Rachel Gilmour MP: speeches

Speeches

• 25 Jun 2025 · GP Funding: South-west England · Hansard source

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  I appreciate that recruitment, including of GPs, is extraordinarily difficult in the south-west. In Minehead, there is one GP practice and just one doctor. He is outstanding, and everybody knows him—to that extent, he fits the named GP pledge—but he serves 11,000 people. Rural premium or not, would the Minister agree that that is simply unacceptable and unsustainable, irrespective of where in the country one might be?

• 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.

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

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  Does the hon. Member agree that these proposed or suspected cuts to PIP and other benefits are a sword of Damocles hanging over disabled people in this country? Although the savings are expected to be about £4.5 billion across Britain by 2029-30, that does not factor in any of the broader systemic costs, especially those borne by the NHS and local authorities, which could well negate or even exceed that sum.

• 12 Jun 2025 · Long-term Medical Conditions · Hansard source

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  My office is supporting a vulnerable, elderly constituent, who has multiple sclerosis and suffers nervous breakdowns, having also battled hip cancer and undergone a hip replacement. Does the Minister agree that the failure to provide people with social care and early-intervention support can often expose individuals to a cascade of further suffering, and of course increases the strain on our health services?

• 11 Jun 2025 · NHS Funding: South-west · Hansard source

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  My constituency, which straddles the Devon-Somerset border, has a disproportionately elderly population. We have perhaps even greater and more regular healthcare needs than some other parts of the country, but significant funding shortfalls have hit GP practices particularly hard. In the coastal west Somerset area, we have what are termed dental deserts. The percentage of adults in my constituency seen in the last two years by a dentist falls well under the national average. A&E departments see the effects of that down the line. The failure to treat ailments at an earlier stage often leads to conditions deteriorating and to serious complications, leaving A&E departments overwhelmed. Let us not kid ourselves: the strains on A&E capacity are downstream from the insufficiency of GP and dental services, whose raison d’être is to provide routine and preventive care. We need a systemic overhaul to shore up GP and dental services so that they are fit to tackle the problems at their onset and remove some of the pressure on accident and emergency. I am all too aware that healthcare professionals tend to practise where they trained, so we want to swell the ranks of our nurses, doctors and dentists in Tiverton and Minehead by providing locally based training colleges. In Tiverton and Minehead, we also have a shortage of pharmacies. Let us be clear: this is about essential medication. Finally, I have often talked about the lack of transport facilities in my constituency. The paucity of healthcare provision across my constituency coupled with the significant shortcomings in public transport creates a bleak picture indeed.

• 3 Jun 2025 · Yeovil Hospital: Maternity Unit · Hansard source

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  I am sure that my hon. Friend knows about the problems that we have had at Tiverton district hospital. I was lucky enough to have had my three sons at the old Tiverton hospital. I am sure that people not being able to go to Yeovil hospital to give birth will push down—literally—into Tiverton hospital, but I remind my hon. Friend that there was an incident a couple of years ago when one of my constituents delivered her fifth child in a pub car park, because Tiverton hospital did not have the capacity to take her in. Does he agree that the closure of maternity services at Yeovil hospital impacts not just Dorset and Somerset, but the hospital in my constituency?

