Simon Opher MP: speeches 2024

I thank the hon. Member for Glastonbury and Somerton (Sarah Dyke) for initiating the debate, and I also commend my hon. Friend the Member for Dunstable and Leighton Buzzard (Alex Mayer) for her excellent maiden speech. Public transport, including buses, is a bit of a passion of mine. I am from Stroud, and there are many small villages in my constituency—including Dursley and Wotton-under-Edge, to name just two—so I know that public transport is about more than infrastructure. It represents a range of opportunities. It is about equality and community, and that is particularly true of rural areas, because it tends to run as a lifeline for many local residents. Under successive Conservative Governments rural bus services have been run down, and it is interesting today to observe the attention being paid to the subject of public transport on the Opposition Benches. There has been a staggering 27% reduction in bus services since 2011, and in rural areas there is a £420 million shortfall. However—to answer the hon. Lady’s question—I am encouraged by the fact that we are investing £1 billion in improving bus services, including £8 million designated for Gloucestershire. As a little aside, may I mention Stroudwater station, which was closed in the 1960s? I agree with the hon. Lady about small railway stations of that kind. They cost a great deal to develop, but when money allows and when we have got ourselves out of our current financial hole, it will be fantastic if we can invest in small stations. The impact of nearly four decades of deregulation on our public transport system has left many communities stripped of any public transport or at the very least, of any accessibility or affordable bus services. I am therefore delighted that this Government plan to restore power to local communities, enabling local leaders to set fares, determine routes and establish timetables, taking control away from unaccountable private operators. However, I urge the Minister to confirm that rural areas without an elected mayor will have equal opportunities to benefit from the shift towards community-controlled bus services. Wotton-under-Edge had a lifeline of a bus service, the 84/85 going south to Bristol. The problem was that it crossed a boundary line between a combined authority area and Gloucestershire. Its cancellation has caused havoc for schoolchildren, as well as those who cannot get to work, cannot get to doctors’ surgeries and cannot get to hospitals. People have written to me saying they have had to turn down job offers. That is how important rural bus services are. A key issue in this instance was the lack of co-ordination between local authorities. It seems petty, but this is a major problem. The funding for that cross-border bus service was lost because local leaders failed to reach an agreement. That is an example of the extent to which fragmentation can affect rural public transport. Let me end by describing one of the pleasures of my week. I leave this place, take the train to Stroud and then get on to my favourite bus, the 65. I sit on the top, and I ride over Selsley common to my home. It is an utter joy, and a joy that is shared by my two-year-old granddaughter, who absolutely loves buses. So let us develop rural public transport, and take it back to what it was in the past.

I do think it is right for this Bill to require two doctors and a judiciary review, because this is new legislation and we must be sure that it is safe. These safeguards are incredibly important. I will finish simply by saying that having been a doctor all my life, I have tried to empower patients to make their own decisions over their healthcare, and this is a great opportunity to do that. I had one patient who had a terminal diagnosis and hanged himself. The family were devastated. It was a horrible way to die. I felt that we had failed as a medical profession. Let us not fail as a Government, a judiciary and the Houses of Parliament. Please support the Bill.

I am one of those medical practitioners, sometimes known as a doctor. I have been a GP for 30 years, and every year I look after four or five cases related to palliative and terminal care, so I have a lot of experience in this area. I would like to make some quick observations. First, a lot of patients who are dying of cancer ask whether we can curtail their life and finish it a bit early. That is a very common thing that they ask. I have had two patients go to Dignitas on their own, without family members, because the family members were fearful that they would be arrested on their return. We have been discussing giving a double dose of morphine. I think that almost all doctors in terminal care have probably done this—doubled the dose of morphine knowing that it might curtail the patient’s life. That is a big fudge. It puts me in a very vulnerable position. We need to resolve that. I think we are getting a bit confused between palliative care and assisted dying. A lot of people who receive excellent palliative care still request assisted dying. They are not mutually exclusive. I totally support what everyone is saying about developing palliative care, because that is really important, but that should not go instead of assisted dying. The things go together. Assisted dying is one of our tools in palliative care, as I see it going into the future. I have a couple of points about coercion, which people like me need to assess. If someone says that they feel like a burden, that is immediately not a good reason to approve assisted dying. Doctors are trained in assessing capacity, as has been said, but we are also trained in trying to find out the reasons someone wants to end their life. I think it is judging doctors harshly to say that they will not spot coercion. Interestingly, the only change in Australia was that they found that the judiciary review did not add much to the process. Otherwise, there does not seem to be a slippery slope, as long as the legislation is carefully done.

