Blake Stephenson
MP for Mid Bedfordshire · Conservative · United Kingdom
“Friend the Member for Aldridge-Brownhills also mentioned the fact that 30.7% of 16 to 17-year-olds are now unemployed and are not learning the skills we have just agreed are important for enabling young people to grow into strong, resilient adults.”
“We in this House should be creating the conditions for economic growth and allowing businesses to get on with what they do best, and then we should get out of the way. Of course, this Government are doing the absolute opposite. They are meddling, getting in the way and wrapping businesses up in red tape.”
“The regulatory burdens throughout our economy are absolutely incredible. We have failed to properly recognise that it is businesses that grow the economy, not Governments. Over the past two years, the Government have missed an opportunity.”
“My hon. Friend makes a compelling case for drilling in the North sea—a case that he made very successfully in the by-election in Aberdeen South. I congratulate him on that, and welcome him to the House of Commons.”
“The impact, unfortunately, is felt most acutely by our young constituents. In particular, as a result of the Government’s interventions over the past two years, the Saturday job is disappearing. That is absolutely tragic. Hon. and right hon. Members from across the House have spoken passionately about their first job.”
“I am pleased that my hon. Friend and I started our lives sweeping floors; that is something that we have in common. Of course, resilience is a really important skill in life and it is learned best when we are young. I remember those early days on my bike, cycling in the cold with my knuckles freezing.”
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“It must be robust enough to attract the best and the brightest from around the world, who can enrich our communities and boost our economy, but it must slam shut the back door to migrants who do not benefit our country and who burden our public services. The simple truth is that immigration has been unsustainable for a long time. In a little under two years, more than 1.3 million people have come to live, work and study in the UK. That is more than the total population of Birmingham, leading to strain on our public services, competition for jobs and increasing pressure in our housing market. Although some migrants will have brought talent and experience, far too many have not. This has been facilitated by a visa system that is too generous and too vulnerable to exploitation. It cannot continue.”
“I beg to move, That this House has considered the matter of improving the UK visa system. It is a pleasure to serve under your chairmanship, Mr Stuart. Immigration is one of the defining policy challenges of our time. It determines who our neighbours are and with whom we share our country, our culture, our values, our communities and our public services. Britain is operating an immigration system based on a high level of trust that the gangs who ruthlessly tear through our borders in the English channel will stop before thinking to exploit loopholes in our visa system. As a consequence, Britain is now an outlier in the world of self-interest, and our immigration system must reflect that.”
“More than almost any other system, it defines who we are as a nation and what it means to be part of our community. The conversation about how we get our visa system to work in the national interest must involve all of us, regardless of our politics. I look forward to hearing contributions from colleagues from right across the political divide.”
“However, given the inadequacy of the Government’s response so far, I am not satisfied that they have listened to my concerns and those of many in the country. I hope that the Minister’s response will reflect on the seriousness of these issues and demonstrate that the Government understand the problem. The British people do not want a blame game; this problem is too important for point scoring. I recognise that the responsibility for the problems in our visa system lies with both the current and with previous Governments, but the responsibility to act now lies with current Ministers. They need to be ambitious and brave but also thorough and serious. It is crucial that we improve the visa rules and the compliance and enforcement system.”
“We do not permit remote-only testing for driving theory tests, “Life in the UK” tests or GCSEs, so how can we, with a clear conscience, permit it for the test that decides who makes the UK their home? Has the Home Office consulted the National Cyber Security Centre on the threat model for fully remote testing? The reality is clear for all to see: a fully remote model cannot match the security of in-person supervised testing. Are Ministers so naive that they cannot see the disaster coming down the tracks? I hope that much of my speech will not come as a surprise to the Minister—I have asked him enough questions on this topic, and I have been told that my “Backdoors to Britain” report, which I published in March, has been read. I am grateful for the responses to it that I received from the Department.”
“It is clear from a YouGov poll that the majority of adults from across every political party, gender and socioeconomic group oppose a move to remote-only testing for an English visa application, so why on earth would the Home Office pursue that course? In answer to my written parliamentary questions, the Minister alluded to the changes delivering a “net positive” financial benefit for the Department. In plain English, that means that the Home Office are looking to trade the security of high-stakes English language testing for cash for the Department. I would appreciate a response from the Minister on that point. What other reason could there be for the Government’s diverging from our Australian and Canadian allies, who have both recently rejected proposals to move testing online?”