• 3 Jun 2025 · Dementia Care · Hansard source

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  Dementia is a uniquely tragic disease because it is, after all, an attack on the mind and on one’s memories. It is a terminal malady for which there is currently no cure and which affects almost every family in the country. My constituent, Timothy, said this of his family’s experience with the disease: “My wife, to whom I was married for 65 years, slipped into dementia about three years ago. When dementia strikes, it comes slowly. We did not know what was happening, and though our children were very supportive, they could not know why one parent had dementia and the other didn’t. Household management got worse, making each day a strain. My wife had been a superb cook, but I was a poor substitute. Our children tried to help, but they had their own lives to live.” In my constituency of Tiverton and Minehead, it is estimated we have 1,877 people living with dementia—a figure that far exceeds the national average—and yet in my constituency and in rural areas around the country, the paucity of care provision coupled with significant transport challenges means that the impact of dementia is felt even more acutely. The lack of access to dementia care only exacerbates feelings of abandonment and isolation. It is no secret that we are an ageing society. Projections from the national health service indicate that we are on course to have over 1 million people living with dementia by 2030, and as many as 1.6 million by the mid-point of this century. This significant demographic shift underscores the need to expand and strengthen the workforce in the care sector through upskilling, training and retention strategies. I speak with particular thrust as the Member of Parliament for an overwhelmingly rural area. I am all too aware of the recruitment and retention woes in remote communities where geographical isolation and resource constraints make things additionally challenging. Several Members of my party have made the point about social care and I know that my party leader makes it on a weekly basis at Prime Minister’s questions, so I will not revisit the need for social care as it runs alongside the NHS. However, we must support our carers. Increased pay for carers is not merely a matter of fairness; it is an investment in a future where better care will inevitably lead to better outcomes for those with dementia. After all, a rising tide lifts all boats. According to the UK Dementia Research Institute, 85% of people with dementia wish to remain in their own home, so it is about time that unpaid carers—those silent heroes—were afforded the right to carer’s leave and a statutory guarantee of regular respite breaks. Unlike other speakers, I have not talked about my family’s experience with dementia until the end of my speech because, quite frankly, I thought I would cry. My three brothers and I were lucky enough to be brought up by an intellectual colossus: my mother, M—Cambridge educated, a City solicitor, and a wonderful mother and grandmother. Fortunately, my family is able financially to look after her, and I am endlessly grateful to my brother and sister-in-law for looking after her as well as they do, and to her carer, Nicolette, who comes from Romania and who has literally changed her life. Somebody earlier said that it is important not to look at the sad side of things, but to look at the best side. I rang my mother—mummy—last Sunday. We were laughing so much that I nearly had to put the phone down. She might not be able to remember everything, but she still has a sense of humour, she still has a good appetite, and she always enjoys a wee glass of sherry. She will be here with me next Wednesday for parliamentary questions. Mummy, I can’t wait to see you. I love you.

• 22 May 2025 · Access to NHS Dentistry · Hansard source

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  I have to confess that I rather envy my hon. Friend for having 15 dental practices, as I have a mere nine. In fact, as became evident in the Public Accounts Committee inquiry, which I attended as a Committee member, Minehead has fewer dentists than anywhere else in the United Kingdom. It is really important that we carry on lobbying the integrated care boards, because they can give out contracts.

• 20 May 2025 · Adoption and Kinship Placements · Hansard source

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  It is a pleasure to serve under your chairmanship, Mrs Harris. I congratulate the hon. Member for South West Devon (Rebecca Smith) on securing this debate. It is an often repeated political trope that children are our future, but it stands the test of time much better than most clichés. It is also often said that a society can be judged on how it treats its most vulnerable. I feel that the two sayings come together here as we talk about some of the most vulnerable children in our society and the vital support networks that surround them. Children often come into adoptive and kinship settings having experienced incredible trauma, neglect or abuse in the first months or years of their lives. The complex challenges that arise from those unthinkable but all too real experiences should be talked about more often. We need to do more to highlight how we can support our fantastic adoptive and kinship care support networks, not talk about cuts to the funding that keeps them going. In the south-west and throughout the country, thousands of children and their families are supported by funds from the adoption and special guardianship support fund. In 2023-24, the south-west had 3,129 applications under the fund approved, with nearly 1,200 applications for creative and physical therapies. On the economy, kinship care saves the Government about £4.3 billion each year, and adoption saves £4.2 billion, spread among local authorities, the wider economy and the NHS. Why, then, did the Government feel they had no option but to slash the ASGSF budget allocation per child? I am not sure. In conclusion, we already have a crisis in adoption, with the number of families willing to step forward to adopt plunging. Without the support of the ASGSF for the families who need it, that number will continue to decline and the number of children saved will plummet. I call wholeheartedly on the Government to reverse the harmful cuts immediately, and to reaffirm their commitment to supporting vulnerable children and the families who care for them. We can be a society that cares. We must look after those for whom we need to care so deeply.