This cross-boundary service enabled people in Wotton-under-Edge who do not have a vehicle to travel south to Yate and on to Bristol. The service also allowed people in south Gloucestershire to attend their doctors and schools, so it is really missed. I commend the efforts of Barbara Lawrence, a local resident of Wotton-under-Edge, who has been instrumental in trying to secure the return of this bus service. Following is the full text of the petition: [The petition of residents of Gloucestershire, Declares that the No. 84 and 85 Yate & Wotton-under-Edge Circular bus service should be re-instated. The petitioners therefore request that the House of Commons urges the Government to consider the needs of rural areas when allocating funding for bus services, and to take steps to encourage the re-instatement of the No. 84 and 85 Yate & Wotton-under-Edge Circular bus service in South Gloucestershire. And the petitioners remain, etc.] [P003022]

Q11. The previous Government failed countless women through chronic underfunding of maternity services. At Stroud maternity hospital, post-natal beds have remained closed for more than two years. Local, midwife-led units, such as Stroud, deliver fantastic quality of care for women, while having low intervention rates during birth. Can the Deputy Prime Minister outline what steps this Government will take to improve maternity services?

I certainly do agree with you, and it is one reason that I am delivering this speech; thank you for that. It might seem obvious that plastic pollution cannot be addressed without significant cuts to the production of plastics, but that is the most controversial and politically challenging aspect of the treaty. Those involved want us to believe that we can recycle our way out of this crisis—something we know not to be true. Plastic can be recycled only a finite number of times, simply delaying the inevitable moment when it is burned or dumped in landfill, or even escapes into our environment. The fact is that oversupply of virgin plastics at ever lower prices is undermining the UK’s ambition to create a circular economy here in the UK. Earlier this week, the BBC reported that a recycling site in Avonmouth, near Bristol—which is near my constituency of Stroud—is closing down due to low recycling rates and challenging market conditions. Last month, the industry body Plastics Recyclers Europe raised the alarm about a downward trend in plastics recycling as a result of the global glut of cheap virgin plastics. Flooding the world with cheap plastic allows no space for reuse and refill systems, and the recycling industry, to develop. Here in the UK, we deal with an excess of plastic waste by burning it and dumping it on poorer countries that do not have the infrastructure to deal with it. Both practices were allowed to increase under the previous Government, as the hon. Member for Glastonbury and Somerton (Sarah Dyke) said, and the public are rightly outraged. That is why many of my constituents have written to me about plastic pollution, and more than half a million people have signed a petition calling for a strong global plastics treaty. Earlier this year, over 220,000 people decided to take part in the Big Plastic Count—a massive citizen science project where individuals count every piece of plastic waste that they dispose of for a week. The results showed that the UK throws away 1.7 billion pieces of plastic each week, with 58% of that being incinerated, producing toxic fumes and greenhouse gases. Incineration is the UK’s dirtiest form of power generation, and incinerators are three times more likely to be placed in poorer neighbourhoods, as was the case with the one built recently in the Stroud area. Fortunately, the new Government have taken bold steps to tackle plastic pollution. The Secretary of State for Environment, Food and Rural Affairs has made zero waste one of the Department’s core missions, and has set up a circular economy taskforce.

Okay. Thank you.

