Tim Farron

It is an honour to serve under your chairmanship, Mr Stuart, and to follow the hon. Member for Salford (Rebecca Long Bailey) and my hon. Friend the Member for Chelmsford (Marie Goldman). I have four NHS trusts serving my enormous constituency, which is the second biggest in England: the North Cumbria foundation trust, which is ranked 117th out of 134; the Cumbria, Northumberland, Tyne and Wear foundation mental health trust, which ranks 39th out of 58; the University Hospitals of Morecambe Bay foundation trust, which ranks 97th out of 134; and the Lancashire and South Cumbria foundation mental health trust, which ranks 54th out of 58. What do those four trusts have in common? They are run and staffed by outstanding people who are wonderful, compassionate, committed and capable. They all also struggle with a common underlying challenge: rurality, which this Government, like their Conservative predecessors, fail to understand and, indeed, to tackle. Let me start with the Morecambe Bay trust. It has three hospitals, but it is funded as if it had just one. This year, NHS England and the Department of Health and Social Care are forcing £32.5 million-worth of cost savings on the trust, causing it to have to close 42 beds, despite the fact that it has been at level 4 of the operational pressures escalation levels framework—the highest level of alert and extreme pressure on services—a total of 14 times over the last 12 months, including three times in June, July and August. We have some of the worst cancer waiting times in the country, and it is no surprise, because in south Cumbria we have no direct or close access to radiotherapy treatment. The OECD average, and the target, for the proportion of people with cancer who receive radiotherapy is 53%. In the UK, that figure is a mere 36%, and Lancashire and south Cumbria is the worst area in the worst country in the OECD, at only 29%. In north Cumbria, people use the Penrith urgent treatment centre, which is brilliant, but it is often under enormous pressure because the nearby Keswick urgent treatment centre—in the constituency of the hon. Member for Penrith and Solway (Markus Campbell-Savours)—is often closed because of understaffing. Mental health provision in the two mental health trusts is under enormous pressure. When Cumbria has a suicide rate twice the national average, that is unacceptable. In addition, the local council is proposing to close Applethwaite Green care home in Windermere because of a 31% cut that the Government have made to the council’s funding this year. Why have the Government done that? Because they do not get rurality and they do not fund services in rural communities. I want to finish by mentioning a Policy Exchange report, the foreword of which was written by my hon. Friend the Member for Oxford West and Abingdon (Layla Moran) and the title of which reads: “The Rural Penalty: How NHS funding formulas are disadvantaging rural and coastal areas and putting health devolution at risk”. It is not just putting health devolution at risk; it is putting the health and the lives of my constituents at risk, and I hope the Minister will put that right.