handsome indeed. That is financially unsustainable, and a travesty. We must take note from our competitors because—aside from the fact that I am a bit of a Francophile, and as a Liberal, have a natural orientation towards Europe—the French model is quite clearly geared towards cutting-edge club rugby. In England the national team’s success dominates the story. However, in recent years it has become apparent that the lofty standards of the French national team are a natural by-product of a strong top 14 league. Put simply, they have the best of both worlds, because their strong international outfit is downstream from their thriving club rugby scene. Here in England, we seem to be struggling with both—we are seemingly stuck between a rock and a hard place. The club rugby model in France has guaranteed a much more stable financial climate, attracting the biggest stars, driving competition, and developing a certain watchability and commercial security that we do not quite have on this side of the channel. It tells us something when some of our brightest prospects—guaranteed mainstays for years to come—have retired from international duty to play in France. I think it is reasonable to suggest that, had circumstances beyond their control been different, most—if not all—would still be representing England. Change must come. For the good of the game, the governing body must adapt. Right now it is proving to be outmoded; it must move with the times. I associate myself with calls for an independent review into RFU governance, suggesting a need for structural reforms to improve financial oversight and club engagement. If that happens, no one will cheer louder at Twickenham than me.

• 3 Mar 2025 · Independent Schools: VAT and Business Rates Relief · Hansard source

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  I thank my hon. Friend for his interesting and adept intervention. I will be coming to that matter in a minute. There are some shocking—shocking—statistics on this from the Conservative party in Devon. This policy will immeasurably increase the strain on the state school system, which is already bursting at the seams, through a large influx of pupils transferring across to comprehensive schools. This tax will not offset the impact. Moreover, many pupils at private schools are there because bursaries and scholarships have enabled them to be there, as was the case for me. For example, Blundell’s school, the independent school in my constituency of Tiverton and Minehead, has a proud reputation of offering a very high number of bursary places to disadvantaged children from low-income households, who would otherwise not have the opportunity of a first-class education. It also opens its doors to the community, who regularly make use of its wonderful facilities. That is the case for independent schools up and down the country—I think I referred to one earlier. What about those pupils in need of extra support with their learning? Here comes the shocking statistic about EHCP roll-out across Devon, where Conservative-run Devon county council fails to meet its statutory duty to issue 95% of EHCPs within 20 weeks. I think all of us—even the blue team—would agree that that is shameful. Many parents whose pockets are not bottomless and who have children whose needs are not being met see independent schools as a means of securing the best possible future for their child. Who could possibly decry parents doing such a thing? [ Interruption. ] Mutter, mutter. Of course, my desire is to see our state school system rise to such standards that parents would not feel as though independent schools were the only way for their children to receive a first-class education. I sincerely hope that that day comes sooner rather than later, and I have confidence that this Government will make that happen, but I cannot help but come back to choice, which is the central premise of my argument—the choice of parents to decide themselves, and themselves alone, where their children learn.

• 3 Mar 2025 · Independent Schools: VAT and Business Rates Relief · Hansard source

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  It is a joy to speak under your chairmanship, Ms Lewell-Buck. I will be brief. I grew up the eldest of four children, and the only girl. My brothers and I were all grateful recipients of scholarships and bursaries to public schools. I am, believe it or not, a Cheltenham lady, and my brothers all attended King’s, Canterbury. Two served in His Majesty’s armed forces—Johnny was a half-colonel in the Grenadier Guards, and Ben still serves as a brigadier in what we still call the Black Watch. My other brother, James, worked as a heart surgeon before serving his community in Wales as a GP. In my own small way, I have tried to contribute to my country and my community. I am now serving as an MP, but I have also been a town and district councillor. I worked for international and national non-governmental organisations, and the National Farmers Union and the Environment Agency. That was made possible for all of us in large part by the education that we were fortunate enough to receive. As Members can imagine, I very often get asked by people who tend to put their cross in the blue team box why I am a Liberal, and my answer is this: I am a Liberal because I was very well educated and I have a conscience. As a Liberal, individual political choice is part of my political DNA, and that is why I resist any attempts to erode choice. Steps taken to remove parental choice over where and how children receive their education are, to my mind, politically indigestible. Ultimately, parental agency must come first in any discussion about children’s future; it is not for the state to disrupt that dynamic. There are a few misconceptions about private schools in this country. One is that most of those who are fortunate enough to attend independent schools are somehow part of the elites. Many students in such schools up and down the country hail from families that have saved and made many a sacrifice to strive to provide the best possible education for their children. My parents were both teachers—not a particularly highly paid profession. This policy would overturn a long-established VAT exemption on independent schools and would hit hard-working families the most. Those schools would be forced to increase fees to stay afloat, cutting off opportunity for many children and driving the further balkanisation of our education system, with the result that only the most financially fortunate would be able to afford private school fees.