Thank you—

Does the Minister know why there is no shadow Minister here to contribute to the debate for the Opposition?

I do apologise, Dr Huq. I shall try to do better. As I was saying, the Environment Secretary has made zero waste one of the Department’s core missions, and has set up a circular economy taskforce. This is a good move and will create jobs in repair, rental and recycling, as well as will significantly reducing CO2 emissions. The reuse of plastics, and not just recycling, is also incredibly important. It has perhaps dropped down the agenda a little, and we need to emphasise the point, so I thank the hon. Member for Glastonbury and Somerton for her intervention.

I thank the hon. Member for raising that point. I do believe that green initiatives and recycling have to begin at home; we have to do our own bit first and then spread the word. The Government signed the Bridge to Busan declaration, joining over 40 countries in reaffirming the need for plastic production cuts to be included in the final treaty. The treaty needs to go further; we need a treaty that delivers a strong global target to cut plastic production, that is ambitious about the level of cuts to global production, and that is specific about how much to cut production and by when, with a global target that is legally binding. The plastics treaty is the third time in quick succession that this Government’s international climate and nature leadership has been tested. The UK demonstrated our ambitions at the biodiversity COP in Cali, Colombia, and was one of the only countries to announce a genuinely ambitious nationally determined contribution at the COP29 in Baku. The plastics treaty is another vital opportunity for the UK to demonstrate once again that it is a progressive actor on the world stage, prepared to face down polluting industries and to put the brakes on the climate and nature emergency. That leadership role is needed now more than ever, particularly in sustainable energy and in recycling. Other countries are looking to the UK, reinvigorated by our new Government, to give the treaty process the injection of impetus and ambition that it needs to get over the line. My ask of the Government today is this: are they willing to demonstrate international leadership and commit to doing everything possible to bring the treaty over the line?

I beg to move, That this House has considered the Global Plastics Treaty. I thank you, Dr Huq, for chairing this debate, and the Minister for attending. Plastic pollution is putting all of Earth’s systems under stress. There is no corner of the world, from the top of Mount Everest to the bottom of the ocean, that is untouched by plastic pollution. Microplastics are accumulating in our bodies, in our vital organs, and in breast milk and placentas, and current levels of plastic production expose us to more than 16,000 harmful chemicals daily and to increasing volumes of microplastics. Plastic pollution is putting the Earth’s ecosystems and natural processes under serious strain, worsening climate change, biodiversity loss, ocean acidification and land use—and if you think the situation is bad now, it could be much worse in decades to come. Plastic production, which is already far too high for our planet’s systems to cope with, is set to triple by 2050. The impact on climate change will be monumental. In its current state and with its current growth trajectory, plastic production will make achieving net zero impossible. Plastic production already has a global warming impact four times greater than that of the aviation industry, with 90% of emissions coming during the production process. By 2050, half of global oil demand will come from petrochemicals. Plastic production is out of control, and everyone agrees that there is a problem. In 2022, 175 countries agreed to come together to hammer out a global treaty to address plastic pollution, but after two years and with four out of five scheduled rounds of negotiations completed, we are still in the dark about what the treaty will really look like.

Thank you, Mr Vickers, for chairing this essential debate about dentistry in the south-west. My mailbox is full of people complaining about the lack of NHS dentistry, and we have heard all the horror stories. As a GP, I see people staggering into my surgery holding their face. I know no more about teeth than anyone else here, but we GPs have to try to treat them with painkillers and antibiotics, because there is nothing else available. We must change that. Let me quickly talk through the dental contract; I then have a couple of positive stories, which will perhaps stimulate the Minister in respect of what could lie ahead. As has been said, the current dental contract nationally has an £86 million underspend, which is absolute madness, but it is because the contract is incredibly restricted and restrictive. The funding for units of dental activity is very poor.

