Martin Wrigley
MP for Newton Abbot · Liberal Democrat · United Kingdom
“Q11. US big tech has exploited us for far too long, so I am delighted that the Met police followed my advice and pushed Apple and Google to implement the stolen handset blacklist, curbing resales and cutting mobile theft by almost half.”
“It sounds like the Secretary of State is hearing a fairly unanimous view from members of the Science, Innovation and Technology Committee, which is good. Today’s ban is a welcome start, but it is only a start and is not sufficient.”
“Palantir appears to have a habit of avoiding competitive tender and scrutiny by using free trials and locking up the contract specifications after getting a foot in the door. I congratulate the London Mayor on stopping the recent potential contract offered by the Met police without a competitive tender process.”
“I was trying not to interrupt his flow— [Interruption.] Until I did. Throughout the files there are mentions of Palantir and Peter Mandelson, including a memo in which he tries to introduce Peter Thiel to No. 10 staff in June last year.”
“I absolutely agree with the hon. Member. We heard earlier how Kevin Dixon of Devon gives us excellent reports of what is happening with Healthwatch. The modern NHS must run on data, but critically, on data that carries the consent of patients.”
“The Government admit that but claim it is partial and fragmented. They also claim that the data will remain in the systems where it currently exists.”
The complete record
Every one of 380 lines we hold for Martin Wrigley, in date order, each linked to its source. Free to read, in full, without an account. Page 6 of 8.
“I beg to move, That this House has considered GP funding in the South West. It is a pleasure to serve under your chairship, Dame Siobhain. GPs are the front door of the NHS. They diagnose and treat illness, prevent disease and provide vital mental health support. As Lord Darzi once observed, general practice displays “the best financial discipline” in the NHS family while constantly innovating to keep patients out of hospital. However, GP funding is complex, obscure and insufficient. The bottom line is that the amount of money GPs receive is insufficient to deliver the obligations they carry. That is a view held by every single one of the 28 practice managers I met in and around my district, who tell me the situation is unfunded, unsustainable and unsafe.”
“If we then look at the changing number of patients per GP, in 2019 each GP was supporting 1,800 patients, compared with around 2,400 today.”
“The hon. Member is absolutely right: we have to consider these things. I have spent many hours persuading my local hospital trusts and the integrated care board to talk to the local authorities and work in the cycles of the local plan, so that they get their requirements into that plan. All too often they say, “A new housing development has just been built. We need a new GP practice with it,” and that is too late. The cycles do not add up. The system is broken, and we need to change that. The Buckland surgery is underfunded by some 800 patients every year. It is part of the Templer primary care network, in which 2,500 patients are effectively treated for nothing. This means that the Buckland practice faces an annual shortfall of approximately £84,000—money that would cover another GP.”
“Another £100 million of funding was repurposed but does not put extra capacity into the system. Rather than providing new money to support GPs, this felt to practice managers that the Government had been rearranging the deckchairs.”
“Practice managers tell me that that has already happened and they are less funded now than they were last year. On the changing numbers, each GP was supporting 1,800 patients in 2019 and is supporting 2,400 today, but safe care is often estimated to be closer to 1,400 per GP. So we are overloading GPs with patients. Practices make heroic use of pharmacists, physios and nurse practitioners, but the arithmetic does not add up. Meanwhile, the other part of their funding, the quality and outcomes framework scheme, has faced changes that have negatively impacted primary care. This meant that, nationally, £298 million was redistributed from the QOF into the global sum—we can see how bizarre this funding set-up gets; the names are just weird—and into cardiovascular disease prevention funding.”
“All those things help, along with things like bringing back nurses’ bursaries. On rearranging the deckchairs, it is no wonder that practice managers described this year’s settlement as unfunded, unsustainable and unsafe.”
“The partnership model, still the cheapest and most community-rooted option, is no longer attractive when partners shoulder unlimited liability for premises, pensions and payroll, yet cannot guarantee safe staffing levels. The Royal College of GPs reports a 25% fall in GP partners over the past decade. The chair, Professor Kamila Hawthorne, put it bluntly: “It makes no sense that trained GPs cannot find sustainable posts while patients wait weeks for appointments.””
