Contribution
I agree with the hon. Member. I will come on to my surgeries that are indeed in Victorian buildings—spread across four—and need to be brought together and modernised. That is in Knutsford in my constituency. I know that there will be many other places like that across the country. The hon. Member raises a valid and pertinent point.
We know that GP services in rural communities are spread across a large geographical area, and many elderly residents in Tatton live alone. Although such independence is cherished, travelling long distances to access healthcare is more difficult. Public transport is often limited or non-existent. Community transport schemes exist in Tatton, but they cannot always accommodate short-notice or urgent medical needs. Often, elderly residents do not drive, so they are left reliant on costly taxis or GP staff taking the time to travel to a patient’s home. That places additional pressures on already stretched services. In Lostock Gralam, despite a population of about 2,800 people, there is no GP practice. That forces patients to make a lengthy journey to Northwich, and without a direct bus service many are left to rely on taxis to make their appointment.
For those communities, recruiting and retaining staff becomes more difficult and more expensive. The Rural Services Network reports that 59% of hard-to-recruit GP speciality training posts are located in rural areas. There is less access to specialists and consultants, which makes their services more expensive. Community services and provision are sparser in rural areas, too. Pharmacies, which help to relieve pressure on GPs in urban areas, are not as common in rural areas. When I secured this debate, I was contacted by the Dispensing Doctors’ Association, which provides an essential role in dispensing medicines to patients who live more than 1.6 kilometres from a pharmacy. It delivers to about 10 million patients across England, but is facing increasing challenges due to its reliance on manual delivery.
In addition, while urban pharmacies move ahead with digital efficiency, rural pharmacies often struggle to keep pace because broadband coverage is often unreliable, rendering remote consultations near impossible and service delivery more difficult. The benefits of digitisation in healthcare are well understood across this House, but they rely entirely on having the right infrastructure in place. Without connectivity, rural practices are simply unable to access or benefit from Government investment in that area. There are lots of people from rural areas here, and we know how unreliable our broadband infrastructure is.
In 2022, the all-party parliamentary group on rural health and care published an inquiry into healthcare in rural areas. It concluded:
“Rurality and its infrastructure must be redefined to allow a better understanding of how it impinges on health outcomes”.
No progress has been made on achieving that. Removing the rurality measure of GPs’ funding entirely would be a step backwards in understanding how settings impact GPs’ ability to provide healthcare.
There is little transparency about who exactly will be consulted in the funding model review. In a written answer to a parliamentary question, the Government confirmed that the review
“will draw on a range of evidence and advice from experts,”
such as the Advisory Committee on Resource Allocation and the British Medical Association general practitioners committee, but there is little information beyond that. There are GPs in Tatton who are keen to contribute but, as of yet, have not been able to.