Iran
The Minister points out that this is a critical moment. If it is so critical for the national importance of this country, why is the Prime Minister not here to lead this debate?
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The Minister points out that this is a critical moment. If it is so critical for the national importance of this country, why is the Prime Minister not here to lead this debate?
The hon. Gentleman has rightly pointed out that there is a dichotomy here. His Government have come forward with a defence investment plan that is £5 billion short. Given his esteemed career as an economist, will he tell us where that money is going to come from? What is he suggesting to his Defence Secretary and the future Prime Minister about how to stop that gap? As he rightly pointed out, the cost of living is going up for the individual taxpayer.
The defence chief said that we needed £28 billion for defence, but the hon. Gentleman’s Government have brought forward £15 billion, of which there is a £4.7 billion shortfall. Therein lie the gap and the problem, because there is a difference between what we will need to achieve that ability to deter and actually providing it. What are his thoughts on that?
Does the hon. Gentleman have an estimate of how much those policies would cost?
I will start by spending a few minutes on the context of why we are having this debate. It was rushed in by an emergency process, meaning that two scheduled Opposition day debates had to be cancelled. I was in the Chamber when the Leader of the House made that announcement and I listened very carefully. I would like to quote some of the important points he made when he justified the need for this debate: “I appreciate the frustration of Members when business is changed at short notice and when debates are postponed, but they will appreciate the importance of the House being able to discuss the escalating and fast-moving situation in the middle east before the recess.”—[Official Report, 14 July 2026; Vol. 789, c. 768.] He went on: “I remind the House that there is a crisis escalating across the middle east.”—[Official Report, 14 July 2026; Vol. 789, c. 770.] Further still, he said: “I point out to her and to Opposition Members that the situation in the middle east is unusual. We could well be in the midst of a greater conflagration in that region.”—[Official Report, 14 July 2026; Vol. 789, c. 771.] He went on: “I am talking about a situation that is erupting once again in the middle east.”—[Official Report, 14 July 2026; Vol. 789, c. 774.] He said: “Tomorrow’s business is being altered because we are on the verge of a conflagration”.—[Official Report, 14 July 2026; Vol. 789, c. 775.] He finished up by saying: “As I have said, the new Prime Minister will come to this House and set out his plans, but we deemed the crisis unfolding across the middle east to be of sufficient priority to change tomorrow’s business. I apologise that that is the case. Nobody wanted to do it, but that is what the importance of the situation demanded. I am sorry if the Opposition cannot get their head around that.”—[Official Report, 14 July 2026; Vol. 789, c. 778.] Gosh! As an Opposition MP, I heard what the Leader of the House said and thought, “Wow, I had better make sure I am at that debate.” I have only been in this place for six years, but when I walked in, I was slightly surprised that the Prime Minister was not leading the debate. Fair enough, he is stepping down, but given the urgency of the situation, I would have expected the Foreign Secretary to be leading the debate, especially as she was in the Chamber earlier, but no, she is not here. Fair enough, maybe she is doing the diplomacy, but what about the Defence Secretary? No, he is not here. Instead, we have a brand-new Minister, who I welcome to his place, opening the debate. Fair enough, the Department is busy, but I would have expected the Back Benches to be full. Instead, it is a pleasant surprise to find that I do not have a time limit on my speech, given that there are only six about Back Benchers here to speak in the debate.
Amen. We on the Opposition Benches definitely agree with that. They do not make diamonds the size of bricks, and I intend to be erudite in what I say, but I still have a few more points to put on record.
My right hon. Friend is right. It may well be that the Foreign Secretary, the Defence Secretary or the Prime Minister has something more urgent to deal with, but I am yet to know what. I hope that in the wind-ups we will hear why this debate was needed so urgently, rather than Opposition day business, considering that it is a highly unprecedented move to prioritise a general debate over an Opposition day debate.
