The Liberal Democrats have promised to give everyone the right to see a GP within seven days as the party highlights a divide between health services in urban and rural areas
Research by the House of Commons Library – commissioned by the party – showed the proportion of people waiting four weeks or more for a GP appointment is three times higher in rural parts of England than in London.
Just over 20% of patients living in the countryside waited two weeks or more between April and June of this year, compared to 16.9% of those in cities and towns.
And 6% of rural patients waited four weeks or more, compared to 4.6% of urban patients.
The research also showed rural communities in the East Midlands and South West faced the worst waits, with 6.6% having to go 28 days or more – three times higher than the 2.1% facing the same delays in the capital.
The Lib Dems are calling on the government to take action on closing this divide, and promised they would “enshrine in the NHS constitution” a right for patients to see a GP within a week, or within 24 hours if the case is urgent, with a pledge to hire 8,000 more GPs in England.
Party leader Sir Ed Davey – who will appear on Sky News’ Sunday Morning with Trevor Phillips this weekend – said: “Millions of people across the country are struggling to get a GP appointment when they need one, leaving them waiting in pain and distress.
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“GPs should be the front door to the NHS, but that door has been slammed shut in people’s faces after years of Conservative broken promises and neglect.
“We will narrow the divide between rural and urban areas, ensuring everyone can see a GP when they need to and get the care they deserve.”
Image: Sir Ed Davey promises to ‘narrow the divide’ between rural and urban health services
The Lib Dems are gathering in Bournemouth this weekend for their annual party conference and senior party sources told Sky News that the NHS would be the “golden thread” running through the event.
As a result, the party made a second announcement on Saturday night – the promise to provide mental health “MOTs” for several at-risk groups on the NHS.
In her speech to conference on Sunday, deputy leader Daisy Cooper will warn mental health has “dropped off the political radar” as she unveils proposals for regular check-ups.
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People between 40 and 74 already receive physical check-ups on the NHS, but the party believes a stronger focus on mental health during these appointments would help to detect problems early at little extra cost.
The mental health “MOT” checks would be offered to men in their 40s, women who have recently given birth and people in retirement under the plans.
Sunday Morning with Trevor Phillips
Watch live each week on Sunday at 8:30am on Sky channel 501, Freeview 233, Virgin 602, the Sky News website and app or YouTube.
The end of the almost five-year legal dispute will enable the agency to dedicate more time to developing clear regulatory frameworks, according to SEC Chair Paul Atkins.
Campaigners have criticised a change to the rules around declarations of interest in the House of Lords as a “retrograde step” which will lead to a “significant loss of transparency”.
Since 2000, peers have had to register a list of “non-financial interests” – which includes declaring unpaid but often important roles like being a director, trustee, or chair of a company, think tank or charity.
But that requirement was dropped in April despite staff concerns.
Tom Brake, director of Unlock Democracy, and a former Liberal Democrat MP, wants to see the decision reversed.
“It’s a retrograde step,” he said. “I think we’ve got a significant loss of transparency and accountability and that is bad news for the public.
“More than 25 years ago, the Committee on Standards in Public Life identified that there was a need for peers to register non-financial interests because that could influence their decisions. I’m confused as to what’s happened in the last 25 years that now means this requirement can be scrapped.
“This process seems to be all about making matters simpler for peers, rather than what the code of conduct is supposed to do, which is to boost the public’s confidence.”
Image: MPs and peers alike have long faced scrutiny over their interests outside Westminster. File pic
Rules were too ‘burdensome’, say peers
The change was part of an overhaul of the code of conduct which aimed to “shorten and clarify” the rules for peers.
The House of Lords Conduct Committee argued that updating non-financial interests was “disproportionately burdensome” with “minor and inadvertent errors” causing “large numbers of complaints”.
As a result, the register of Lords interests shrunk in size from 432 pages to 275.
MPs have a different code of conduct, which requires them to declare any formal unpaid positions or other non-financial interests which may be an influence.
A source told Sky News there is real concern among some Lords’ staff about the implications of the change.
Non-financial interest declarations have previously highlighted cases where a peer’s involvement in a think tank or lobbying group overlapped with a paid role.
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Cricket legend among peers to breach code
There are also examples where a peer’s non-financial interest declaration has prompted an investigation – revealing a financial interest which should have been declared instead.
In 2023, Lord Skidelsky was found to have breached the code after registering his role as chair of a charity’s trustees as a non-financial interest.
Image: Lord Skidelsky. Pic: UK Parliament
The Commissioner for Standards investigated after questions were raised about the charity, the Centre for Global Studies.
He concluded that the charity – which was funded by two Russian businessmen – only existed to support Lord Skidelsky’s work, and had paid his staff’s salaries for over 12 years.
In 2021, Lord Botham – the England cricket legend – was found to have breached the code after registering a non-financial interest as an unpaid company director.
The company’s accounts subsequently revealed he and his wife had benefitted from a director’s loan of nearly £200,000. It was considered a minor breach and he apologised.
Image: Former cricketer Lord Botham. File pic: PA
‘Follow the money’
Lord Eric Pickles, the former chair of the anti-corruption watchdog, the Advisory Committee on Business Appointments, believes focusing on financial interests makes the register more transparent.
“My view is always to follow the money. Everything else on a register is camouflage,” he said.
“Restricting the register to financial reward will give peers little wriggle room. I know this is counterintuitive, but the less there is on the register, the more scrutiny there will be on the crucial things.”
Image: Lord Eric Pickles
‘I was shocked’
The SNP want the House of Lords to be scrapped, and has no peers of its own. Deputy Westminster leader Pete Wishart MP is deeply concerned by the changes.
“I was actually quite horrified and quite shocked,” he said.
“This is an institution that’s got no democratic accountability, it’s a job for life. If anything, members of the House of Lords should be regulated and judged by a higher standard than us in the House of Commons – and what’s happened is exactly the opposite.”
Image: Michelle Mone attends the state opening of parliament in 2019. Pic: Reuters
The government has pledged to reform the House of Lords and is currently trying to push through a bill abolishing the 92 remaining hereditary peers, which will return to the House of Commons in September.
But just before recess the bill was amended in the Lords so that they can remain as members until retirement or death. It’s a change which is unlikely to be supported by MPs.
Image: MPs and peers alike have long faced scrutiny over their interests outside Westminster. File pic
A spokesperson for the House of Lords said: “Maintaining public confidence in the House of Lords is a key objective of the code of conduct. To ensure that, the code includes rigorous rules requiring the registration and declaration of all relevant financial interests held by members of the House of Lords.
“Public confidence relies, above all, on transparency over the financial interests that may influence members’ conduct. This change helps ensure the rules regarding registration of interests are understandable, enforceable and focused on the key areas of public concern.
“Members may still declare non-financial interests in debate, where they consider them directly relevant, to inform the House and wider public.
“The Conduct Committee is appointed to review the code of conduct, and it will continue to keep all issues under review. During its review of the code of conduct, the committee considered written evidence from both Unlock Democracy and Transparency International UK, among others.”