Esther McVey

The hon. Member raises another good question, and we can ask the Minister to look into that. The logical conclusion of not having GPs from rural areas take part in this review is that the Government do not want to listen to them. They are intent on rewriting the formula without acknowledging the realities of delivering rural healthcare. A broadbrush measure such as deprivation cannot take into consideration the very close link between the ability to deliver healthcare and the rural or urban settings in which GPs exist. It comes as little surprise. Whether selling off our family farms or introducing a devolution agenda that pits rural against urban areas, time and again the Labour Government have shown that they are not willing to listen to rural areas, but are quick to sell out rural Britain at the first chance. As is typical, Labour’s response to pressure is to level down some areas, which serves only to create additional pressures elsewhere, rather than acting to fix them. The pressure faced by rural healthcare will not disappear soon. The NHS long-term workforce plan, published under the previous Government in 2023, recognised that the increased demand from an ageing population is not uniform in the UK. It estimated that “In 2037, a third of people aged over 85 will be living in rural communities” compared with just a quarter now. The Government must act to address that trend. I have been campaigning for a new medical centre in Knutsford, as was acknowledged before, where doctors desperately need more space and modernised facilities to meet patients’ needs. The current surgeries in Knutsford do not do that; they are all Victorian buildings and are not suitable. I have been pressing for that for a long time. I have met with the Minister—I thank her for that—and I would be grateful for an update on the progress of the practice in Knutsford. GP practices deliver community care and their ability to deliver is reliant on the environment in which they serve the patients. We must have a funding formula that acknowledges the challenges of delivering healthcare in rural areas. I would be grateful if the Minister could answer the following questions. Who is being consulted in the review, and will it include those with first-hand experience of delivering healthcare in rural settings, like my GPs in Tatton? What assurances can be provided that rurality will remain a factor in a new funding formula? Given the specific challenges they face, will the Department commit to publishing an assessment of the impact on rural communities ahead of any change to the funding formula?