Josh Fenton-Glynn

I am glad that this debate has been called. Across the House, stories of failings in primary care are too familiar and, frankly, too distressing. The Darzi report makes it clear that since the announcement in the late 2000s of the so-called left shift—the shift from hospital care to care in the community—we have seen the number of people treated in hospitals rising. Indeed, 58% of the NHS budget is now spent on hospitals compared with 47% in the late 2000s. As Darzi said, there is no left shift, just a “right drift”. Let us be clear: GPs work hard and do a fantastic job. Just a few weeks ago, I visited the fantastic Hebden Bridge group practice in my constituency. The 13 doctors conduct about 2,000 appointments a week, and while they are fantastically efficient, that is taking its toll. The General Medical Council’s national training survey—I used to be proud to work on that report every year—found that 68% of GP trainers said they always felt worn out at the end of the day. This is simply unsustainable. We see the impact of the unsustainable model and the underfunding in our constituencies every week. In my constituency, the Calder community practice in Todmorden closed with over 2,800 patients on its books because there simply was not anyone able to take it on. The Darzi report makes it clear that we need to prioritise primary care and care in the community. The left shift must not be a slogan, but create real action. It cannot be right that, last year, 2,000 patients each day were admitted to hospital for something that could have been treated elsewhere and closer to home. I look forward to supporting the Government amendment, and to working across the House week in and week out to make sure that we rebuild the NHS and get it the support it needs.