• 1 Apr 2025 · Access to Dentistry: Somerset · Hansard source

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  In Minehead, in my constituency, a dental surgery responded to the ICB in October and said that it would provide 12 NHS appointments a week for people who currently do not have a dentist. I have chased that ICB on five occasions, but we still do not have a result. That is 48 appointments a month that my constituents are missing out on. Would the Minister please agree to write a letter, on my constituents’ behalf, to the Somerset ICB?

• 4 Mar 2025 · Bathing Water Regulations · Hansard source

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  My constituency of Tiverton and Minehead neighbours the patch of my hon. Friend the Member for Taunton and Wellington (Gideon Amos). Very recently, one of my constituents shared a harrowing story with me, in which his children fell seriously ill after swimming in a local river last summer. These public health risks are further exacerbated by bad flooding in our areas, as we have seen in recent episodes, which sweeps contaminants and overwhelms sewage systems into our waterways, degrading water quality. Does my hon. Friend agree that stricter regulations must be introduced in the interest of public health and to ensure that our bathing waters are safe for everybody to enjoy?

• 3 Feb 2025 · Career Breaks: Parents of Seriously Ill Children · Hansard source

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  The hon. Member has brought to mind the occasion when my youngest son, after playing rugby, was diagnosed with a suspected brain tumour. As I live in the middle of nowhere, in Somerset and Devon, the flashing-blue ambulance took two and a half hours to get to the nearest children’s specialist unit. This is not just about losing a job or the wages; it is the enormous stress and anxiety it puts on parents, particularly in rural areas such as mine. Does the hon. Gentleman agree?

• 6 Jan 2025 · NHS Backlog · Hansard source

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  Will the hon. Lady give way? She has heard me.

• 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 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.

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

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  I thank my hon. Friend for his not particularly concise, but erudite, intervention. I will turn briefly to the funding model of pharmacies. Some 90% of a pharmacy’s income is derived directly from NHS funding, but when it comes to how that funding is allocated, the system is broken. Community pharmacies across the UK dispense more than 1.1 billion items a year and deal with shortage issues on a daily basis. The Department of Health and Social Care sets reimbursement prices in our system, but due to the reimbursement prices being so low and pharmacies being unable to compete on the international stage, the global market is now a safer bet for pharmaceutical companies than the UK. That means that people in the UK sometimes are not able to get the right medication due to shortages and that even when the DHSC puts together a price concession and allows for a greater reimbursement rate to allow UK pharmacies to compete for those life-aiding medications, there are extraordinary pressures on the NHS and the taxpayer. The realities of the funding model mean that community pharmacies are trying to push up water uphill using tools riddled with holes—in other words, sieves.

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

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  I beg to move, That this House has considered Government support for community pharmacies in Devon and the South West. I am delighted to have secured my first Westminster Hall debate. It is an honour to speak under your chairmanship, Mr Betts. At a time such as this, when we repeatedly hear from the Government and our communities that the national health service is under strain, is heading into yet another winter crisis and is struggling with capacity, community pharmacies need the greatest consideration for further Government support. I will start by focusing on the role of pharmacies in our society, and then I will outline the challenges and end on what we might be able to do with the right support and engagement. I wish to thank all pharmacists and their staff in Tiverton and Minehead for the invaluable work they do day in, day out. In particular, I commend Neil and Anna, who have run Bampton pharmacy in my home village for decades, and have, along with the owners of Wiveliscombe pharmacy and Alcombe pharmacy, provided me with first-hand, real-life insights into the challenges they face. The 15 pharmacies in my constituency of Tiverton and Minehead provide a vital service to their communities —something they share with every pharmacy across Devon, Somerset, the south-west and, indeed, the whole of the United Kingdom. As I am sure we will hear from other hon. Members, pharmacies are under threat from the economic environment in which they now operate. Core pharmacy funding has decreased in real terms by more than 30% since 2016, and costs have gone in exactly the opposite direction. The number of pharmacies open in England is lower than it has been in any year since 2008-09, even though their workload is 40% higher, in terms of annual prescriptions.

• 12 Nov 2024 · NHS Dentistry: South-west · Hansard source

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  I find it absolutely shocking—I am sure my hon. Friend will agree—that the recommendations of a report published 15 years ago by the previous Health and Social Care Committee have still not been implemented.