“That is not to mention long covid and pandemic backlogs. All of those drive more people to want to see their GP. The cost of living crisis is compounding multimorbidity, where the most vulnerable in society with chronic illnesses are further pressured. And then, we get the new requirement to run the appointment schedule from 8 am to 6 pm, filling every single slot. From October, practices must hold digital front doors, open all day, for non-urgent requests. With 100% booked appointments, there is no spare capacity for the person who falls in the care home or for the child who needs attention after school. Partners in the Albany surgery in Newton Abbot warn me that an unlimited invitation will flood a service that simply cannot be limitless. This is unsafe—unfunded, unsustainable and unsafe. Talented doctors are leaving.”
“I thank the hon. Gentleman for that intervention, but sadly, I must disagree. That is not what practice managers are telling me. Their costs have gone up so much that all of the increase has been swallowed up, and they are not sure they can keep the lights on. They are really struggling. I have partners in GP practices who are paying themselves less than the minimum wage, which is not sustainable. Patient demand has also increased post pandemic, and continued cuts have seen the removal of many services and social care that have supported what GPs do. On top of the cuts to Sure Start and a 40% drop in health visitors since 2015, carers already stretched thin face the prospect of losing personal independence payment support, which will inevitably rebound on general practice—the first line of defence.”
“It delivers the inverse care law that the availability of good healthcare tends to be inversely proportional to the need for it within a population. We need to fix it. I am asking the Government today to: end the Carr-Hill formula, and make deprivation, rurality and workload properly weighted; invest in core general practice, not just peripheral schemes, so that partnerships remain viable; protect prevention budgets in the next spending round, as it is cheaper to keep people well than to rescue them later; support premises and digital infrastructure so that online access enhances rather than overwhelms safe care; and publish a workforce plan that retains experienced GPs, accelerates training and makes partnership an attractive career again.”
“If we talk to Devon integrated care board on GP resilience and prevention, the evidence is crystal clear: prevention saves money. And yet, as Torbay and South Devon NHS foundation trust remains in NHS operational framework 4—we might perhaps equate it to “unsatisfactory” if it was a school—because of historical deficits, it is tasked with huge efficiency savings and is understandably risk-averse. Community services that once propped up primary and secondary care—the stroke recovery group, Devon Carers hospital service, the Torbay and Devon dementia adviser service—have vanished as funding evaporates. Closing gaps in prevention only widens cracks elsewhere. It is not getting better. To sum up, the funding formula is broken.”
“And yet, these practices are doing amazing things. The Kingsteignton medical practice, partnering with the charity Kingscare, has created a model that is delivering for patients. Just think what could be done with a better funding model. Buckland surgery would like to link with the local school to tackle adverse childhood experiences before they turn into permanent ill health, providing better family support—much as it has already done with its links to a number of local support services through the Buckland hub. Prior to the election, the now Health Secretary often quoted that a GP visit cost £40, whereas an A&E visit cost £400. I am not sure I agree with the absolute numbers, but the principle is fine: it is 10 times more expensive to put somebody through A&E than it is to put them through a GP.”
“My hon. Friend is absolutely right. I commend him on obtaining a ministerial visit to his hospital in North Devon. North Devon district hospital is fantastic and we need to ensure that it gets the investment it needs—just so long as we can get some south Devon patients there as well. In Teignmouth, the previous four practices have merged into one, mostly due to not being able to find new partners. In Newton Abbot, one practice was on the verge of handing back its patient list due to not being able to replace retiring partners. We have not even talked about specific issues facing some of these surgeries, such as the unbreakable lease on a building that is not fit for use as a GP surgery, where the only possible course of action they could see was to declare themselves bankrupt. As doctors, that ends their careers.”