• 5 Feb 2025 · Closure of High Street Services: Rural Areas · Hansard source

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  It is a pleasure to serve under your chairmanship, Ms Furniss. I congratulate my hon. and gallant Friend the Member for Caithness, Sutherland and Easter Ross (Jamie Stone) on securing this debate. Rural high streets make up the heart of the local communities, and it is vital to draw attention to the difficulties they face. One crucial service run on rural high streets is banking. My area of the country is not blessed with good broadband connectivity, making online banking a difficult task. Many of my constituents were also not born into the digital age, and for them, changing to online and mobile banking can be difficult. The high streets across my community include some 15 community pharmacies. They are all threatened by the perilous financial state of the health sector. Pharmacies need a better deal from the Government and a real-terms funding uplift, preferably backdated to account for the fall in value that the sector has seen. Without that, we will risk losing those vital services from the high street. The constituent part of the high street are the businesses that make up the vibrant centre—whether they are the fantastic cafés such as Whelans, where I regularly grab a mid-morning snack in Wiveliscombe when hosting surgeries, or the charity shops where I regularly buy the clothes I showcase on my social media—and it is those businesses and more which engender the spirit of community and truly make up the high street. If we lose our high streets in rural settings, it will be very hard to get them back. The old market towns and villages across my constituency hold cherished memories. It is not too late, but we need to act fast and with urgency, otherwise rural communities will continue to see those services moving away from their high streets. I hope that this Government are up to the challenge, but I remain to be convinced.

• 28 Jan 2025 · Road Safety: Young Drivers · Hansard source

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  It is a pleasure to serve under your chairmanship, Sir Desmond. I wholeheartedly commiserate with the hon. Member for Shrewsbury (Julia Buckley) about the distressing tale that she has had to tell and that the parents have had to bear. In constituencies such as mine, Tiverton and Minehead, getting a car can often be the only way young people get to meet their friends without relying on the taxi service of mum and dad. It is integral to growing their sense of independence and self-sufficiency. Rural areas such as mine are not blessed with good public transport systems, so cars are the predominant means of transport, whether for business or leisure. In Tiverton and Minehead, where we have almost no sixth form provision, young people often need a car to get to their place of learning. When the buses are overcrowded and sometimes late, and journeys are always long, those cars can be a powerful vehicle, literally, of academic and vocational aspiration. Nationally, Government figures estimate that one in five young drivers will crash within a year of passing their test, and that more than 1,500 young drivers are killed or seriously injured on this country’s roads each year. In Tiverton and Minehead, over the past five years, there was a total of 244 casualties in accidents where at least one participant, not including pedestrians, was under the age of 26. Of those, 35 were serious and three were fatal. The Government must support measures to reduce the number of tragedies caused by road traffic accidents, including investment in road safety, infrastructure and maintenance, better enforcement on speeding and law breaking, education programmes, and better safety technology in the modern industry. To conclude, I admit that I do not have the solutions, but I have faith that we, as a Parliament, and more widely through a national conversation, can move the dial on the issue. We can find a way to protect our young people without blocking them from cars, which can provide a route to community for them. We owe it to our young people to do that, and to all those affected by road collisions. I know we can rise to the challenge that it poses.

