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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request an update on the progress towards establishing a new medical centre in Knutsford, where current facilities are outdated.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
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.
Aphra Brandreth
Con
Chester South and Eddisbury
GP sites often struggle with insufficient infrastructure, and existing residents must have access to GPs in suitable premises for their current numbers and elderly population.
Edward Morello
Lib Dem
West Dorset
One in five GP buildings predate the NHS, over a third of GPs say their premises are unfit, and fewer than a third of practices received capital funding last year; estate funding must be expanded to deal with population growth.
Gill Featherstone
Labour Co-op
Stroud
I congratulate my neighbour and constituency colleague for raising this important point. She is absolutely right that new homes in rural areas put pressure on GP surgeries, making it essential to have new practices.
Ian Currant
Con
Rutland
The hon. Member raises very good points indeed and highlights the significant pressure on rural GP surgeries due to an ageing population and longer life expectancy.
Jim Shannon
DUP
Strangford
The Ards peninsula in Strangford has only three practices covering the whole area with a growing population, and funding must be available to support physio rooms, nutrition advice, and pharmacies within surgeries.
Leicester South
The hon. Member raises a valid and pertinent point regarding the difficulty of recruiting and retaining staff for rural GP practices due to limited access to specialists and community services, as well as unreliable broadband infrastructure.
Peter Prinsley
Lab
Bury St Edmunds and Stowmarket
Dr Richard West MBE and Dr Daniel James in Woolpit have been recognised for their contribution to rural mental health; funding should support the mental health needs of isolated farm workers.
Roz Savage
Lib Dem
South Cotswolds
Sherston in South Cotswolds is at risk of losing its surgery, with a petition signed by 2,850 out of 3,000 patients. The NHS should prioritise GP surgeries for small rural communities.
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.
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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.