The hon. Gentleman makes a fantastic point about how important it is for hon. Members to have lived experience when they come to this House, especially given that the Leader of the House said that Opposition day debates had to be cancelled to discuss this issue because it is the biggest crisis we face. The new Minister has only been in the Department for a couple of weeks, so he may not be as up to speed as the Defence Secretary—oh no, he is new as well—or perhaps the Foreign Secretary. Given the severity of what is facing the UK and the world, I thought the right hon. Member for Makerfield (Andy Burnham) would be here. I even asked the Leader of the House if he would write to the right hon. Member for Makerfield to ask him to come to the debate, but alas, that seems to have gone amiss, but I am glad that we are having this important debate on Iran.
Au contraire—how could my hon. Friend possibly make that suggestion? The public will see what this looks like. Did Labour Back Benchers not listen to the words of the Leader of the House about how important this debate is? Clearly, other hon. Members are too busy dealing with something even more important. As I was saying, I am actually very pleased to be debating Iran, because the situation there has an impact on all aspects of our lives. The real question is not why we are debating the situation in Iran, but what decisions will be made by the man who will take charge in four or five days’ time. The Government are effectively asking us to debate a storm without understanding how the captain wants to steer us through it. That is why this debate matters. Let’s start with energy. We have heard from both sides of the House about the impact that the situation in Iran will have on energy. Will the new Prime Minister think about opening new licences? What is he going to do about the cost of living and fuel prices? We do not know the answer, but that is going to have a big impact. We know that the cost of energy is going up in this country, despite the Government’s promises at the election that it would fall, and we do not have an answer on what the right hon. Member for Makerfield will do. We are not 100% sure what he will do on net zero. We have just had an urgent question on resilience and possible blackouts in this country, but we do not understand what he will do. I am quite keen to understand the thoughts of the person who will be in charge in five days’ time on how to deal with that issue and grow resilience in the country. We have rightly heard from Members on the Government Benches about defence. There has been a lot of turmoil in defence under the Labour Government. We have lost a Defence Secretary. We have had a defence investment plan and, as I rightly pointed out earlier, it was expected to need £28 billion, but it has hit £15 billion. That is the funding that has been committed, but there is a gap there, isn’t there? We are £4.7 billion short. The right hon. Member for Makerfield will have to fill that gap in the handover, so how is he going to do it?
My right hon. Friend makes an excellent point. I would love to put that question to the right hon. Member for Makerfield, if he was here, although I expect that it would have come more eruditely from my right hon. Friend the Member for Rayleigh and Wickford (Mr Francois) on the Front Bench. This is precisely my point: we do not know how that issue will be resolved. The hon. Member for Alloa and Grangemouth (Brian Leishman), who spoke before me, spoke about the humanitarian situation, which is hugely important. We have no idea what the decisions of the right hon. Member for Makerfield will be when it comes to dealing with international aid. After all, the current Prime Minister castigated the previous Prime Minister, Boris Johnson, for making cuts to international aid, then went and made cuts himself. The question is: will the new Prime Minister make the same decision? Will he hold to it or reverse it? I do not know—this Chamber does not know, and that is the point. The DIP hits our domestic policies too. The funding needed to defend our nation and ensure that we are protected from the likes of Iran must mean a capital expenditure cut, which will be 1% in health and 1% in education. Which frontline services in health are going? Which hospitals in the hospital programme will not be built? There was a negotiation between the US and the UK on pharmaceuticals in our trade deal. That was signed off with the US, which has a tendency to use leverage on us when it comes to international issues such as Iran and tariffs. We still do not know from this Government where that funding will come from, but it has to come from the frontline when it comes to the NHS. I would love to ask the new Prime Minister what that looks like and how he will fund the new drugs that we need, but, alas, we will sadly not get that opportunity. What does the 1% off education look like for school budgets? When it comes to education, especially when we have the likes of VAT on private schools, which has meant that 100 schools have closed and we have less teachers than when this Government came in—
Thank you—I will ensure Hansard corrects that. Let me point out that there are 1,900 fewer teachers under this Department for Education. I pose a question to the right hon. Member for Makerfield: how does that factor into the Iranian debate when it comes to defence and having to make cuts and other considerations? What about the reporting on Iran? The BBC has been reporting on Iran. What is the vision of the right hon. Member for Makerfield for the BBC, given that the end of the charter is coming up? We do not know the answers to these questions. We have not had the chance to ask him, and that chance was kiboshed yesterday. We could have extended parliamentary time to pose these very pertinent questions to him. On that point, Iran is one of the best reasons for having this debate, because it shows the scrutiny that we need to place on the incoming Prime Minister. I am shocked, I tell you, to hear from others outside this Chamber that the Government are falsifying information and changing the rules to be able to hide from scrutiny. They are using the fog of war to dull the light of scrutiny when it comes to the new Prime Minister. I will not have that, because I trust that they surely would not be that stupid or Machiavellian. Surely they would not make the naive decision to give the public the perception that the new Prime Minister does not want to take scrutiny when it comes to topics like Iran. We are going to go six weeks without the chance to debate the likes of Iran. We have had a red carpet rolled out for a coronation, but it could appear that the green Benches have been rolled up for those six weeks to allow the king in the north to come down to his United Kingdom. At some point, he will have to face his subjects and tell us how he will deal with domestic issues, international issues and Iran.
