Perran Moon

I thank my hon. Friend for his pertinent points about remote coastal areas and the challenges we face. Obviously, he faces a particular challenge that we do not face in Cornwall, as he also has to put up with an SNP Government. Since many residents live outside built-up areas, the true figure on age might be even higher. Cornwall has seen sustained population growth, largely driven by the migration of older people drawn to its geographical appeal as a place to retire. This older migration population means increased health and care needs. Data from the Institute of Cornish Studies shows that 43% of households moving to Cornwall from elsewhere are economically inactive, placing huge further strains on public services. Funding formulas rarely account for that reality. We have more demand for carers, more long-term health conditions, and more demand on health and social care systems. In remote areas like Cornwall, care is harder to reach and far more expensive to deliver. With our ageing population come the health inequalities that deeply affect remote coastal communities. The chief medical officer’s 2021 report on health and wellbeing in coastal communities identifies a coastal excess of disease driven by deprivation, age profile and behaviours such as obesity, smoking and alcohol use. Life expectancy, healthy life expectancy and disability-free life expectancy were all lower in coastal areas. The report made it clear that in coastal communities, these factors converge to the detriment of local people, who face income insecurity, low-paid seasonal work and limited educational capital. The 10-year health plan does acknowledge the challenges faced by coastal communities, particularly in its shift from hospital to community care, but more needs to be done.