“Members that the extra funds are even more complex. The fact that the 7% increase is eaten up by the 6% increase in wages, NICs and so on shows that it is not simple. I thank the Minister for being here—”
“I am not quite sure what to say now that the Minister has actually said that my prime ask will be delivered. That is fantastic, and shows the emphasis of these debates. I thank colleagues from across the House for their contributions. We all agree on the importance of GPs and the need to fix their funding. It is vital to recognise the many good things that GPs and GP practices have been doing in what have been difficult circumstances for a good number of years. It has been delightful to hear that MPs have been interacting with their local GP practices to understand the problems with the funding formula. Delighted as I am to hear the Minister announce changes to the Carr-Hill formula, GP funding is still complex. I tried to show how complex it is by focusing on just on two of its elements, but we have heard from other hon.”
“I will push my luck, because the Minister has been very generous with his time and very patient with us all: will he meet me and some practice managers to talk about the complexities of managing the practices with such a level of complication in funding, and to see whether the Government can identify further ways of making it easier to run these businesses, so that they can get on with delivering what they are there to deliver: healthcare for the greatest number of people with the maximum possible benefit? That would be helpful. I thank all hon. Members for their contributions.”
“I thank the Minister for the intervention. I am not quite sure what the protocol is; I do not think that that has ever happened. This is a most fantastic debate. Capital investment in GP practices and buildings is welcome, but we have heard from across the Chamber that we need more. The problems with ICBs and the difficulties with trusts that are in NHS oversight framework segment 4 still impact GPs and how their funding works.”
“I thank the Secretary of State for the actions that she has taken today. They were clearly necessary, and it sounds like we are on a better track. However, HS2 provides little or nothing for rail users in the south-west, other than ongoing delays during the construction and operation of Old Oak Common. Will the Secretary of State consider funding, or prioritising the funding for, the critical final phase of the Dawlish rail resilience work that will help businesses and rail users in Devon and Cornwall—and perhaps even in Swindon?”
“Practice managers are juggling numbers to make things work. Some surgeries are short of a full-time GP; just imagine the impact that has on patients. No wonder it is difficult to get an appointment. That is unsafe. The Government have said that from October GPs must offer an open access service; that means that all available slots are booked, so emergency appointments cannot be seen. That is not sustainable.”
“That works out as less than paying to take a dog to the vet for an annual check-up, or about a third of the cost of servicing a modest car, such as a Renault Megane. That sum is also then modified by the Carr-Hill formula, which, perversely, can reduce the sum in areas of deprivation. The Royal College of General Practitioners wrote in an open letter to Government last year that this formula is no longer fit for purpose and has contributed to the widening health inequalities across the country. Practices in the areas of greatest deprivation have patients with more complex needs, yet they do not receive proportional funding to address those needs. For example, Buckland surgery in my constituency has 4,000 patients, but the Carr-Hill formula reduces the funding to the equivalent for 3,200 patients.”
“It is a pleasure to serve under your chairship, Dr Huq, and I congratulate my hon. Friend the Member for Torbay (Steve Darling) on securing the debate. GP funding is in crisis. I have met representatives of individual practices in my Newton Abbot constituency, as well as the 28 practice managers from around the district. They all have a funding crisis. The recent GP settlement was described to me as unsafe, unsustainable and unfunded. GP funding is complex, but in essence it has two parts: the global sum and the quality outcomes framework. The global sum is meant to cover basic costs, including salaries, facilities, and so on, and the QOF extra services, but it does not cover any of it. Practice managers across south Devon have told me that the global sum is £121.79 per patient per year.”
“This is a new topic to me personally. I was contacted by a constituent whose late husband, a good friend of mine, Michael Green, worked for British Coal at the time. He too was passionate that this money should be returned to the miners. Does the Minister agree that we need to get on with this and get this to happen as quickly as possible?”
“Does my hon. Friend agree that we saw in the recent Westminster Hall debate that the standard method for calculating the number of homes not only does not reduce prices, but inevitably ratchets them up and increases them?”
“Does the hon. Gentleman agree with the Liberal Democrats that, given the unreliability of section 106 agreements and developers living up to them, as he demonstrated, the best way to get affordable homes for his constituents and mine is through an increased amount of social housing delivered by the local council?”