Order. We are under time pressure, so I will place an indicative limit of four minutes on speeches.
Order. Members will have to be brief. I am sure that Adam Jogee will be an exemplar.
This is a really worrying situation that perfectly highlights why we need an energy mix in our grid. In that energy mix, we need to have nuclear, as was mentioned before, but we also need to have gas to provide the inertia in our grid. The people of Aberdeen South understand that, but does the Minister understand that, and is he concerned with the lack of inertia in our grid as we move to more and more intermittent sources?
I will not be overly effusive about the Secretary of State or the Minister, because that might not be helpful for them in the next few days; when there was a previous change of Prime Minister, as soon as Anna Soubry stood up and said that I had done a good job at the Scotland Office, I knew I was doomed! Will the Secretary of State make it clear to the right hon. Member for Makerfield (Andy Burnham) that devolution in itself is not the answer? It is about how it is used. We recently saw that in Scotland, when the Scottish Parliament voted in favour of another independence referendum and against an inquiry into SNP finances.
(Urgent Question): To ask the Secretary of State for Energy Security and Net Zero if he will make a statement on allegations from whistleblowers within the National Energy System Operator regarding summer blackout risk.
Control room operators at the National Energy System Operator have the life-or-death job of balancing our electricity supply and demand. If they do not get it right, we will have blackouts, and in blackouts, people die; it is that serious. That makes what I am about to say all the more extraordinary. I have been approached by multiple whistleblowers within our grid operator. Their allegations are: first, that on 23 June, the operator failed to meet the grid security standards put in place to prevent blackouts; secondly, that the corporate affairs team interfered with operational decisions—that is not something that the Minister denied—putting the reputation of the operator above security of supply; and thirdly, that operational decisions are being recorded in live documents, with no audit trail. Again, the Minister did not deny that. I first raised questions on 2 June. Since then, we have had three public electricity margin notices—warnings to the market that we may be short on supply. I cannot stress enough that this is completely unprecedented. Multiple whistleblowers have now come forward. This, too, is unprecedented. I have raised this matter twice in the House. Despite the seriousness of the allegations, the Government shockingly dismissed me on both occasions as “scaremongering”. Considering the consequences of blackouts to people’s lives, that is nothing short of a disgrace. NESO has now agreed to hold an external independent investigation. That is positive. However, while the Government wash their hands of this situation, the investigation that has been set up is a complete sham. It will not look into whether the grid is being run securely, or whether there was a breach of security standards on 23 June. It does not grant anonymity to any control room operator who wants to come forward. Those who are not selected by NESO management will have to ask those managers if they can participate, if they have concerns. Remarkably, on an all-staff call on Monday, the chief executive of NESO prejudged the outcome of the investigation by calling the allegations false, while senior management said that the whistleblowers had let them down. Let me be clear: the whistleblowers who have put the national interest over their own careers should be celebrated for their courage and integrity, not denigrated. Will the Government finally get a grip on this? Can the Minister guarantee that every single control room operator who wants to share their concerns will be given the opportunity to do so anonymously?