“In a further insult to the British public, the Government initially denied meeting with Duolingo, yet a recent response to a freedom of information request shows that the Minister for Investment met Duolingo in September 2025 to discuss its offer on English language testing. Perhaps the Minister will confirm that and apologise to the British public. All that raises serious questions about the Government’s seriousness on UK border security. There are also questions to answer about whether the £816 million contract is good value for money. The Department will have received a letter from the Public Accounts Committee, on which I serve, inviting officials to brief the Committee, and I hope the offer will be taken up.”
“That US tech firm is now expected to win the £816 million contract, after a consortium of leading British firms withdrew from the application process, warning that the proposal exposes the UK’s immigration system to weaker security. Remote tests are extremely vulnerable to organised criminal gangs and cheats who, as I have seen at first hand, can easily overcome safeguards with technological workarounds, some of which use cheap equipment readily available on Amazon. The Government have repeatedly promised to smash the gangs, yet they are opening a new back door to Britain for organised criminals to exploit.”
“Those with a commercial incentive to bring in as many students as possible should not be allowed to mark their own homework. That has created an unacceptable loophole, one that trashes rules designed to ensure that the most basic of requirements is satisfied—that those who come to the UK can speak our language. On English language testing, the Government are acting without sense and rationale. The Home Office is pressing ahead with plans to move official English language testing to a fully remote model, despite serious security concerns. Having initially ruled out remote testing, the Government U-turned after being lobbied by Peter Manderson’s firm, Global Counsel, on behalf of Duolingo.”
“I agree that we have a thriving university sector, and we must maintain it. However, the reality is that many students arriving in the UK are doing so to attend poorly performing universities, and not just the best ones. That is doing long-term harm to our country and our economy. We must close down that route by establishing a minimum academic standard for incoming students and setting a cap on institutions, based on the quality of educational provision. Eligibility for graduate visas should also be linked to academic performance, to keep the best and the brightest while slamming closed this back-door route for low-skilled migrants. Universities should be stripped of their power to assess English language skills for incoming students, which allows them to bypass the official secure English language testing system.”
“I want to emphasise that it is important that there is confidence in the system before the Home Office goes ahead, and I encourage the Minister to encourage his officials to accept the invitation to brief the Public Accounts Committee on that. Fixing our visa system, closing the loopholes and putting the British people and their Government back in control of who our neighbours are should not be controversial. It is the norm throughout the world, and we need to make it the norm here in Great Britain. Question put and agreed to. Resolved, That this House has considered the matter of improving the UK visa system.”
“I thank everyone who has contributed to this wide-ranging and interesting debate. I am afraid that I do not have time to reflect on each contribution, but I thoroughly appreciate Members coming and providing their thoughts on this important subject. I thank the Minister for answering my many written parliamentary questions as I was doing my research, and for considering thoughtfully the recommendations in my report and writing to me with his thoughts. I know that he had limited time, but I was disappointed that he did not pick up on the move to remote-only English language testing, which is a very important topic to both me and the hon. Member for Cambridge (Daniel Zeichner).”
“Given the scale and significance of the Mandelson files due to be released, why does the Minister not accept that the review of those files over the Whitsun recess would be a good use of everyone’s time, with questions to Ministers being put after 1 June when we return? Is it because Ministers intend to limit scrutiny by this House? That is exactly what it looks like to me and to my constituents.”
“Together, Lords amendments 5C and 6B represent a positive shift in the way that the criminal justice system in England and Wales approaches victims. I hope that Tracey is incredibly proud of the fact that, by channelling the immense pain of her loss into concrete action, she has helped to shift more focus back to the impact on, and rights of, victims. For that reason, and in Josh Hanson’s memory, I encourage colleagues from across the House to support Lords amendments 5C and 6B.”
“In the eyes of my constituents, to truly honour Tracey’s work—not only her determination to deliver meaningful legislative reform, but the tireless support that she has provided to victims through her charity—this change in legislation should be called Josh’s law. I understand the Government’s position is that “this decision reflects a wider shift away from the Government naming legislation or amendments after individuals”. However, that is inconsistent with other recently passed legislation. I will refer to just one example. Last week, a Minister referred to “Benedict’s law” at the Dispatch Box. That legislation was passed only last month. That highlights that the move away from naming legislation after individuals is not being applied consistently. I ask the Minister to reflect on that at the Dispatch Box.”
