Sarah Gibson

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Parliament's party history for this member: Liberal Democrat (4 Jul 2024 – present).

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1. 2 Nov 2026·Parliament·Sarah Gibson

   Budget Resolutions

   I am sure that my hon. Friend will agree that rural economies rely on transport. In my constituency, colleges have had to cut their hours because the bus does not come late enough and employers have had to put on their own buses in order to get shift workers. Does my hon. Friend agree that for rural economies to thrive, we really need to look at transport?

   Hansard source
2. 28 Oct 2026·Parliament·Sarah Gibson

   HCRG Care Group: Performance in the South-west

   I beg to move, That this House has considered the performance of HCRG Care Group in the south-west. It is a pleasure to serve under your chairmanship, Ms Lewell. I am grateful for having secured this debate about the performance of HCRG in the south-west, and Wiltshire in particular. Over recent months, a growing number of constituents, carers and healthcare professionals have contacted me. I want to open by thanking the staff who have stuck their heads above the parapet and asked their elected representatives to put HCRG’s performance on the Minister’s radar. Some of those staff are sitting in the Gallery, and I thank them for coming. The communities served by the HCRG contract are diverse: Bath and North East Somerset, Swindon and Wiltshire. Each has its own challenges, demographics and patterns of service use. The issue is not whether one area matters more than another; it is whether local circumstances are properly understood. District nurses covering rural Wiltshire face challenges very different from those of nurses working in more urban areas, yet many of the staff who contacted me feel that those differences have not been properly recognised. Wiltshire is a large, rural county, where patients can live miles from healthcare facilities. Community nursing teams often spend significant amounts of the day travelling between appointments. Aggregate figures for a large contract area tell part of the story, but they can also obscure local pressures and problems. A successful service model is one that understands those differences and responds to them. I am afraid that I have concluded that HCRG does not understand those differences. When responsibility for community health services was awarded to HCRG in October 2024, patients were promised more joined-up care, easier access to services and simpler overall experiences.

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3. 28 Oct 2026·Parliament·Sarah Gibson

   HCRG Care Group: Performance in the South-west

   The hon. Member is absolutely right. There is serious concern about what was promised and what has been delivered. The central part of that vision and delivery was the single point of access. As he has highlighted, that is an attractive idea on paper but the reality is completely different. Constituents repeatedly tell me about the long waits on phones, missed callbacks, referrals that are difficult to track and urgent cases not reaching the right team quickly enough.

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4. 28 Oct 2026·Parliament·Sarah Gibson

   HCRG Care Group: Performance in the South-west

   I absolutely agree with my hon. Friend and will come to that point. The biggest concern for staff is patient safety, which they have clearly highlighted to us. One Chippenham resident told me they waited an hour to get through to the single point of access, only to be told to expect a callback, which did not arrive until the following day. A constituent from Calne described spending a week making calls, leaving messages and sending emails simply to secure a podiatry appointment. I understand that, in the end, he was so desperate that he just went into the offices, but not everyone can do that. I appreciate that the integrated care board, the commissioner, has the single point of access under surveillance. But as I will return to later, being under surveillance is just not enough for our residents. Many of the concerns raised with me have come not only from patients but from staff. I have heard concerns about growing caseloads, vacancies, the loss of experienced staff and, as my hon. Friend the Member for Melksham and Devizes (Brian Mathew) mentioned, the reduction of administrative support. One nurse reported that what had previously been 10 visits per day had increased to approximately 15. Another described seeing 14 patients during a shift that overran by 90 minutes. Staff speak of chronic understaffing, excessive workloads, and concerns about the impact that the pressures are having on patients and the workforce.