I welcome the Secretary of State’s reassurance on the constitution. The people of Scotland do not want another divisive, distracting and damaging referendum on ripping our country apart. That said, this Labour Government do have a bit of a habit of changing position on certain issues, with 25 U-turns in only two years. So can I ask the Secretary of State to confirm that, whatever else changes and whoever holds the keys to Dover House this time next week—and even if it is the one and only thing they stick to—there will be no referendum and no consideration of one? Will the Government dismiss out of hand immediately any move towards breaking up of our United Kingdom of Great Britain and Northern Ireland?
Famously, we have not heard very much from the right hon. Member for Makerfield (Andy Burnham) on his plans for government, although we do know that he seems to be a fan of devolution and its job-creating opportunities—for him. Well, I can tell colleagues from experience: devolution ain’t everything it’s cracked up to be. In Scotland, we have had 20 years of SNP mismanagement, and a pervasive and deeply damaging devolve-and-forget mentality in London. Will the Secretary of State confirm that Labour will not be devolving any more power to Edinburgh?
We have demonstrated that we are unafraid to step in and act when decisions taken by the Scottish Government are to the detriment of Scots and Scotland—for example, in the case of the Gender Recognition Reform (Scotland) Bill a few years ago. Will the Secretary of State commit today to urging the new Prime Minister to think long and hard about how devolution in the hands of the SNP is failing Scotland and Scotland’s economy, and examine how, on this Government’s watch, SNP Ministers have been able to jet around the world on taxpayer jollies, allow British civil servants to draw up plans to tear Britain apart, and spend countless hundreds of thousands pursuing a narrow, divisive agenda that is focused on pulling Scotland apart rather than growing it together?
9. What steps he is taking to improve accountability in the NHS.
Accountability in the NHS must run down to the patient as well as to Parliament. Local Healthwatch organisations provide an independent voice when services fall short. What safeguards will the Secretary of State put in place to ensure that, as their functions are moved to the integrated care board and local authority, patients in Bolton South and Walkden will retain a genuine independent route to raise concerns? As the Local Government Association has warned, we cannot leave the NHS to mark its own homework.
Will the Minister give way on the point about the duty of candour?
You are probably aware, Madam Deputy Speaker, of the fact that I have chaired the all-party parliamentary group on Primodos for the last 14 years. The Minister may well be aware that earlier in the Bill’s consideration I asked for reassurance that independent panels established by Ministers would be covered, such as the expert working group report on Primodos, which was set up by the Medicines and Healthcare products Regulatory Agency as part of the Department of Health and Social Care. Can the Minister point to where that can be found in the Bill and, if not, will reassurances be given through secondary legislation that those panels are covered by this legislation?
I used to be a prosecutor before coming to this place. We were able to find perfectly good ways of dealing with confidential sources of information—informants and others. There are procedures already in place for that.
The hon. Member said that he wanted to take interventions. He mentioned schools. On my way into Parliament today on the Northern line, which appropriately for today’s debate was boiling, I received a number of emails from worried parents. Schools are closing early in my constituency, a lot of them smaller primary schools in Victorian buildings, because they cannot accommodate children in the heat we are experiencing at the moment. It will not come as a surprise to the hon. Member that it tends to be single parents or parents without secure incomes who suffer the most when schools finish early. Do we need to speak with the Department for Education about getting some funding for extra fans and cooling units for our schools, so that children do not suffer because of climate change?