That is absolutely true. Simple things such as dental brushing schemes, which we introduced in the Stroud area before the election, are essential. Those sorts of things are often laughed at, but they are probably the most important thing we do as a Government. One other quick win relates to urgent care. The Gloucestershire ICB, particularly in the Stroud area, was able to pay more for the units of dental activity and allowed all NHS dentists to do urgent care. In that way, some of the £86 million that the hon. Member for Honiton and Sidmouth (Richard Foord) talked about was spent. We were able to quadruple the number of urgent appointments. We can do that kind of work on a smaller scale, but I suggest that we need to do things step-wise. We must get the prevention in place and start doing urgent dental care, and when we have enough money we can do more. It is all very well talking about fantastic NHS dentistry, but we need the funding for it and we need the taxes to pay for it. As a Government, we are responsible for that. In the long term, we need to look to universal NHS dentistry in this country.

Yes, but that is even more shocking, is it not? There are also disincentives in the contract for dentists to take on new NHS patients. When we look into it, there are all sorts of other things. For example, a dentist cannot provide urgent NHS dentistry unless they have used up their quota of UDAs, which are issued to dentists at the start of the year. The whole system is crazy, which is why there has been such a massive saving. As we have heard, dentists are leaving the profession, and it is clear that we are not training enough. I accept what the hon. Member for South West Devon (Rebecca Smith) said about how dentists are trained and where they are likely to end up working, because that is incredibly important. As to solutions, we must have prevention. Dentistry is exceptional because dental treatment is preventive in its own right, so as soon as NHS dentistry is stripped away, there are immediately problems. We also have to make sure that young people’s diet is better. Dentist Cerri Mellish and I have developed a project in our area. Cerri sees young pre-school children who are under five. She has a quick look in their gobs and if there are signs of decay, they are whipped out and the children are given treatment. If there are any other signs of problems, she can give them fluoride enamel. These types of innovative solutions are really important. One thing that happened with the pandemic was that NHS dentists stopped registering new patients. The pandemic started in 2020, so almost all pre-school children are likely not to be registered with a dentist, which is a real disaster. We should remember that two thirds of general anaesthetics used for children are used for dental reasons, and a general anaesthetic is not without risk.

I thank the hon. Member for Great Yarmouth (Rupert Lowe) for his speech, but he should know better, because one of his relatives used to be a doctor in my village in the Cotwolds. I, and the rest of the country, have waited for this Budget for 14 years. I have worked as a GP throughout that time, and I have watched with horror as our NHS has gone from being the best health service in the world—as it was in 2010—to being a service on its knees. For 14 years I have watched the gap between rich and poor grow wider and wider. For 14 years I have watched the fabric of our schools, and the NHS, fall apart. I therefore welcome this Budget. It is a Budget that lifts the curse of low pay and invests in the special educational needs of our children. It is the Budget that will finally compensate those who have been wronged by the infected blood scandal. It is a Budget that will rebuild Britain. Lifting people out of low pay and making our country more equal is probably the most effective way of preventing ill health and making our population healthier, so what I really welcome in this Budget is the huge amount of funding for the NHS—the biggest amount in 14 years. With that funding, though, need to come reform and an increase in productivity, and I want to outline a few little projects on which we need to concentrate to increase our productivity. On GP access, Dr Tom Sutherland of Dursley practice has—

Okay. I worked in general practice for 30 years. There is always mitigation for tax changes, and I have no doubt that the Government will look after GPs.

I have no doubt. I would like to finish my speech, if I may. We need to invest in neighbourhood health centres. In Suffolk, Dr Tim Reed is developing a genuinely holistic service, which will save money and increase productivity in mental health provision and among paramedics. This is something that we need to explore much more. I spent 48 hours with a loved one in Bristol Royal infirmary’s A&E department, and I saw the huge pressure that it was under. I notice that Dr Simon Laing is using innovative ways of going out with paramedics, keeping patients at home and working with paramedics in his department. That is the type of adaptation we need in the NHS. This Budget begins the process of transforming the NHS and will reward NHS staff up and down the country, who continue to deliver excellent unscheduled care. We must fix the foundations of care and use the new funding to ensure that more patients are cared for at home. Difficult decisions are being taken, but all of us on both sides of the House want to see the NHS become the best in the world again, and this Budget starts that process.