“I also mention my constituents’ disappointment that the Government have decided not to give these legislative changes the name “Josh’s law”. I have already spoken of the undeniable role that Tracey’s campaign has played in bringing about these changes. That sentiment is reflected in the fact that many Members across this House already recognise it as Josh’s law, noting Tracey’s years of campaigning for these changes in Josh’s memory. Baroness Levitt KC, the Parliamentary Under-Secretary of State for Justice, said in the other place last week that this Government listen and want to get things right. I truly welcome the fact that Ministers have listened to Tracey, and have introduced amendments for which she has campaigned for more than seven years, but they have not got this completely right.”
“That is a significant step forward for victims’ rights, but, while I welcome it, true justice requires absolute parity between the rights of offenders and the rights of victims to appeal sentences. Hon. Members from across the House have made that point today, and I hope that the Government have heard it. Despite the positive step forward in this Bill, I know that Tracey will continue her fight for full equality for victims in the eyes of the law. On that note, may I thank Ministers for agreeing to meet Tracey later this year to discuss the Law Commission’s review of criminal appeals? In the Minister’s summing-up speech, I would appreciate it if she could confirm that Tracey would be welcome at that meeting.”
“That change is a direct result of Tracey’s work with academics, campaigners and legislators, and her determination to improve the legislation through the introduction of Josh’s law. Other families who are unfortunate enough to find themselves in such tragic situations will benefit from Tracey’s work, and the work of all campaigners. It is because of that work that I and many others in this House have been educated about the problems with the ULS scheme. I welcome Lords amendment 5C, which will extend the period within which an appeal can be considered from 28 days from the date of sentence to six months from the date of the sentence, where that is in the interests of justice.”
“The campaign is driven by a simple demand: victims and bereaved families should be properly informed of their rights, and those rights should have parity with offenders’ rights under the scheme—something that hon. Members have spoken about this afternoon. Tracey’s campaign was born from personal injustice. She was never informed of her right to challenge the sentence imposed on Josh’s killer. When she discovered the scheme and submitted an appeal on the final day, it was rejected, because it arrived outside of office hours. That is totally unacceptable. I therefore welcome the introduction of Lords amendment 6B, which will place a clear duty on authorities to notify victims and bereaved families of their right to appeal a sentence under the unduly lenient sentence scheme.”
“I will speak to Lords amendments 5C and 6B. Before I do so, may I thank the Minister for working in a collaborative and cross-party way on this issue? I congratulate hon. Members who spoke before me so passionately on behalf of their constituents. I pay tribute to my constituent Tracey Hanson, who is watching this debate from the Gallery. Tracey’s son, Josh Hanson, was tragically murdered in an unprovoked knife attack in October 2015 at the age of just 21. Tracey has been on an 11-year journey of immense pain, and she has channelled that pain into trying to improve the rights and experiences of victims who must deal with the criminal justice system. Tracey has campaigned tirelessly to reform the unduly lenient sentence scheme.”
“I thank my hon. Friend for securing this very important debate. There are issues with people who rely on super off-peak tickets, particularly at the weekends. Contactless has been introduced to Harlington in Mid Bedfordshire. It is valuable for commuters, but there are families who rely on the super off-peak fares, particularly at the weekends, who are now paying more for their travel at a time when they are hearing from the Government that rail fares are being frozen. Does my hon. Friend agree that it would be helpful for the Government to reconsider the technology that they are using to allow more flexibility in ticketing through the contactless system?”
“Wixams retirement village in Mid Bedfordshire is a wonderful, integrated retirement community, but I understand from the sector and the industry that that business model is under threat from the Government’s leasehold reforms. Given the important role that these communities can play in reducing social care costs for our local authorities, and the fantastic option they represent for older constituents, will the Minister commit to look again at the specific impacts of leasehold reform on the integrated retirement sector, particularly to give stability and predictability to investors so that they can invest in future schemes?”
“Is it worth emphasising that the Conservatives froze fuel duty for 14 years, which took £100 billion off the cost of driving? That is an example of taxes that we cut over those 14 years. In contrast, this Government have increased taxes by £66 billion in the past two years. Is it not outrageous?”