It is a pleasure to serve under your chairship, Sir Christopher. I thank the hon. Member for Gordon and Buchan (Harriet Cross) for securing this important debate. I am very proud of the more than 500 farms in my constituency. Since I was elected, I have been delighted to meet with more than 100 of them. Many of them are predominantly arable, as one might expect in Norfolk, but we also have plenty of farms that include pigs as either a significant or a smaller part of their operations. Farmer Ed Lankfer, based at Wereham in my constituency, was kind enough to host an NFU roundtable that covered a whole range of issues facing the farming industry. It has been said that there are more pigs than people in Norfolk, so when there are issues in the industry—as there currently are—communities like mine very much feel the impact. The UK pig sector is going through a difficult period due to an oversupply of pigs, stagnant demand and falling EU prices that have put a downward pressure on UK prices. At the same time, there are rising costs, exacerbated by the conflict with Iran, as well as the constant risk of disease such as African swine fever. We may not have seen the worst of it yet. As I highlighted at DEFRA oral questions last week, the National Pig Association anticipates that by November we could see 10,000 to 15,000 pigs per week without an outlet to be sold, placing a significant financial burden on farmers and risking animal welfare issues. Sadly, as in so many aspects of farming, there is a huge unfairness in the pig industry. That unfairness in the supply chain is hitting independent pig farmers, including those in my constituency. Independent producers are responsible for roughly 50% of the pig herd in the UK, and very often they lose out first and are the most financially squeezed in the industry. So often when I meet farmers, we talk about issues that directly connect with my Labour values, particularly around fairness and justice. I urge the Minister to consider those values when discussing what can be done to support the pig industry. There is a huge power imbalance in the supply chain, and a lack of credible contractual relations between far too many pig sellers and buyers. Specifically, will the Minister review whether the fair dealing obligations are being upheld and whether they are robust enough? Tackling the power imbalance, not just in the pig industry but in farming more generally, needs to be at the forefront of this Labour Government’s fightback to support British farming. The commitment to co-operatives included in the farming road map could support a change in that direction, and I very much welcome that approach, but we need to move quickly to achieve the change we seek. Smaller family farms are increasingly being squeezed out of operation, and we must act before it is too late. We should do this not just because we recognise the importance of food security, but because of our commitment to achieve economic growth in every postcode, including in rural communities like mine. There is huge growth potential in rural areas, and so often it is the family farm that underpins that growth. If the farm is doing well, it will invest in new machinery, undertake repairs and maintenance to buildings, and reinvest in the local environment. The lack of profitability and weakened resilience in the industry is hampering that growth and, by default, diminishing the prosperity of rural communities. Later today, the Labour rural research group, which I am proud to be a member of, will publish its latest report, “The Future of the Rural Economy”. I will not give too much away, but it confirms that there is huge public support for farming, and for the Government to do more to support the industry, and it recognises that food security is national security. Some 87% of respondents to our survey agreed that it is very important to sustain a strong UK farming industry, and 77% welcomed increased Government investment in the farming sector. As a Labour Government, we have an opportunity to do much more to support the pig industry, farming more generally, and our rural communities. I look forward to the Government grasping that opportunity.
It is a pleasure to serve under your chairmanship, Sir Christopher. I congratulate the hon. Member for Gordon and Buchan (Harriet Cross) on securing this incredibly important debate, and on the constructive manner in which she contributed this afternoon. I am grateful to all Members who have contributed to the debate and for the thoughtful way in which they have raised a number of concerns currently facing the pig sector and their constituencies. As my hon. Friends the Members for South West Norfolk (Terry Jermy) and for South Norfolk (Ben Goldsborough) passionately alluded to, the pig sector is woven into the fabric of the UK’s food system, underpinning food security, sustaining rural communities and driving agricultural productivity across the country. Beyond its economic importance, pork has long held a place at the nation’s table, from cherished regional specialities and traditional Sunday roasts to the everyday meals enjoyed by millions of families. As both a source of nourishment and a part of our culinary heritage, British pig production remains integral to what we eat. As my hon. Friend the Member for South West Norfolk said, however, this is a moment of considerable pressure for the sector. Pig producers are navigating a period of profound difficulty, confronting a range of economic and structural challenges across all nations of the UK. I thank my Scottish and Northern Irish colleagues for their contributions this afternoon. Recent reports have highlighted concerns about processors seeking to reduce pig numbers and producers—particularly independent producers—receiving notice that their contracts will be terminated. Those developments reflect a difficult market environment. A combination of increased production in recent years, changing consumer patterns and wider pressures in European pork markets has resulted in excess supply across parts of the sector. We recognise that this market adjustment is creating uncertainty for producers, particularly those affected by changes to supply arrangements. That is why the Government will continue to engage with the industry as it responds to the challenges it faces. I personally assure all Members that I have prioritised meeting with the sector and, indeed, am meeting with the National Pig Association tomorrow to discuss the pressures that the sector is facing. I also note the NPA’s request for ongoing dialogue in its briefing for today’s debate. I hope tomorrow is the start of that relationship. Turning to intervention powers, in the event of exceptional market disruption, the Government have powers under section 21 of the Agriculture Act 2020 to provide support to farmers in England. Agriculture is a devolved matter, and there are similar powers available to devolved Governments should they consider intervention in the sector appropriate. The powers under the Agriculture Act in England are intended to deal with unforeseen short-term shocks to agricultural markets, where there is a significant adverse effect on price achievable for one or more agricultural products. Section 21 powers were previously used during the exceptional disruption faced by the pig sector in 2021, when a combination of reduced processing capacity, the impact of the covid-19 pandemic, interruptions to CO2 supply and a shortage of skilled butchers led to a substantial backlog of pigs on farm. We recognise the challenges facing the sector today, but our assessment is that the circumstances are materially different from those seen in 2021. The current pressures reflect broader market conditions rather than a breakdown in processing capacity or market function. As such, the threshold for intervention in England under section 21 of the Agriculture Act is not currently met. As it is a devolved matter, it is for devolved Governments to take a judgment on intervention.