I understand that it will be mitigated through funding. I am not exactly sure how, but I have no doubt— [ Interruption. ] That is because I have not been informed, but I have no doubt that it will be coped with. I know that this Government will rebuild general practice, just as the Conservative party trashed it and broke the back of it. I am not taking any criticism from any of you about the NHS.

Sorry. I did get rather angry there, and I shall not get angry any more. Let me talk about GP access. We need to get doctors, not receptionists or 111, to perform triage, and we need to start thinking in a different way. We do not want a protocol-driven NHS; what we need is a genuine doctor-patient relationship. We also need to develop neighbourhood—

On World Mental Health Day, I am wearing this slightly ghastly yellow tie. May I also do a little promotion? In room M in Portcullis House at 3 o’clock, at the end of the debate, we have some young people, through YoungMinds, telling us what they think of the service. It is really important, particularly with young people, to make sure that we develop services that they want and that we do not dictate. I am still a practising GP in Stroud. More than 90% of mental health consultations take place in primary care and more than 40% of GP consultations concern mental health. I am sure the hon. Member for Hinckley and Bosworth (Dr Evans) will concur with me on that front. I would like to divide mental health into two sections. There is serious mental illness, which is serious and enduring, affecting about 130,000 people in this country. I will make a little plug: they tend to die 10 to 20 years earlier than other people and we must promote their physical health. The other area is anxiety and depression. We have 8 million people in this country on antidepressants—selective serotonin reuptake inhibitors—and at least 2 million of them are trying to get off. We need to ensure we do not over-medicalise mental health. I was pleased to hear what my hon. Friend the Member for Ashford said about mental wellbeing and mental health. We all get a bit pissed off sometimes—that is normal for humans—and it is extremely important that we do not conflate that with mental ill health.

Absolutely; I fully agree with that. I want to make a couple of comments about the state of mental health services, for which there are extraordinary waits: a patient of mine had to wait six months following a suicide attempt. That is simply not good enough. In Stroud, we have to wait four years for neurodiversity assessments because we do not have enough resource. In my opinion, we need to move the resource into the community. I also support what my hon. Friend the Member for Ashford said about health and education. We need mental health support teams in our schools, and we must spread SEND provision evenly. The Under-Secretary of State for Public Health and Prevention is with us, so I want to talk about the prevention of mental health issues. There is quite a lot of evidence about promoting maternal and infant mental health, and also about parenting and bullying at school. Using arts and culture is an incredibly strong way of improving mental health. I was impressed with what my hon. Friend the Member for York Central (Rachael Maskell) said about the community basis of mental health treatment. For many lower-level conditions, there is no need for consultant-led care. Support that takes place in the community costs much less and can be really effective. The CAMHS waiting list is appalling, and we have a crisis with SEND and delays with education, health and care plans. We do not have enough educational psychologists either. I want to stress what my hon. Friend the Member for Ashford said about care co-ordinators. Young people’s social prescribers are very effective and tend to de-medicalise things that can be supported in the community. I am really impressed that we are going to get 8,500 more mental health workers. I am also impressed by what they will be doing in schools. We need to improve the physical health of people with serious mental illness, reduce the number of SSRI antidepressant medications, and promote social prescribing, the arts and community care in our mental health services.