   Hansard source
5. 28 Oct 2026·Parliament·Sarah Gibson

   HCRG Care Group: Performance in the South-west

   The hon. Member is quite right. We are seeing promises not being delivered; whether that is because HCRG is a private service or because of the management of the system is not for me to say. I hope that the Minister will be able to look into the matter. I personally spend a lot of time in the NHS—not out of choice, but as a patient and a carer for my husband. The frontline staff are fabulous. They go above and beyond to support the patient, regardless of whether that patient happens to be their MP. But as their MP, I do find that the staff tend to approach me in confidence to say that they fear using the formal channels for feedback. Patients and staff working across the community-based healthcare system are raising the same issues with me: delays, difficulty navigating the referral <span id="194WH" class="column-number" data-column-number="194WH"></span>pathway and concerns about whether requests always reach the right clinical team. I think Ministers have a responsibility to take those concerns as seriously as the Members sitting next to me. Patient safety is my chief concern since HCRG took over. One community nurse described families contacting nursing teams because a loved one approaching the end of life was experiencing severe pain despite being told that help would be available. The nurse reported instances of when no referral appeared to have reached the community nursing team at all. Visits were eventually arranged, but the patient spent several hours without adequate pain relief. A former community nurse separately described trying to obtain additional medication for palliative patients and not being able to get it. Nobody approaching the end of their life should spend hours in avoidable pain because the system is inadequate. I have also heard concerns about delayed wound care, time-critical medication and urgent catheter issues. One district nurse described attending a patient whose leg wounds had leaked through his dressing. His daughter had contacted the service twice over the weekend without receiving assistance. By the time the nurse arrived, the patient had resorted to wrapping plastic bags around his legs—and I understand that the same problem occurred the following weekend. The concerns I have received are not limited to community nursing. A physiotherapist working in Chippenham hospital described concerns about the introduction of the new referral system. According to the information, staff noticed that referrals were dropping dramatically under the new system. But when those delayed referrals were eventually identified and processed, clinicians faced a sudden influx of cases, including urgent post-operative patients. We are talking about knee replacements not being seen in a timely manner, in which case they will end up being re-done. That is a cost for no reason. Clinicians describe patients waiting around eight weeks after knee replacement surgeries, despite the treatment being expected much sooner. The concerns raised are not simply about waiting times, but about the possibility of avoidable deterioration and long-term impacts on recovery. They are not simply administrative inconveniences; they are potentially about patient safety. I want to touch briefly on wheelchair services. I understand that Wiltshire currently has one wheelchair technician, although it had originally been intended to have four. One constituent from Calne told me that she was supplied with an unsuitable wheelchair without being properly measured. She raised concerns about the difficulty, her safety and the fact that she could not get on to the bus. Despite repeated attempts over months to resolve the matter, she is getting nowhere. Another constituent reported from Chippenham that their replacement battery and updated seating did not arrive, which meant that they were unable to get to college. When repair and maintenance services are not functioning as they should, the consequences for the patient are immediate and profound. Something that particularly troubled me was a comment made to me by some patients who were no longer bothering to complain because they had become accustomed to the delays and difficulties. Sometimes, the absence of formal complaints reflects a loss of confidence rather than anything else. That is particularly <span id="195WH" class="column-number" data-column-number="195WH"></span>concerning when we think about older patients, disabled patients and those already struggling to navigate a complex health system. The people who find it the hardest to access services are often the people least likely to make their voices heard. That is why scrutiny and transparency matter. When constituents raise concerns about HCRG services, they expect clear, simple answers. Who is responsible? We have an ICBC contract oversight group that reports to the ICBC collaborative oversight forum. We have the BSW community delivery group, which oversees transformation across the system. We have joint contract oversight groups, quality boards and safeguarding groups that all scrutinise performance, but many of the same organisations sit across multiple levels of that oversight. The integrated care board, the local authority commissions and the HCRG itself are involved throughout that governance structure. The organisations commissioning the contract and managing the contract are also scrutinising the contract—all of them seem to be on the same table. Frankly, even we elected representatives struggle to work out who is accountable. When everyone is involved in the oversight, it can be remarkably difficult to identify who is responsible for acting when problems emerge. There is a risk that organisations end up marking their own homework, with concerns passing between governance groups rather than being subject to genuinely independent challenge. Patients deserve a system in which responsibility is visible, understandable and transparent from the outset. Where persistent concerns are being raised about access to care, referral pathways and patient safety, it is entirely reasonable to ask whether the Care Quality Commission should take a closer look. We should not worry about independent scrutiny; we should welcome it, because it will lead to improvements. I would be grateful if the Minister addressed two specific points. First, will she ask BSW’s ICB and the HCRG to publish some comparable pre-transformation and post-transformation performance data that includes call waiting times, callback performance, referral processing times, complaints and patient outcome, broken down where possible to a local level? In that way, patients and parliamentarians will be able to see whether the promised improvements have actually been delivered a year and a half into the contract, despite the fact that the group had six months before the contract started to provide for the transition. Secondly, will the Minister engage with the Care Quality Commission about a case for further independent scrutiny of HCRG’s Wiltshire services and clarify what further regulatory action may be available if the persistent concerns about access, referrals and patient safety continue, as was referenced by my hon. Friend the Member for Melksham and Devizes? Patients do not really care how many committees or meetings are called; they want answers. Their concern is whether they are getting the care they need, when they need it.

