Rachel Gilmour MP: speeches

Speeches

• 16 Jun 2026 · Community Hospitals · Hansard source

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  I thank my hon. Friend the Member for South Cotswolds (Dr Savage) for giving us all the opportunity to shine a spotlight on the challenges facing community hospitals, particularly in rural areas. Neighbourhood health and care in the community are the thrust of this Government’s health strategy. That is admirable and right, but good intentions alone are not a health strategy, and intentions mean very little if the infrastructure to deliver them does not exist. In constituencies like Tiverton and Minehead, it increasingly does not. Let us take, for example, the removal of the CT scanner from Minehead community hospital. I have been stopped in the street more times than I can count by constituents expressing how big a blow that has been. The whole point of a scanner in Minehead was proximity—for it to be accessible to people across west Somerset who face long journeys to reach secondary care. Its removal is therefore curious, and a direct contradiction of the Government’s stated commitment to bring care closer to people. The strategy says one thing and the decisions say another. It is not hard to understand why we are where we are. West Somerset is, in effect, a cul-de-sac, with limited transport, limited infrastructure and a long schlep to Musgrove Park hospital in Taunton for most things approaching secondary services. That has consequences beyond access; we are not an easy posting for healthcare workers either, precisely because of the geographic reality. There are no meaningful incentives attracting people to train and practise there, and there is no laser focus on local recruitment efforts, which I believe is our best bet. We live in a beautiful part of the world—it is true—but why would a newly qualified clinician choose a remote, poorly connected posting when better resourced options exist elsewhere? The south-west, as my colleagues know, is haemorrhaging healthcare capacity, and my constituency feels the effects acutely. Frankly, we are not being resourced as though those difficulties matter at all. Every missed appointment is not just a missed check-up; it is a missed diagnosis. When people cannot reach care, conditions worsen. Some will inevitably end up in A&E, placing further pressure on an already stretched urgent care system, in a region with one of the country’s least accessible healthcare networks. We end up paying more for failure, and the approach has not acknowledged that an ounce of prevention is worth a pound of cure. When we talk of community care, it must reflect the needs of the community it serves. Rural areas tend to be older in demographic make-up, and healthcare provision is sparse. That cannot be treated as a marginal factor; it is the central planning reality. The rural premium in healthcare need is real, documented and consistently under-weighted in funding decisions. My party has always been a proud champion of rural areas. We recognise the postcode lottery of care provision and the health inequalities it perpetuates. It is why we have called for the establishment of the strategic small surgeries fund, specifically designed to prop up buckling services in remote parts of the country and ensure that where someone lives does not determine the quality of care they receive.

• 4 Jun 2026 · Home-to-School Transport · Hansard source

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  I serve on the Public Accounts Committee, and I was the spokesperson for that report when it went to the media. The report dealt specifically with the education of those with special educational needs and disabilities, and it became very clear that there is a complete drop-off at age 16, meaning that many young adults aged 16 to 19 cannot get to school. The other point I would like to make is that, in rural constituencies like my own, the local special school is not a mile down the road, so it can mean a two-hour round journey.

• 3 Jun 2026 · Seasonal Hospitality Businesses in Coastal Areas · Hansard source

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  It is an honour to serve under your chairmanship, Mr Stuart. I represent Exmoor, the northern edge of which runs along west Somerset to the coast. There, the visitor economy supports about two thirds of all employment: there are 8.4 million visitor days a year and economic activity of upwards of £700 million. However, my constituent Cathy Britton, who runs Eduardo’s pizzeria and café in Porlock, tells me that her turnover is down by 50% from last year. Rising business costs and falling footfall have left her feeling squeezed. Napoleon called England a “nation of shopkeepers”—disparagingly, as it happens. But Cathy says that European visitors, who frequently come to walk in the steps of Ada Lovelace along the South West Coast Path, are bemused by how quiet the high street is and by how few shops are open. The ripple effects of dwindling visitor numbers are felt beyond the seafront, too. My friend Paul Hardy, an antique dealer in Dulverton—some 10 miles away from the coast—tells me that business is down 70% on last year. He relies significantly on passing custom from the tourist trail: visitors who come for the coast and the moor, and who spend along the way. He now fears the additional impact of an overnight visitor levy, a measure that risks compressing the season on which businesses such as his depend. It is worth making the obvious point that coastal seasonal hospitality is not a self-contained economy; it is the engine that drives commercial activity across a much wider hinterland. No economy functions without movement, and in west Somerset, movement is precisely what is missing. Take the B3191 at Cleeve Hill between Watchet and Blue Anchor, which has now been closed for two years. Both towns are coastal, with some 6,000 people and over 100 businesses. They are effectively dependent on a single vehicular route. Should that remaining route fail, the towns could be cut off entirely, with access gone—and with it, the tourism trade on which that coastal economy depends. I ask the Government directly: will they draw on the Department for Transport structures fund, a £1 billion pot established precisely for situations such as this one, to fix it? Butlin’s in Minehead is a major employer for my constituents. It hosts some 6,000 holidaymakers a week during the peak season. But west Somerset is in many respects a cul-de-sac—difficult to reach and navigate after arrival. That is bad for visitors, and for the businesses and workers who depend on that footfall. Supporting seasonal hospitality in coastal areas is a question of business rates, business rates relief and tourism, but it is also a matter of sustained investment in our roads, bus routes and rail connections—the transport infrastructure that makes these coastal places accessible in the first place.