I thank the hon. Member for Cheltenham (Max Wilkinson) for calling this debate. Maternity care in the Stroud area has been a big issue for the past couple of years in particular. I have been a GP for 30 years, and I have helped with antenatal and post-natal care and, indeed, intrapartum care for six months, which was the hardest work I have ever done in my life. I also delivered my second daughter in a Worcester hospital. I know and have worked with fabulous midwives, who are the absolute key to maternity services, as we have been discussing. Doctors are occasionally called in for other reasons, but midwives run maternity services; they have to be central, and they have to make their decisions around women. That is one of the reasons I promote Stroud maternity unit: as my hon. Friend the Member for Gloucester (Alex McIntyre) said, midwife-based units have lower levels of intervention and better outcomes for babies. As many hon. Members have said, the key problem here is the lack of midwives. We should not shy away from that, but I also want to talk about a number of other issues. Something that seems to have been missing from the discussion is women’s choice over where they give birth—we seem to have reduced that choice to just Gloucestershire Royal hospital. Although Stroud maternity unit is open for intrapartum care, it does not have post-natal beds, so women are generally choosing it less often. That is a pity, because it is a fantastic place to give birth and has a low intervention rate. Equity and equality also seem to have been lost from the discussion recently, and we need to get them back into the decision-making process. Maternity care is actually a longer process than just where someone gives birth. I will outline where those interventions take place. Pre-conception and antenatal care tends to be done in GP surgeries by community midwives with the help of GPs. Intrapartum care can be done at home—a small proportion of people do give birth at home—or in midwife-led units, such as Stroud maternity, or in either midwife-led or consultant-led units, such as in Gloucester Royal and Cheltenham. They are the possibilities. When it comes to post-natal beds, the only choice at the moment is Gloucestershire Royal; there is no other option in Gloucestershire. Either mothers go there for their post-natal care or they have to go home and have a community midwife. The last part, I always think, of the whole maternity service is the eight-week check of the baby by their GP. I have done thousands of those checks in my life, and it is one of the best things I ever do. The GP can check babies for problems and talk to mums about not sleeping and all the other issues. That is the whole, rounded nature of maternity care. I now want to talk about Stroud maternity, because that is what I know about most and what we are missing most. First, it is a very much loved and valued service in Stroud and we are missing the six closed post-natal beds. As I have said, it is a stand-alone, midwife-led unit. That is unusual in this country, and it is a shame it is unusual, because it is a really good place to have intrapartum care, so it is something that I am really trying to promote. We have 1,000 live births in Stroud a year, and at the moment only about 300 take place at Stroud maternity unit, but as I have said, there are lower levels of intervention and there is increased maternal satisfaction. For that reason, we must get these beds open again; they have been closed since 2022. I want to make a few points about post-natal care, because often people say, “Oh, it’s a luxury; we can’t really afford it.” It is not a luxury. There is very good evidence that for certain families, certain mothers, good post-natal care saves a huge amount of money later on. It is about making sure that the baby and the mother bond properly and that breastfeeding starts properly. It is about making sure that they have a couple of days away from, perhaps, a number of other children and properly bond and that mothers learn how to look after babies. A lot of my colleagues say, “Well, post-natal care, we don’t really need that,” but we do need it. If we lose it, it will cost the country more, but it is also part of the whole maternity service. That is the first thing I would say. Secondly, the people at the CQC have stipulated various things. The CQC is about safety, which none of us can argue about. However, some of its decisions, I feel, do not make sense and all they do is give safety to the organisation and not to the mother. For example, postnatal beds are being closed because it insists on having two midwives on the unit at all times; that makes it safe. However, closing the post-natal beds means that all these mothers have to go home. Are they safer at home or are they safer at hospital, with maternity care assistants and other nursing staff? I would say that the safety of the mother is better served with those post-natal beds open, even if there is just an on-call midwife as a second midwife. I want to slightly question the logic of the CQC—we must go back to it—so one of the things that I will do after this debate is write to the inspectors and arrange a meeting with them, because we must consider the safety of the mother and the child first. This is not about covering the organisation and making that safe; it is about making the mother safe, so I would iterate that as well. There is something else that we have been doing. The League of Friends at Stroud hospital in general and at the maternity hospital is fabulous and has been providing extra services for post-natal and antenatal mums for some time. We now have an interim plan whereby we are going to open a sort of day hospital in the maternity unit so that at least mothers can come and have a bath while someone else looks after their baby, for example, and they can receive advice from health visitors and midwives. That is an interim plan. I do not want to say that it is a good replacement. We must get those post-natal beds open, so I am also due to meet the maternity and neonatal voices partnership, which is a crucial agent that we must talk to. In summary, we need to train and, crucially, retain more midwives, because we have trained quite a lot of midwives who have almost immediately left the profession, as the hon. Member for Cheltenham was saying, because of stress. We need to secure a better working arrangement for them, and I look forward to my hon. Friend the Minister outlining plans to train thousands more midwives. We need to review CQC safety and make sure that the stand-alone nature of midwife units is fully understood by the CQC. We also have to make midwife working much more flexible. There could be on-call systems for these stand-alone units, so a second midwife does not need to be present if they are available to be called in. I have talked to midwives about that, and they seem happy to run that type of service. We also need a commitment from the ICB and the Gloucestershire Hospitals NHS foundation trust to reopen all six post-natal beds at Stroud maternity hospital.