“I thank my hon. Friend for securing this valuable debate. Does he agree that, as well as causing the issues he described, incremental building contributes to problems with the sewerage systems? If a developer builds 50 houses here, 50 houses there and 50 houses elsewhere, and each one is considered on its own merit, it does not warrant an upgrade to the sewerage systems, so the water companies do not upgrade, systems become overloaded and we start getting sewage in the water.”
“On the specifics of the standard method, I agree with my hon. Friend the Member for Horsham, who pointed out that it does not and cannot work—as did the right hon. Member for, I believe, the Isle of Wight.”
“We are committed to ensuring that house building does not come at the expense of our environment. The Government should not be either delivering house building or protecting our environment; they can and must do both. We welcomed the Government’s recent announcement that they are adopting the Liberal Democrat policy and wording mandating all homes to be built with solar panels, in a solar rooftop revolution. We also welcome the measures in the Renters’ Rights Bill to ban no-fault evictions and create a national register of licensed landlords. We believe that these steps are crucial to overcoming the housing crisis. Liberal Democrats have long called for leasehold reform to make house ownership fairer and more accessible—we have been campaigning against leasehold since Lloyd George introduced the people’s Budget.”
“We believe everyone has a right to a safe and secure home, but without more support for councils, more people will be left without access to quality and affordable housing. The previous Conservative Government forced councils to do more and more with less and less, plunging many into financial crisis. Although we have welcomed this Government’s commitment to our call for multi-year funding settlements, with additional pressure on councils to accept national insurance contribution changes, it is essential that they are funded robustly to achieve those aims. We have been disappointed by the Government’s reluctance to commit to a target for social house building. In addition to an overall target for new homes, the Liberal Democrats would target 150,000 new social homes to tackle the housing shortage and homelessness crisis.”
“Development has brilliant potential for providing a wealth of opportunities to rural communities, but that can be realised only by genuinely involving those communities in the decisions that affect them. That means the right houses in the right places. The Liberal Democrats welcome the Government’s decision to make housing a priority, given the desperate number of people denied the basic right to a safe and warm home. The Conservatives’ poor commitment to house building has left 8.5 million people in England with unmet housing need. The Conservatives let developers get away with building housing to poor standards, and without GP practices, schools and community infrastructure, which are badly needed. They also let them off the hook for leaving land for housing unbuilt and new homes empty.”
“It is a pleasure to serve under your chairship, Mrs Hobhouse. I congratulate my hon. Friend the Member for Horsham (John Milne) on securing this debate, and hon. Members from across the House on their excellent contributions. I draw attention to my entry in the Register of Members’ Financial Interests; I am still a sitting councillor at Teignbridge district council. The Liberal Democrats support housing targets, but believe we need to win the case for that housing within the communities we represent, and that enforcing them from Whitehall without community consent will continue to fail to deliver the homes we need. Homes must be built to meet local need and not be driven simply by developers seeking the highest profits.”
“Housing developers build homes only as fast as they can sell them and at the price they need to protect their profit and viability, given the often extortionate prices they have paid for the land. Asking them, via the flawed standard method, to build more to reduce the price is much like asking the owner of a gold mine to increase extraction to a level that reduces the price of gold. It will not happen. A big part of the solution is to build more council homes, and I am proud to have overseen the resumption of council house building at Teignbridge for the first time in 30 years. I urge the Government to help more councils build more council homes to help more people.”
“It is illiberal, and contrary to the interests of a community-led planning system, to remove options for how to assess housing need from local communities. Although the standard method of assessing housing need is likely to be followed by most authorities, councils with the resources and ability to assess housing need in ways more suited to their areas should be permitted to do so. All housing need assessments are, in any event, subject to the same scrutiny by the Government’s inspectors. In the district of Teignbridge, in which my Newton Abbot constituency sits, the average house price in 2019 was just under 11 times the average income. After a substantial increase in housing targets due to the standard method calculations, that ratio is going up, and the average house price is now over 11 times the average income.”