   Hansard source
6. 28 Oct 2026·Parliament·Sarah Gibson

   HCRG Care Group: Performance in the South-west

   Does the Minister agree that the complexity of the oversight system, with the same people in every single one of its groups, does not help staff or patients to feel that there is genuine, independent scrutiny of what is happening? We are getting the same answers from the same people.

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7. 28 Oct 2026·Parliament·Sarah Gibson

   HCRG Care Group: Performance in the South-west

   At the risk of delaying her, will the Minister give way on that point?

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8. 28 Oct 2026·Parliament·Sarah Gibson

   HCRG Care Group: Performance in the South-west

   It is just that that point is not true.

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9. 21 Oct 2026·Parliament·Sarah Gibson

   Support for Farmers

   In Wiltshire, farming is at the heart of our rural economy, our landscape and our community. Farmers do not just produce the food on our tables, but support local jobs and businesses, and play a crucial role in protecting and restoring the natural environment. Farmers in Wiltshire are not asking for special treatment; they are merely asking for the certainty that every business needs. I recently spoke to Anna, a livestock vet in my constituency who works with farmers across Wiltshire, and she put the problem very simply: farming businesses plan years ahead, not months ahead. When support schemes change without warning, farmers cannot make decisions about environmental improvements because they simply do not know what resources they will have available. Wiltshire’s mixed agricultural landscape, which combines arable farming and dairy and livestock businesses, is exactly the sort of environment where sustainable farming practices thrive. However, if a farm does not know what support will be available, it cannot confidently plan for the future. In Wiltshire, we have already seen what can be achieved when farmers are supported to work alongside nature. The Bremhill Vales Farmers Group brings together 50 farms covering 5,000 hectares between Chippenham, Calne and Lyneham. It works with the Environment <span id="1215" class="column-number" data-column-number="1215"></span>Agency and Wiltshire Wildlife Trust to improve water quality and reduce flood risk through natural management. Those farmers know that being productive can sit alongside environmental stewardship, but only with the right tailored support. As well as the SFI debacle, I will raise a couple of other things that are affecting my farmers. One is the rigidity around the machinery grant; the Government application windows are so tight. Another issue is how complex and difficult the guidance can be—even veterinary professionals, who deal with those programmes regularly, struggle to navigate the guidance and the application process. I looked through the welfare pathway website recently with a local vet. I found the forms difficult to locate and the timelines unclear, and minor administrative errors meant that access to support was lost entirely. If the experts struggle to navigate the system, Ministers should ask themselves how easy and accessible the system is to a busy family farm. Wiltshire’s farmers are ready to play their part; they deserve a Government who are ready to play theirs. I have two questions for the Minister. What assurance can he give farmers in my constituency that when they commit to long-term environmental improvements, this Government are willing to provide the long-term funding certainty needed to support that work? Will the Minister commit to publishing a clear, single-page timeline that sets out the application windows, the eligibility criteria and the payment timeline for the farming scheme well in advance, so that farmers can make the long-term business decisions that modern agriculture requires?