• 2 Jun 2026 · Community Pharmacies · Hansard source

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  I agree that a strategic approach is always best. The distances, the limited public transport and the dispersed nature of rural populations mean that the closure of a single pharmacy can represent a genuine healthcare crisis for thousands of people. I see that directly in my constituency; the loss of a fully fledged pharmacy with all its associated services in Bishops Lydeard in March 2024 was a blow to the community. In its place there is now a dispensary, but solely for patients of the surgery. The same thing happened in Norton Fitzwarren. Transport woes, which so often hold back my constituents, sever a vital link to the health service. Jhoots, the previous provider of pharmacy services in parts of Tiverton and Minehead, had operated poorly for some time. Constituents lamented the missing medicines, unexpected closures and queues stretching down the street. Under the new stewardship of Allied Pharmacies, things have improved markedly. That is a testament to what good management and proper investment can achieve.

• 18 May 2026 · Backing Business to Create Economic Growth · Hansard source

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  Like me, my hon. Friend represents a very rural constituency, albeit not quite as beautiful as Tiverton and Minehead. I completely concur with her points about rural transport: it is an absolute blocker for economic development, education and so many other things. Does she agree that growth is not conjured by debate but built by political will? My constituents and businesses need a functioning road from Watchet to Blue Anchor, a rebuilt school in Tiverton and a Government who foster the conditions for enterprise to flourish. To date, the political will has been lacking.

• 4 Mar 2026 · Healthcare in Rural Areas · Hansard source

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  It is a pleasure to serve under your chairmanship, Dr Huq. I thank the hon. Member for Mid Bedfordshire (Blake Stephenson), my colleague on the Public Accounts Committee, for securing this debate. Many hon. Members have today outlined problems in their constituencies that, I am afraid, are all too familiar in mine. I represent a disproportionately elderly population, which brings with it great wisdom as well as greater health challenges, particularly given that parts of my constituency are some of the least densely populated in England. Shabby transport connectivity hobbles every aspect of my constituents’ lives. Perhaps no more acutely is this reality felt than in access—or the lack of access—to healthcare. For people in the West Somerset corner of my constituency, it can take two hours and two buses to reach Musgrove Park hospital in Taunton. I am told that a return fare would cost my constituents an eye-watering £180 in a taxi, which is simply unaffordable to most local people. These barriers delay diagnoses and treatment. I am thankful to the Minister for Care for being a responsive member of his Government, but I cannot hide my disappointment at the decision to snub Minehead’s calls for a permanent CT scanner installation. The decision was supposedly reached because such a move was deemed uneconomical. It proved to be a game changer for so many local people, but it is indeed uneconomical because terrible transport links suppress demand. To conclude, remoteness has not been given the weighting it should in the Government’s local government funding settlement. I implore the Government—and I hope the Minister takes this away—to undertake a real, forensic look at just how important rurality and remoteness is as a factor for the cost of healthcare delivery in rural areas.

• 9 Dec 2025 · Network Rail Timetable Changes: Rural Communities · Hansard source

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  Just one Network Rail station, Tiverton Parkway, lies in my very large constituency. Like many other rural parts of the country, we are dogged by totally insufficient transport. Does the hon. Member share my view that if proper, predictable timetabling in rural areas is a lever for social mobility, unpredictability is very much a barrier?

• 9 Dec 2025 · Network Rail Timetable Changes: Rural Communities · Hansard source

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  I have three nuclear facilities in my constituency: Hinkley A, B and C. David Peattie, the chief executive officer of the Nuclear Decommissioning Authority, has referred to the horrible incident at Shap, because the NDA runs nuclear waste on trains on that rail line. Does my hon. Friend agree that if there had been nuclear waste on that train, the situation would have been even worse?