I thank the hon. Gentleman for all his detail and his excellent summary of exactly what is being proposed in Arlingham. The proposal was put to the people of Arlingham, they had a large meeting on Monday evening and, almost universally, there was a feeling that this was not a good idea for people there or for their landscape. Many of the reasons that the hon. Gentleman has put across are the same in Arlingham. It seems rather strange that the Arlingham site and salt marsh will somehow compensate for or mitigate the predicted loss of about 182 million fish; I do not think there is any way we can say that those two match each other. Although I support the principle of habitat creation and acknowledge the benefits of the salt marsh, does the Minister share my concern that EDF’s application to modify Hinkley Point C’s consent order seems like an unacceptably high price for an environmentally unique habitat to pay?

I thank the Secretary of State for his really rapid action to reach our 100% sustainable goals by 2030. It has developed a real excitement in this country, and the people I speak to are genuinely behind this action. In Stroud, we are developing a community energy programme of putting solar panels on every school and public building that agrees to it. What steps is he taking to support solar on schools and public buildings, and can he ensure there are no barriers to progress?

1. What recent progress he has made on meeting his target to have a zero carbon electricity system by 2030.

Sorry. We have experienced a lot of problems with cross-border rural buses in our area. The hon. Lady mentioned local authorities. If there are two local authorities, it creates enormous problems. In Wotton-under-Edge, we have just lost the 84/85 bus service because we cannot get agreement from all the different local authorities to fund it. That is putting a severe strain on rural populations. I would ask for that to be considered.