“Completion of a degree, regardless of what it is in or where the individual has come from, itself acts as proof of English language competency for future applications to the Home Office. Thousands of visa holders come through hard-to-enforce routes with minimal financial requirements. Two examples that I focused on in the report are religious and charity visa routes. We are operating a system where it is easier for someone to bring their non-British spouse to the UK if they are an immigrant than if they are a British citizen. I do not think that is fair to hard-working British citizens who want to bring their non-British spouse to the UK.”
“This is not about chasing Reform, as has been suggested by Members today; it is about focusing on an issue that matters deeply, certainly to my constituents. Earlier this month, I published a short report, “Backdoors to Britain”, which sets out 30 recommendations for strengthening our legal migration system. It comes after months of work and hundreds of written questions to the Home Office—I must apologise for pestering Home Office Ministers with them—which uncovered some alarming truths. Nearly 17,000 micro-companies with five or fewer employees are eligible to sponsor visas, but there seems to be no data on how many people they have sponsored. There is a clear commercial incentive for our universities to undercut our legal migration system in exercising their power to conduct their own English language testing at the start of study.”
“I congratulate the hon. Member for Perth and Kinross-shire (Pete Wishart) on securing this important debate. Immigration is one of the defining issues of contemporary politics. Polls regularly show that it is one of the most important issues for the public. Much like my right hon. Friend the Member for South Holland and The Deepings (Sir John Hayes), I am told by my constituents that they are fed up with a system that seems to work for absolutely nobody. I send surveys to villages on a monthly basis, and regularly more than 80% of those who return the surveys tell me that this issue is important to them and we need to fix the immigration system. The Government’s attempts to reform the system are welcome. I encourage them to be ambitious.”
“Britain’s immigration system is not working for the British people. It is time that changed. As we continue to shape a new immigration system over the coming months and years, I hope the Minister will consider the recommendations in my report, which I have shared with Members and might well be in his inbox. I am more than happy to meet him to go through the recommendations if that would be of any use to the Government. My constituents want this Government—any Government, in fact—to end the loopholes, close the back doors to Britain and build an immigration system that works for British citizens.”
“I could not agree more. That is clearly a back door to Britain, and we need to close it. Our public sector is dependent on a huge number of worker visas, while we debate—even today, in the Chamber —record youth unemployment. As my right hon. Friend said earlier, we need to get those young people into work rather than relying on importing labour. Perhaps more worrying are the huge gaps in fairly basic compliance data that I uncovered through my questions to the Home Office. Responses to many of my questions indicate that there is a lack of robust data in the Home Office, or that data might be available but producing an answer is simply too expensive. In either case, without robust and easily accessible data in the Home Office, I and my constituents are concerned that our legal migration system is effectively unenforceable.”
“I thought I would intervene to give the hon. Gentleman a little more time. Is he arguing for an amnesty here in the UK? What does he think British citizens would think of such an amnesty? Does he believe that that would be fair or unfair?”
“First, I thank Ministers for inviting me to a meeting yesterday on unduly lenient sentences. My constituent, Tracey Hanson, and other campaigners like her continue to raise powerful points on the need for victims to have parity with offenders on rights and support. Will the Minister assure the House that the Government intend to achieve that parity during this Parliament?”
“The Secretary of State said: “There is a direct link between declining high streets and a sense that the country is going backwards.” I agree with those sentiments. Will he therefore consider encouraging the Chancellor to reduce taxation on high street businesses to support job creation and help them to thrive?”
“Hundreds of public sector bodies, including a number of Departments and arm’s length bodies, are registered to sponsored visas, as the Minister will know. Does she agree that the public sector should lead from the front and sponsor visas by exception only in the cases of hiring truly world-class talent? Can she confirm whether all Departments and arm’s length bodies are complying with the guidance issued by the Cabinet Office?”
“I thank the Minister for his statement. I have a constituent who has a 16-year-old daughter in Dubai seeking repatriation to the UK. May I put on the record my thanks to the officials for all the work they are doing? I have heard the Minister today say that the advice now is not to travel by land from Dubai to Oman, but my constituent, as of this morning, is very concerned for the safety of her daughter, who has been told to travel the 400 km to Oman to catch a repatriation flight without consular assistance. It sounds like the advice may have changed recently. Please can the Minister look into this, particularly to ensure that UK minors who are trapped in the region are provided with the right consular support, so that they can transit safely to Oman to catch those repatriation flights?”