“My apologies to the right hon. Member. Since 2018, when the Conservative Government introduced the so-called standard method, which was supposed to calculate housing need, the country has suffered from a top-down, dysfunctional system that fails to prioritise the importance of affordability or the infrastructure necessary to support new development. The constant tinkering, with the introduction and subsequent withdrawal of various failed algorithms, has led to the near paralysis of our planning system. That came on top of the central Government’s starving local planning authorities of the resources they need to function, and the lack of direction as a result of no fewer than 13 changes of Conservative Housing Minister in the nine years from 2015.”
“Primary legislation already exists to create a truly independent regulator. We urge the Minister to progress the consultation on the existing draft code of conduct and set up the new regulator that is clearly necessary. These private parking companies are out of control, causing misery for far too many motorists. It has to stop.”
“This cycle of threatening letters, which are often referred to as threatograms, tends to continue regardless of appeals or evidenced facts. The companies will point to their own independent appeals processes; however, such processes are neither independent nor fair. In fact, they are run by the trade associations: the British Parking Association and the International Parking Community. These organisations are directly funded and directed by the private parking companies, the biggest of which are owned by US private equity groups. For too long, this industry has been allowed to set its own rules and mark its own homework, always at the expense of the motorist, and the RAC and AA agree. There is a legitimate need for parking management to prevent abuse, but costs and tactics are out of proportion to any legitimate aims.”
“It is a pleasure to serve under your chairmanship, Mr Efford. I congratulate the hon. Member for Derby South (Baggy Shanker) on leading this debate, which has been a collaborative effort and is beautifully well attended. Many private parking companies aim to make their record-making profits from the demands they issue via penalty charge notices, not being satisfied with their advertised parking fees. There is no incentive for them to operate fairly, to make PCN rules straightforward or clear, or to run a genuine appeals process. This model has worked on intimidation and threats, with the companies knowing that a fair proportion of people will be intimidated into paying. The process rapidly escalates into debt collection threats and solicitors’ letters.”
“One victim of this practice appealed and won because the company involved could not provide evidence to support the charges that had been made, but it took the company a further six weeks to cancel the charges. Other tactics include deliberately targeting people who do not respond to their threatening letters, which are often issued with the wrong address or similar, and selecting them for court action. The companies know that these people are the most likely not to turn up, thus obtaining a default judgment, and that the cost of setting aside a county court judgment is greater than paying it off. There is also a constant use of trumped-up bailiff charges, many times the price of a normal parking fine. In my constituency, Norma, an elderly driver, forgot to display her blue badge. She received a PCN for £100, which she paid but appealed.”
“I agree with my hon. Friend. I have spoken to a former employee of one of these private parking companies who was dismissed for whistleblowing. In my constituency of Newton Abbot, I have received numerous complaints about the behaviour of some private parking companies and the tactics they use, which include breaching data protection rules by hiding data and failing to comply with subject access requests. They have created a culture of “charge first, think second” and their default position is to refuse appeals. They also use equipment that is designed to be awkward or even to fail, such as machines that will not take cash or card payments, and then they deny appeals, arguing that drivers could have paid by app. They “double-clock” people coming in and out of car parks more than once, even if they have paid for tickets.”
“The practice was banned by the local transport Minister, the then Liberal Democrat MP Norman Baker, who said: “The rules governing parking on private land should be proportionate and should not result in motorists being intimidated or forced to pay excessive fines.” Rather than the private parking lobby and finance world learning its lesson, it reverted to an industry based on outrageous practices, charges and threatograms. Let us end this situation. I ask the Minister to take urgent action.”
“We need a cap on the maximum penalty charge that can be issued for contraventions. We need a proportionate and responsible debt recovery process for operators to use for non-payments, and we need responsible behaviour and transparency from the companies operating in this area. Critically, a new regulator will provide a single code of practice, so that all private parking operators follow the same rules, and a single independent appeals process. In 2010, indiscriminate wheel clamping and towing on private land was described as a licence to print money due to the firms’ rogue conduct.”
“Why can such companies set up automatic number plate recognition or CCTV, have cameras literally hidden on any old building—often really high on outside walls—to film entire streets and into the houses opposite, and have them running 24/7 with a 360° view using night vision, when councils or the police would never be allowed to do such a thing? Why are private parking companies allowed to use such cameras with no restrictions, especially when councils cannot use them at all for off-street parking, since the Deregulation Act 2015 banned camera use for parking contravention in council car parks? We urgently need an independent regulator. The public need information on how the camera systems are used and who is recording. We need to ensure that the appeal system is working, and that faulty parking machines are rapidly fixed.”