   Hansard source
10. 15 Jul 2026·Parliament·Sarah Gibson

    Waste Management Sites

    It is a huge pleasure to serve under your chairmanship, Dr Murrison, as I know that much of what I am going to say will be familiar to you. I thank the hon. Member for Blackpool North and Fleetwood (Lorraine Beavers) for securing this debate. Waste facilities provide an essential public service, but communities living alongside them must not be expected to bear the consequences of weak regulation or poor waste handling. Two problems are affecting residents in my constituency: the persistent landfill gas odour around Lower Compton, and the growing fire risk over the last few years caused by lithium-ion batteries entering the household waste system. The Environment Agency has received almost 4,000 odour reports over the last three months. As the hon. Member for Blackpool North and Fleetwood mentioned, the system is not working. Residents have described an overpowering sulphurous smell entering their homes, disrupting their sleep and preventing them from opening their windows or using their gardens. Many have reported headaches, nausea, coughing and feeling unwell. When I visited the landfill site, I was left with a headache and felt unwell for several hours. Although that is only my experience, it gives me some understanding of what the residents have been repeatedly describing.<span id="393WH" class="column-number" data-column-number="393WH"></span> I have pressed the Environment Agency and the operator for action, raised the issue at Prime Minister’s questions and written to the Environment Secretary. The sustained pressure has secured action for my constituents, but we now need evidence that it has actually produced results. The Environment Agency has managed to trace the principal source to an open landfill cell, requiring permanent capping, improved gas extraction and changes to the type of waste being handled. I welcome the completion of the capping works, but for residents it will be a question of whether they can breathe clean air and live normally, not whether the project is said to have been completed. The UK Health Security Agency found no evidence of actual toxic risk, but its monitoring site is not downwind of the site—it is to the west. Although its finding is welcome, it also found strong evidence of odour annoyance and acknowledged that people may experience headaches, throat irritation, stress and sleep disruption. That exposure, although perhaps not as toxic as we expected, is not acceptable, especially for people with respiratory conditions. The issue seems to be that responsibility is completely fragmented. The Environment Agency monitors permit compliance and the UKHSA assesses the health risk, but the local authority considers statutory nuisance. Residents are having to navigate an institutional maze while the smell continues. Will the Minister introduce a clearer joint response framework, with one lead body responsible for co-ordinating monitoring and health advice? We also need to understand why it is happening. The Environment Agency identified an issue with the trommel fines, which can contain sulphate-bearing materials and contribute to the production of hydrogen sulphide when mixed with organic waste. Although the operators are changing the way they handle those materials, it was extremely worrying that when I asked the Environment Agency, it did not seem to be aware of where the responsibility lies for testing how much of the wrong types of material go into the trommel fines as they go into the landfill site. Will the Minister consider who is responsible for independent sampling and whether compositional controls can be better implemented? The second issue affecting the same constituents is lithium-ion battery fires. Recent fires have, in theory, been caused by the crushing of lithium-ion batteries, which sparks a fire that is very difficult to put out. That is putting waste workers, firefighters and nearby residents at risk. The Government must start to properly enforce the existing retailer take-back duties, make return schemes more convenient and more visible, and ensure that producers meet the full cost of collection and treatment. Finally, drawing on my 20-odd years as an architect and my experience in local government, I believe the planning system must properly assess the risk of building our homes, schools and care facilities near to waste infrastructure, as mentioned by the hon. Member for Warwick and Leamington (Matt Western). Waste sites are necessary, but communities should not be expected to tolerate unacceptable odour and risk of pollution and fire. My constituents have shown extraordinary patience, but they should not have to fight to be heard any more than those of the hon. Member for Blackpool North and Fleetwood.

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