“In principle, neighbourhood health centres are absolutely the right step. They are a way to empower people to get the healthcare that they need on their doorstep and to keep them out hospitals, which could then focus on those who need the most specialised care.”
“Accessing online support—often seen as a silver bullet for the future of healthcare—can be challenging in rural areas where high-quality broadband and mobile signal have not yet arrived. All that means that securing equal access to healthcare in rural areas as in urban areas is more challenging and expensive, which has practical implications. In the Health Secretary’s constituency of Ilford North, there are 20 main GP surgeries. In my constituency of Mid Bedfordshire, there are just nine. The age of the village doctor is gone. When my constituents heard of the plans for a neighbourhood health service, with a neighbourhood health centre, within the Government’s 10-year health plan, there was some optimism that that age might return, even if not necessarily in the same way as before.”
“I beg to move, That this House has considered healthcare in rural areas. It is a pleasure to serve under your chairship, Dr Huq. I hope that this debate can be a constructive discussion of the particular challenges that rural communities face in accessing healthcare. In that spirit, I will open the debate by saying some things that I hope no one will find controversial. Rural communities are bigger and further apart than urban ones and have fewer people in a wider area, which makes the delivery of basic services much harder than in major conurbations. The time and money lost to travel is higher because the distance between places is larger, and it is more challenging to recruit and retain staff in public services such as healthcare.”
“I know Lyneham quite well; it is a beautiful part of the world—although of course, Mid Bedfordshire is far more beautiful. I have to agree with the hon. Lady. The situation is deeply concerning for those in rural communities who are struggling to access GPs, and, given the growth and development in our communities, access is becoming much more difficult as the years roll on.”
“In either case, that is what already happens now. People in rural communities can only get to healthcare services in big towns that are often a distance away. They deserve better than to be viewed as the hinterland of larger urban areas. They deserve a neighbourhood health service designed not as a one-size-fits-all solution, but as genuinely local to their needs. I appreciate that funding is not unlimited and that tough choices need to be made, but those tough choices always seem to result in rural communities losing out when it comes to access to healthcare.”
“The hon. Lady front-runs entirely a point I will make later, and I thank her for doing so. Unfortunately, that early optimism about neighbourhood healthcare was somewhat tempered by a response I received to a written question, indicating that the Government expect neighbourhoods to have a geography of around 50,000 people. I am afraid that that will do nothing for people in Mid Bedfordshire. It will mean either that rural communities on the edge of urban catchments will be split up and served by “neighbourhood” health hubs in nearby major settlements, which will likely be Hitchin, Bedford, Luton or Milton Keynes, or that one rural “neighbourhood” will cover the vast majority of rural communities, meaning that constituents will have to travel to a central location to access the services that they need.”
“Equally, as services move more and more online, consideration must be given to the challenges in rural communities that cannot get good broadband or wi-fi, for reasons beyond their control. Finally, we must ensure that development in rural areas comes with the local healthcare infrastructure that we know communities need. For too long, that has not happened, and communities such as mine in Mid Bedfordshire have paid the price.”
“I will bring my remarks to a close, and I look forward to hearing the views of others in this debate. There are particular challenges for rural communities in accessing healthcare. For too long the approach has been to centralise care in larger and larger towns, and in doing so take it away from villages and small towns. The Government’s move to centralise local healthcare decision making over much bigger areas risks leaving rural residents further behind. The planned shift to a neighbourhood health service is welcome, but it must be a truly neighbourhood-based service. While a neighbourhood of 50,000 people might make sense in our big towns and cities, it risks leaving our rural small towns and villages out in the cold, served only as a bit on the edge of a larger urban area.”
“It has been proposed a few times in this Session, but I fundamentally believe something must be done to allow councils and ICBs to benefit from developer contributions from the day that planning permission is granted, not as development is happening. That could be achieved by something as simple as the Government providing funding up front and reclaiming it from the developer via section 106. This is one of the biggest issues facing my residents. When the wait to see a GP soars because of a new housing estate next door, nobody wins. I know this is not confined solely to rural areas, but it is in rural areas where existing infrastructure is strained to capacity, and where a good proportion of the Government’s 1.5 million homes are expected to be built.”