I just wanted to say—

Thank you, Madam Deputy Speaker. I thank the hon. Member for Waveney Valley (Adrian Ramsay) for his support for this really exciting piece of legislation—one of the most exciting in our manifesto. I am delighted to be making my maiden speech during a debate on renewable energy. Stroud has been a centre for sustainability and the environment for many years. I thank my constituents for supporting me. I have been a GP in Dursley, which is part of Stroud, for 30 years. I have looked after my patients there through thick and thin, through the most heart-rending moments and through the most joyous moments, and it has been an absolute privilege. To be honest, I slightly miss them in this place. I would like to pay tribute to my predecessor, Siobhan Baillie. Siobhan was always so cheerful and positive, and I really admired her for that. She also squeezed the last Government into introducing what was probably their best bit of legislation, which was about childcare. This Government are continuing that and making sure that we deliver it. People who knew Siobhan will know that she also had a lot better hair than I do. [ Interruption. ] Thank you very much—I will move on hastily. I would also like to pay tribute to my Labour predecessor, David Drew, who was probably the best constituency MP I ever met. He is still very well loved in the area, and is still involved in local politics. He has given me lots of pieces of advice. One of them is to be yourself, which is good advice for all of us. I thank him for that. My father actually said that there are quite a lot of similarities between being an MP and being a GP. He said, “First of all, both of you have surgeries, don’t you?” I thought about this more, and I thought about what I tell the doctors I train: “As a GP, you have to know the first three things about everything, which is true for MPs as well. You do not have to be an expert on anything, but you have to know a little bit about everything.” I have certainly learned a lot about that. Both GPs and MPs also need to be embedded in their community. But probably the most important thing to being a good doctor and a good MP is listening, not talking. The best doctors and the best MPs are the best listeners. Stroud is the most beautiful area, and its hills and valleys were made famous by Laurie Lee in “Cider with Rosie”, which Members may have read. A previous GP in the area, about 200 years ago, was Dr Edward Jenner. He was in Berkeley in my constituency, and he discovered vaccination. He saved the most lives in history, so we must honour him. Vaccination is transformative for health. One of the big benefits of the pandemic is that we developed mRNA vaccines, which in the future will be used to treat cancer. This new therapy is really exciting. Stroud is also home to cutting-edge companies, including Renishaw in the engineering industry. Ecotricity, owned by Dale Vince, has been at the cutting edge of sustainable energy for many years. We also have the fantastic Forest Green Rovers, the world’s only carbon-neutral football club. They are also vegan. Sadly, they were relegated from the football league this year, but I promise they will be back. I hope they will be, anyway. Dale Vince built the first wind turbine on Tinkley Lane in 1996, and there is a lesson there, because there was incredible local opposition to it for years. People did not like it, but now it has come to be accepted. This is the future. Many of us have spoken about community energy, which we have been developing in Stroud. We now have six projects. Waitrose will have solar panels on its roof, and we are going to cover the hospital with solar panels. There is a scheme to put solar panels on every public building, which will save having to put them on farmland. I recommend such schemes. A number of my constituents are currently in prison for climate activism. Although I do not condone their protests in any way, I ask the Home Secretary to review their really excessive sentences, and I ask organisations such as Just Stop Oil to get behind us. We are the greenest Government this country has ever seen, so will they stop protesting and start building with us? Community is really important in Stroud. We have community hubs throughout the constituency. One of the best is GL11 in Cam, run by Indigo Redfern. Its volunteers look after vulnerable people. We have the country’s oldest community agriculture scheme, and we have a big scheme that buys community shops. When pubs close in little villages, we buy them, too. We are also looking at buying land to protect it for people to use. I worked in May Lane surgery for so long, and I praise the doctors, the nurses and all the reception staff for continuing to deliver extraordinary care to patients. General practice is delivering extraordinary care throughout the country, but we are in a certain amount of crisis. We have very low morale, and everyone is complaining about not being able to get a GP appointment, so I am proud that this Government will fix general practice by investing, innovating and making sure that patients receive the service they received in 2010. Another thing I would like to say on innovation is that, about 25 years ago, I introduced an artist in residence at my surgery to treat patients with mental ill health, and I managed to prove that it was incredibly effective. We then expanded into green prescribing, getting people to take walks. We have poets in nursing homes, and we started prescribing allotments. These non-medical prescriptions are crucial, and they save the NHS money, because people realise they do not need medicine to make them better. The arts are crucial. We must support this country’s world-class arts sector, and we must use it to make ourselves better. I will come to a conclusion. When I first arrived in the House, I was talking to some of the wonderful parliamentary staff who looked after new MPs so well. One of them said, “It is strange, because it is like there has been a generational change in the Commons. A wind has blown through the Commons and replaced what we had before with much younger Members”—not me, by the way—“and many more women. It is really ethnically diverse and there are LGBT people as well. It is like a fresh wind has come in.” I feel that offers a real opportunity for us to deliver real change in this country. My father is 90. He was going to be here today, but he could not make it, which is really sad. He has been a lifelong socialist and Labour party member. He said in 2019, “I will probably never see another Labour Government,” but he has got to see one. Let us make this work and work hard to deliver renewable energy, so we can bring down the cost of power and change the whole environment of the country.