• 27 Jan 2025 · Storm Éowyn · Hansard source

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  We have had terrible flooding in my constituency because of Storm Éowyn. As I drove through my home village of Bampton yesterday, I saw an elderly resident—Richard Hutter—desperately trying to pull up the drain so that the water could be taken from the high street. The wall between Withycombe and Rodhuish has fallen into the stream, so there is water all over the roads. At Exebridge, where the silt has not been taken out from under the bridges for years, there is flooding again—for probably the 10th time. Nearly a decade of underfunding at the hands of the Conservative Administration, which oversaw a 45% cut in the local government settlement, has exacerbated subsidence, erosion and poor road conditions. That has had dangerous consequences, as we have witnessed over the past few days. I ask this question more in hope than in expectation: will the Government revise the funding mechanisms for local government to ensure that villages such as those in Tiverton and Minehead are better protected from future adverse weather?

• 22 Jan 2025 · Education, Health and Care Plans · Hansard source

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  It is a pleasure to serve under your chairmanship, Dr Huq. I commend my hon. Friend the Member for Chelmsford (Marie Goldman) for securing this debate. It is very encouraging to see so many parliamentary colleagues present, although I must comment on the notable absence of those who should be here and be held accountable. I am a member of the Public Accounts Committee, which recently published a report on support for children with educational needs. I observed the process closely and was deeply saddened by what we found over the course of that inquiry. I represent a constituency that is 69% Somerset and 31% Devon. The Somerset side, with a Liberal Democrat-controlled council, issues 42.1% of EHCPs within the 20-week requirement. The Devon side, which has a Conservative-controlled council, only manages less than 5%. The Government, in consultation with local authorities and those who use and rely on the system, need to urgently review the infrastructure to support EHCPs, the systems available to assess and issue them, and what future provision in the system will look like, so that we can start to get this right on a regional and national level.

• 17 Dec 2024 · Community Pharmacies: Devon and the South-west · Hansard source

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  As the hon. Member knows, I am keen on strategies, particularly the one that he has just mentioned. Pharmacies are not paid for the informal advice sessions. In over half of such occasions, if the patient had not been able to access their local community pharmacy they would have instead visited their GP surgery. That suggests that we have freed up 37.7 million GP appointments over the course of a year simply by patients having access to their local community pharmacy, which speaks to the point that the hon. Member just made. Such a workload is commendable, but it is not sustainable in the current funding model. That has meant that over the autumn the National Pharmacy Association found that pharmacies are overwhelmingly willing to reduce services in order to protect patient safety and preserve access to pharmacies, if funding is not provided to protect the network. Pharmacies do not want to do that; they know the impact that reducing their services can have on a community, but if the other option involves continuing in an overstretched, under-supported environment, for pharmacists and anyone committed to delivering health and health-related services to vulnerable people, it is not a real choice.

• 17 Dec 2024 · Community Pharmacies: Devon and the South-west · Hansard source

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  I agree that we need to do that as often as possible. I will move on to the workload. This is not a typical example: along with prescriptions, in Tiverton and Minehead each pharmacy conducted 398 flu vaccines on average during the 2023-24 season, higher than the national average of 355. If Members are unfortunate enough to need their blood pressure checked, they can go to a pharmacy. Across the UK, 930,000 hypertension blood pressure checks are undertaken in just one year. With public health as a driving mission for the Government, I would hope that this was something they could support wherever it takes place. Pharmacies also offer a range of other clinical and public health services, including providing flu and covid-19 vaccinations, and if further services were to be commissioned from community pharmacies in the context of sustainable core funding, the sector could do even more to improve access to primary care.

• 17 Dec 2024 · Community Pharmacies: Devon and the South-west · Hansard source

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  I will of course do that.

• 17 Dec 2024 · Community Pharmacies: Devon and the South-west · Hansard source

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  I see it as a pyramid, with pharmacies at the bottom, right up to operations and A&E at the top. According to the CCA, between September 2022 and June 2024 nearly 200,000 hours of pharmacy time was lost due to pharmacies closing their doors permanently. Over 1,000 pharmacies have closed since 2016, with a net loss of 136 pharmacies in the south-west over the last decade—including in Tiverton and Minehead, where we did not have many pharmacies to begin with. The number of pharmacies operating in England is now the lowest since 2008-09. There are reports across the sector of sustained difficulties in even staffing the pharmacies that remain open. The sector cannot sustain these exits, nor can communities where pharmacies are so vital. Pharmacies across the south-west and Devon need proper investment to safeguard and fix our broken pharmacy system, and to ensure that our health system is up to scratch and our social care system is supported.