“Absolutely—this is something that they should not have to put up with. Norma felt bullied into making the payment to avoid threats of escalation. Complaints go into a flawed process: appeals are simply denied, and the supposedly independent appeal system acts as little more than a tick box, with no real opportunity to argue reasons. This is immediately followed by continued threats of enforcement, action and increased costs—and it goes even further than that. Private parking companies seem to have licence to go much further than any other form of organisation.”
“I hear stories of places like Cornwall council being so strapped for money that they are considering sub-letting all their parking spaces to independent private parking companies, which will run them for nothing other than the fines they will take from tourists visiting Cornwall and residents. Does the Minister agree that this issue is urgent? I do not hear urgency in his timescales. I repeat the request for a specific timescale for introducing a code of conduct.”
“Coming back to community hospitals, I came to this House to try to save Teignmouth community hospital, which has been under threat of closure because Torbay, its parent hospital, has such a massive maintenance backlog that it cannot afford to maintain both itself and Teignmouth hospital, so it is shutting down community hospitals. In Devon, we have just three principal hospitals: North Devon, which we understand is under pressure, Torbay, which is under pressure, and Exeter. We need the community hospitals. Will the Minister stop Teignmouth hospital from being shut, so that we can maintain it until it can be rebuilt?”
“I thank the Secretary of State. I have just been reading about his core reforms, and I note that, as he has said, core reform 3 changes the way in which the season for bathing is determined. However, it continues the principle that water is not tested by the Environment Agency throughout the year. This is an important omission that must be rectified. During a bathing season, the water can become polluted. Will the Secretary of State consider introducing all-year-round testing for our Blue Flag areas?”
“In the town of Teignmouth in my constituency of Newton Abbot, FirstPort has been buying up other management companies, and the sinking funds—the contingency paid by residents—appear to have disappeared: they have been sunk. Does my hon. Friend agree that that should be looked into?”
“I do not know how many people in my constituency fall into that category, because, as the right hon. Member for Sheffield Heeley said, they cannot talk to us about it.”
“It is a pleasure to serve under your chairmanship, Mr Betts. I congratulate the right hon. Member for Sheffield Heeley (Louise Haigh) on securing this important debate. We have heard from Members how widespread this issue is: we heard about the hospitality industry and the creative industries, we just heard about teachers, and the hon. Member for Congleton (Mrs Russell) told us that it occurs in every HR department. I am horrified that it also happens in the NHS. I was approached by a constituent whose employment as an NHS nurse was terminated, but I do not know many of the details, because she cannot speak to me about it. Her employment was terminated due to—how can I put it best?—a medical condition that she suffered and is now over, but she cannot talk about it, and it has given her issues ever since.”
“My Bill—I hope the Minister will consider working with me on making it happen—would change company law so that directors have a duty to balance the interests of shareholders, employees and the environment. I seek the support of Members present to make the Bill law; I hope that we can have further discussions to see what we can do to get it into the Government’s schedule. Until we put that balance at the foundation of the company directors’ duties, it will be impossible to get rid of circumstances, such as those the hon. Member for Congleton described, where company directors behave badly. I fully support the right hon. Member for Sheffield Heeley on all the issues that she identified and will happily engage and do whatever I can to advance work on them.”
“I fully agree. Absolutely—people do not know what they can do. Will the Minister investigate how widespread the use of NDAs is in the NHS? Given that it is probably in the Government’s power to ban it in the NHS without primary legislation, will he take steps immediately to have it stopped and seek what recompense is required for those who have suffered it? I agree absolutely that this practice must be stopped entirely. It is just one of many poor practices that are carried out by some businesses—not all, but some—often unwittingly. That is why I introduced my Company Directors (Duties) Bill, which will have its Second Reading debate on 4 July. Right now, the company directors’ duties say that they must put shareholder interests first and might have regard to other things.”