I am very alive to the issues. That is why engagement with the sector is very important. I have powers available to me, if necessary, but we are keen to monitor the situation. That is why today’s debate has been so important. We are aware that the sector experienced a temporary backlog on farms earlier this year. The industry took action to address the issue, including through increasing processing capacity, and the backlog has now been cleared. Although that was a welcome development, wider pressures remain and we will continue to monitor the situation closely. Turning to points made by Members about Government actions to strengthen fairness and resilience in the pig sector, the hon. Member for Gordon and Buchan rightly raised the Fair Dealing Obligations (Pigs) Regulations 2025. They are designed to end unfair contract practices and give British pig farmers greater transparency and certainty in their commercial relationships. I will reflect on her points. The regulations will be fully in force from 13 April this year, when all contracts for the purchase of pigs will need to be compliant. While we are aware of some processors serving notice on their producers or reducing contract volumes, our understanding is that these notices are being issued in line with contractual provisions. The fair dealing regulations are enforced by the agricultural supply chain adjudicator, which producers can contact if they are concerned that their contracts are not compliant with the regulations. I assure the hon. Member that the regulations will be subject to statutory review processes that will assess their effectiveness and whether any changes may be required in future. Alongside the UK-wide fair dealing obligation regulations, support is also available to pig farmers in England through the animal health and welfare pathway. Pig farmers can receive £648 for a vet on-farm to look at general animal health and welfare issues and carry out testing. Farmers can receive up to £1,087 for further testing and advice if their farm has PRRS. In 2026, £50 million was made available through the farming equipment and technology fund to help farmers in England to improve animal health and welfare, productivity and slurry management. On the issues raised by my hon. Friend the Member for South West Norfolk, the ambition of our farming road map is not simply to help farmers weather immediate challenges, but to create the conditions for a farming sector that is productive, resilient and profitable for generations to come. That means backing innovation, improving animal health and welfare, strengthening fairness across the supply chains and ensuring that farmers are better equipped to respond to changing and challenging markets. A strong domestic pig sector has an important role to play in delivering food security, supporting rural growth and maintaining the high standards that British consumers rightly expect. By investing in productivity and resilience today, we can help to ensure that British pig farming remains competitive and successful in the years ahead. My hon. Friend the Member for South Norfolk and the hon. Member for Gordon and Buchan raised the important issue of African swine fever. I assure her that to help to prevent the uncontrolled movement of meat products into the United Kingdom, DEFRA has introduced safeguard measures that prohibit personal imports of pork into GB from the EU. The commercial import of pork from areas under African swine fever controls is not permitted. We are also funding the Port of Dover to ensure that illegal movement of meat into England does not take place. Since 2022, we have provided over £14 million of operational funding to the Dover port association. I thank Members again for their thoughtful contributions to the debate. The concerns they raised have reinforced the importance of continuing to work closely with producers, processors and the wider industry. Our commitment is clear: to support a farming sector that not only is able to withstand future shocks, but is confident, profitable and able to seize the opportunities that lie ahead.
