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Rural Healthcare
12 October 2022
Lead MP
Anne Marie Morris
Newton Abbot
Con
Responding Minister
Will Quince
Tags
NHSSocial CareTaxationEmploymentAgriculture & Rural Affairs
Word Count: 4571
Other Contributors: 5
At a Glance
Anne Marie Morris raised concerns about rural healthcare in Westminster Hall. A government minister responded.
Key Requests to Government:
The government should recognise that rural healthcare provision is distinct from urban areas and needs tailored solutions. This includes improving the recruitment of healthcare professionals through shorter training courses and better integration of emergency response services across police, fire, ambulance, and first responders. Proper funding to address specific rural challenges and integrating care pathways are also necessary.
How the Debate Unfolded
MPs spoke in turn to share their views and ask questions. Here's what each person said:
Lead Contributor
The number of people living in rural settings is significant—9.7 million people live in rural England—and they have unique needs that are not adequately addressed by the current one-size-fits-all approach. Rural areas face longer ambulance response times, recruitment challenges for healthcare professionals, inadequate funding formulas, and insufficient adult social care discharge funds. There is also a need to review different pathways for heart, cancer, and stroke treatment in rural communities.
Acknowledges the community diagnostic centre announcement for the Isle of Wight but expresses concern over inadequate funding for unavoidably small hospitals. Suggests a meeting to discuss further support. Bob Seely interprets local flexibility as funding, mentioning that there is a funding issue for the 12 unavoidably small hospitals in England and Wales. He suggests looking at the funding mechanism established in 2019, which provides only about 50% to 60% of what is needed.
Cornwall faces winter pressures with high visitor numbers and summer staff shortages due to housing issues. There is a case for extra funding to support the region's healthcare needs.
Luke Evans
Con
Hinckley and Bosworth
Extending training opportunities can encourage young doctors to settle in rural areas, potentially becoming GPs with special interests.
Tim Farron
Lib Dem
Westmorland and Lonsdale
41% of cancer patients in south Cumbria and 59% in north Cumbria are waiting more than two months for their first treatment after diagnosis, costing lives. Tackling the cancer backlog must be a priority. The Minister alludes to GP surgeries in rural areas, which serve smaller numbers of people over much larger areas. Tim Farron mentions the disappearance of the minimum practice income guarantee leading to potential closures in Ambleside and Hawkshead in his constituency. He asks for a specific rural surgeries subsidy fund.
Suggested the need for more flexible career paths and training in rural areas to attract healthcare professionals, highlighting the importance of local training.
Government Response
Will Quince
Government Response
It is a pleasure to serve under your chairmanship, Ms Elliott. Before I start, let me pay tribute to the work of those in the NHS and social care services across England, who are delivering excellent care now and have done so throughout the pandemic. The country is rightly proud of each and every one of them. I congratulate my hon. Friend the Member for Newton Abbot (Anne Marie Morris), who has been a champion not only for her constituency but, more widely, for the importance of improving health services in rural areas. I thank her for securing this important debate, and I pay tribute to her work and that of the APPG, whose report I read with interest.
We recognise many challenges caused by rurality, including distinct health and care needs, access issues, distance, and ensuring a sufficient population to enable safe and sustainable services. We remain committed to improving health services in rural areas across all of England. The Health and Care Act 2022 embeds the principle of joint working at the heart of the system, promoting integration and allowing local areas flexibility to design services that are right for them. Integrated care boards and partnerships give local areas forums through which to design innovative care models, bring together health and social care, and prioritise resources aligning with individual area needs.
We have set a framework but left it to individual areas to tailor these models to local needs. Local areas know better than Ministers how best to organise themselves and deliver the best possible care for patients. While we can support, guide, hold accountable, and occasionally chest prod, protecting local flexibility is important.
Regarding resources, NHS England asked the Advisory Committee on Resource Allocation to consider a formula for allocations to integrated care boards, taking into account factors such as population, age, and deprivation. In 2019-20, we produced a new element of the formula recognising rural, coastal, and remote areas with older populations and complex health needs.
We have opened five new medical schools in rural and coastal locations to address recruitment challenges, and hope that graduates from these schools will stay in their localities. We are using an extra £150 million for 1922-23 to address issues relating to ambulances, and I will take away the point about differential pay rates between blue light services.
On backlogs, we understand recruitment challenges and will look at other measures to attract people to rural areas. We are opening new diagnostic centres but must also look at more. On community hospitals and doctors, my right hon. Friend the Member for Newark (Robert Jenrick) is delighted to meet Members to discuss these issues in great length.
On data, it allows local integrated care boards to identify challenges and practices struggling. From November, we will publish practice-level data on appointments and missed appointments enabling patients to see how their tax money is being spent and holding the board accountable for modernising practices.
Dentists are a real passion of mine; reforms put in place in July are starting to take effect, and more are expected as they come to fruition. I encourage Members to talk to their integrated care boards about what more can be done on centres for dental development.
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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.