“That leaves open the prospect that GP surgeries in new towns will be funded at the expense of new GP surgeries in areas such as Wixams and other rural communities across the country, which have been waiting far too long. I would be grateful if the Minister could assure me on that point specifically. The overall point is clear: where rural communities see development, they need infrastructure to cope with it. That is common sense; it is simple, and it is what our constituents want to see. They need to see that infrastructure arrive before the houses are occupied, and not for the burden on overstretched existing infrastructure to be relieved at some indeterminate point in the future.”
“Give up a bit of what makes your rural community special, and in return you’ll get the new GP surgery or healthcare hub. You’ll get the infrastructure your community needs”. That just does not happen anymore. Now we get the houses, but the field where the GP surgery was promised remains empty, just as it has for two decades in Wixams. The same argument has been made for the Government’s flagship new towns: build a big new town from scratch and it will come with the right infrastructure. However, the Department of Health and Social Care has not been able to confirm to me that additional funding will be provided for GP surgeries, and there does not appear to be future funding provided from the Treasury.”
“That reflects the reality that in that same decade, our rural communities have been targeted for more and more development—a point made by the hon. Member for Chichester (Jess Brown-Fuller). In central Bedfordshire alone, more than 20,000 houses have been built in that period, with many more in Luton, Milton Keynes and Bedford, including significant build-out in Wixams, as I mentioned earlier. There is barely a village in Mid Bedfordshire that has not been expanded significantly over the past decade. We expect to see many thousands more built in the coming years, including potential new towns at Tempsford and expansions east of Milton Keynes. The old argument for healthcare with development no longer works. The argument would go, “Build a large development or new settlement.”
“In Bedfordshire, we are to be forced to have a mayor covering Bedford, Luton, Milton Keynes and central Bedfordshire. Our new ICB would therefore be covered by three mayors, including a mayor for Hertfordshire and a mayor for Cambridgeshire and Peterborough. That dilutes the political pressure our mayor can bring and the impact that rural Bedfordshire communities covered by that mayor can reasonably have. If the Government change course back to the sensible idea of having an ICB and a strategic authority be coterminous, that will have been a whole lot of money wasted in two needless restructurings that could have gone into more doctors and nurses. It makes absolutely no sense—we need more doctors and nurses. In Bedfordshire, in the decade since 2016, we now have 18% more patients per fully qualified GP.”
“Even as part of the 10-year health plan, they stated that their aim is that: “integrated care boards should be coterminous with strategic authorities wherever feasibly possible.” What a fantastic idea. Doing so would give proper political accountability to integrated care boards. It would mean that the rural village has a proper elected voice at the table when decisions about the future of healthcare are being made, and a representative that they could hold accountable at the ballot box if their local healthcare needs were left wanting. That is exactly what rural communities need to ensure they get the healthcare they deserve. The proposals, like so many others, seem to have been put back on the shelf and watered down. Now ICBs will be coterminous with lots of strategic authorities.”
“What the Government are doing in Bedfordshire is in no way an isolated incident. I understand that the 42 ICBs that existed before will be reduced to just 26 super-ICBs once the Government’s process finishes. That means thousands of rural communities across England will have less control over their local healthcare overnight, and it was confirmed almost in the same breath as the Government’s plans to bring healthcare closer to communities. That is particularly short-sighted when put against the Government’s plans for mayors. The Government have previously spoken of their desire to line up the boundaries of mayoral areas and integrated boards.”
“It seems obvious to me that an already small but growing community that needs healthcare services will find that this centralisation of leadership structures will make it even harder for them to get the healthcare they need. To give credit where credit is due, the new ICB leadership have been very responsive to my representations on Wixams. After nearly two decades of delay, it feels like we are finally making some progress, together with the Mayor of Bedford and the hard work and commitment of local councillors Graeme Coombes, Marc Frost and Andrea Spice—all of whom I thank for their hard work. However, the point remains the same: when the area covered by ICBs is made bigger, the influence of our smaller rural communities and their healthcare needs becomes smaller.”
“It is hard to see that the new ICB will be able to give the level of attention to people in our rural communities that they need and deserve. In Wixams, a new town being built in my constituency, a GP surgery has long been promised. It was promised when shovels first went into the ground in 2007, and it has been promised ever since, but the empty field remains, waiting for a building and some doctors. Wixams now has roughly 5,000 residents, and it made up about 0.4% of the population of the previous ICB area. It needs its promised GP surgery, but residents have found it incredibly difficult to get action from the ICB. Under the Government’s new ICB arrangements, Wixams’ residents represent just 0.1% of the ICB’s population.”