The social prescribing service is a vital part of the shift from hospital to community, and from sickness to prevention. We are funding social prescribing link workers in primary care to connect patients with preventive community support, and we are granting £3 million to the National Academy for Social Prescribing to support staff training and local infrastructure. Social prescribing will also be at the heart of our neighbourhood health service, so that community-led care can really transform lives.
I am sure that the hon. Lady welcomes the £3 million that we are granting to the National Academy for Social Prescribing. Social prescribing needs to be commissioned locally by integrated care boards, and I am confident that as and when it delivers valuable services, those services will continue to be commissioned by ICBs.
We are absolutely committed to electronic prescribing. I think my hon. Friend is referring in particular to pharmacy services. We are launching new initiatives in respect of the shift from analogue to digital, and I should be happy to meet him to discuss the details of his question a little further.
We remain absolutely committed to the GP partnership model, which supports continuity of care, efficiency and innovation. Where it is working well, it should of course continue, but what is important is that patients are getting the care they need, regardless of the model. The GP patient survey shows that 77% now rate their experience as good. Step by step, this Government are getting the front door of the NHS—general practice—back on its hinges.
The Carr-Hill review is ongoing and will be published very soon. On access right across the country, we have invested an extra £1.6 billion in general practice, recruited over 2,000 more GPs and extended online services throughout core hours, helping deliver 12.7 million more appointments compared with last year. More than three quarters of people now say it is easy to contact their GP, up from a very disappointing—I am sure the hon. Member will agree—61% in July 2024. When we entered office, general practice was on its knees, but we are rebuilding it, and I am incredibly proud of what we have achieved over the last two years.
My hon. Friend is a tireless advocate for her constituents, and she is absolutely right that the outcome for patients is far more important than the model. GP practices are of course regulated by the Care Quality Commission, and we expect the local ICB to take action if services are not meeting the reasonable needs of patients. I am sure she will assiduously continue to ensure that those high standards are delivered.
I thank the right hon. Gentleman. I am sorry to see him on those crutches, but I hope that he will make a speedy recovery and I am sure that, under this Government, he will be greatly helped to do so. I also pay tribute to Lynn and the team that the right hon. Gentleman mentioned. It sounds like they are doing absolutely sterling work. That is the vital role that the front door of the NHS plays. Our general practice is such an important part of our community, and he is assiduously championing its cause.
I certainly join my hon. Friend in congratulating the team, and it sounds as though they are providing an absolutely outstanding service. He is right to point to primary care at scale as a way in which we can genuinely deliver the shifts from hospital to community and from sickness to prevention. That is the level of ambition we have in our 10-year plan, and it is thanks to teams such as the one he so brilliantly champions that we are going to deliver on what we said we would deliver in that plan.
I refer the hon. Gentleman to my previous answer. We remain absolutely committed to the partnership model, but we are also absolutely committed to quality and standards for patient outcomes. It is about delivering the outcomes that patients need. The way in which we do that is of secondary importance to the actual delivery of quality outputs and outcomes for patients.
Well, thank you, Mr Speaker, for giving the hon. Gentleman the opportunity to ask that second question. I am absolutely delighted that you did that. [Laughter.] Missing from both of the hon. Gentleman’s questions were any congratulations on the Government’s outstanding achievement. When we came into office, 61% were satisfied with access to their GPs. That now stands at a stunning 77%. I am still waiting for the words of congratulation from the hon. Gentleman. As I say, there is no attempt to change the model. There is a partnership model that works, but where it is not working, we of course look at other options. He seems to be obsessed with the inputs to the system, rather than the quality of the outcomes we deliver. That perhaps explains why there was so much neglect and incompetence over 14 years of Conservative government.
We are improving access to NHS dentistry with reforms to prioritise those in greatest need and by creating an urgent care safety net throughout the country. I am proud to say that we are on track to deliver 2.5 million additional treatments and that survey data released last week shows that 81% of patients in the last two years were able to get an appointment, but we will go further with fundamental reform in this Parliament.