The Government are committed to ensuring patients can access timely, high-quality care wherever they live in the United Kingdom, while recognising ongoing challenges. We are working with the NHS and devolved Governments to improve digital interoperability, streamline cross-border billing and support more joined-up care.
Powys has no general hospital, so my constituents are dependent on access to English hospitals for the treatment and operations they need. However, last July, Powys teaching health board made the decision to extend waiting times for Powys patients awaiting operations, with the result that many have now been waiting years, often in agonising pain. Will the Minister meet me, Powys teaching health board and the new Welsh Health Minister to ensure Powys patients get the funding and treatment they need?
I would welcome a meeting with the hon. Member. As he knows, decisions about waiting list management in Wales are matters for the Welsh Government, but I agree that patients in border communities should be able to access care as quickly and conveniently as possible.
For my constituents in the Scottish Borders, accessing NHS treatment can sometimes be more complicated than it should be. Some residents in the Scottish Borders are registered with GP practices in Northumberland, but their medical records are not always shared properly between NHS services in England and Scotland. The SNP Government refuse to allow reciprocal care, so will the Minister urgently work with the Scottish Government to ensure my constituents can be properly treated as close to home as possible?
I am aware of the concerns that the hon. Member raises. NHS organisations on both sides of the border are working together to improve access for patients. NHS England is working closely with NHS Scotland to improve the compatibility of patient records. I believe that they must do much more and I would be happy to meet him to discuss that further.
We know that some patients prefer not to use online services. Online tools complement rather than replace existing routes, such as telephone or walk-in access. The GP contract requires online access to be available during core hours, which eases pressure on phone lines and reception staff as non-digital routes to access care. Under this Government, patient satisfaction with GP access has risen from 61% to 75%.
I understand why making use of the NHS app and online appointments is sensible and works well for many patients, but I cannot be the only MP to have heard from constituents—you may even have heard from your constituents, Mr Speaker—who struggle with that. They may not have a smartphone. I have met many elderly patients who simply cannot make use of online forms and too often GP practices do not make it easy for them to make appointments by telephone or by walking in. It is important that the Government make it crystal clear to all our GP providers, who I know are doing their best, that no matter how far we go with digital innovation, our patients must always be able to access primary care through traditional routes, such as making an appointment by telephone or by walking in.
I am in violent agreement with the hon. Gentleman, which is quite unusual. We are clear that patients should not be digitally excluded. The contract is clear that patients should always have the option of telephoning or visiting their practice in person. All online tools must always be provided in addition to, rather than as a replacement for, other channels for accessing a GP. In the past year, since April 2025, some 11.5 million more GP appointments have been delivered.
I thank the staff at Princess Alexandra hospital in Harlow, particularly in the older persons assessment and liaison ward, where elderly patients are transferred from A&E and supported to either return home or transfer to different wards, another example of where Harlow is leading the way. How can we work together to support patients, like those on the OPAL ward, to access primary care if they are not confident in using some of the online tools that have been mentioned?
Once again, my hon. Friend has done a great job promoting Harlow, as we are all familiar with him doing in the House. We are improving GP access across the board. We have over 2,000 more GPs since July 2024 and we are launching a £102 million fund to build more clinical space in over 1,000 GP practices across England. A lot has been achieved, but a lot more needs to be done.
10. What steps his Department is taking to help reduce inequalities in health outcomes.
This Labour Government were elected to build an NHS fit for the future. As Secretary of State, I am accelerating modernisation, but health inequalities start long before people access the NHS, so our focus on prevention in the 10-year health strategy is crucial, as is the work of this Government to address wider inequalities, including in housing, air quality and getting more people into work.