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Rural GPs: Funding

11 February 2026

Lead MP

Esther McVey
Tatton
Con

Responding Minister

Karin Smyth

Tags

NHSTaxationEmployment
Word Count: 3838
Other Contributors: 8

At a Glance

Esther McVey raised concerns about rural gps: funding in Westminster Hall. A government minister responded.

Key Requests to Government:

I urge the government to ensure that rurality remains a factor in any new funding formula and to publish an assessment of the impact on rural communities before any changes are made. I also request an update on the progress towards establishing a new medical centre in Knutsford, where current facilities are outdated.

How the Debate Unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said:

Lead Contributor

Tatton
Opened the debate
I am concerned about the challenges faced by rural GP practices, including serving elderly and isolated populations in large geographical areas. Statistics show that 17% of England's population live in rural areas. The average age in rural areas is almost six years higher than in urban areas, with a quarter of the rural population over 65. Life expectancy is also longer in rural areas, placing greater demands on GP surgeries. In addition, recruiting and retaining staff becomes more difficult and expensive due to limited access to specialists and sparse community services.

Government Response

Karin Smyth
Government Response
It is a pleasure to serve under your chairship, Ms Lewell. I thank the right hon. Member for Tatton (Esther McVey) for securing the debate and raising a critical issue that is important to many Members. This Government have made primary care a pillar of NHS reform, focusing on rural and coastal areas in our 10-year plan due to infrastructure issues and deprivation faced by these regions. Over the last 18 months, we have increased funding, supported the workforce, improved patient access, and recruited more than 3,000 GPs. We have also agreed a GP contract that brings total spend on the contract to £13.4 billion this financial year, a significant cash increase in over a decade. Additionally, we are investing £528 million to fix GP surgeries and replace crumbling infrastructure by 2027-28, with ICBs having £195 million annually for strategic primary care investments. Patient satisfaction has risen from 60% to 73% since the Government took office. The Carr-Hill formula introduced in 2004 is no longer fit for purpose as it was based on outdated data from the early 1990s, leading to funding disparities between deprived and less deprived areas. We are designing a new formula that reflects patient needs accurately and we will understand the impact of changes ahead of implementation. Some 40% to 50% of GP practice funding is currently not determined by this formula. Regarding digital access, we launched online services in October for patients to contact GPs through requests or non-urgent queries, addressing the issue of patients waiting by their phone to call GPs at busy times. Our goal is a neighbourhood health service that puts GPs at its heart and ensures equitable healthcare regardless of location.
Assessment & feedback
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About Westminster Hall Debates

Westminster Hall debates are a chance for MPs to raise important issues affecting their constituents and get a response from a government minister. Unlike Prime Minister's Questions, these debates are more in-depth and collaborative. The MP who secured the debate speaks first, other MPs can contribute, and a minister responds with the government's position.