• 17 Dec 2024 · Community Pharmacies: Devon and the South-west · Hansard source

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  The Health and Social Care Committee reported in May that “the undoubted potential for pharmacy to improve access to health care, crucially including immunisations, and reduce pressure on general practice and other areas of the health system can only be realised with the right support and the right investment of public funding.” Why, then, are we not hearing anything from the Government about support for pharmacies? In under a decade, the proportion of NHS funding for pharmacies has fallen from 2.4% to 1.6%. An average pharmacy relies on NHS funding for 90% of its income. It does not have to be like this. The sector is ready, it just needs backing. We know that pharmacies across the country and the region, and especially in Tiverton and Honiton—whoops: Tiverton and Minehead—are willing to provide these services. Pharmacy First—

• 17 Dec 2024 · Community Pharmacies: Devon and the South-west · Hansard source

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  I agree with both courses of action, and I thank my hon. Friend very much for that important and interesting contribution. The increase in workload is not sustainable, but that workload is too important not to receive proper backing from central Government as they make headway on their ambition to create what they have referred to, on occasion, as a neighbourhood health service. Being a Devonian, I would like to go through things logically. First, I will talk about prescriptions. In Tiverton and Minehead, each pharmacy dispenses an average of 7,540 prescriptions every month. Across all 15 pharmacies, that is an average of 113,175 prescriptions each month across the constituency. That is 20,000 more prescriptions each month than the House of Commons Library says there are people in the entire constituency. Prescriptions that provide life-altering medications for constituents are the front door to the work of pharmacies. They are what most people think pharmacies do most often, but our pharmacies do a lot more work in our villages, towns and cities.

• 17 Dec 2024 · Community Pharmacies: Devon and the South-west · Hansard source

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  I do agree. In addition to delivering formally commissioned services, pharmacies provide an alternative point of contact for the public for informal clinical advice. The 2024 pharmacy advice audit found that the average pharmacy carries out around 22 informal consultations per day, which is the equivalent of 1.3 million informal consultations taking place in community pharmacies every week.

• 17 Dec 2024 · Community Pharmacies: Devon and the South-west · Hansard source

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  I will come on to Pharmacy First at the end of the debate, because I see it as the solution, rather than the problem. The sector is trying its hardest, but without a fundamental overhaul of the system these NHS services, which are much-needed by patients and the public, may fall by the wayside into one of the following pits. There are the hours lost. When the money is not there, pharmacies cannot operate. As we see in many areas across the south-west and the UK, including in Tiverton and Minehead, hundreds of hours have been lost to temporary closures of pharmacies. According to the Company Chemists’ Association, pharmacies across the south-west have cut opening hours to the tune of 130,400 hours over just more than a year and a half by reducing their opening hours. According to Community Pharmacy England, from October 2021 to May 2024, in my constituency alone, more than 520 hours of pharmacy time were lost due to temporary pharmacy closures. Although pharmacies operate all the services that I mentioned in the first part of my speech—and more, but I do not have time to go through them all—the closures take a toll on the GPs and A&E staff who might be someone’s next port of call if they cannot see their pharmacist. They take a toll on the NHS 111 line if the individual calls in, and they take a toll on the people who might not have any other free time in that day to take care of their health needs. Those lost hours add up. When pharmacies cannot provide those appointments or other services, it leads to bottlenecks elsewhere in the system. Over the first three months of Pharmacy First, to which I will come shortly, pharmacies took 234 appointments out of the GP system simply by offering consultations for the seven applicable conditions. Pharmacies have fantastic potential to relieve pressure and provide new ways for people to access medical services, receive advice and so much more. Pharmacies cannot fulfil their potential if they are closed. The prospect of local pharmacies closing really does scare people. In a recent poll, 83% of respondents reported that they would be concerned about their local pharmacy closing. Data shows that closures are disproportionately taking place in the most deprived areas, with 50% of the pharmacy closures recorded in areas in the lowest three deciles of deprivation.