Healthcare in Rural Areas

Samantha Niblett Excerpts

Wednesday 4th March 2026 Westminster Hall

[Samantha Niblett (South Derbyshire) (Lab)]

Thank you, Dr Huq—it is a pleasure to serve under your chairship. I am really grateful to the hon. Member for Mid Bedfordshire (Blake Stephenson)—I will call him my hon. Friend; we were in the armed forces parliamentary scheme together—for the opportunity to speak in this important debate on healthcare in rural areas.

In my constituency, we are proud of our strong sense of community, but too many of my constituents face growing barriers when it comes to accessing healthcare. For many residents, the first challenge is distance: GP surgeries are fewer and farther between, community hospitals have been hollowed out, and public transport is limited or unreliable. When appointments are moved online or centralised miles away, what is described as efficiency can feel more like exclusion, and older residents, carers and those without access to a car are too often left struggling.

Rural practices find it harder to attract and retain GPs, nurses and allied health professionals. Smaller patient lists and higher operating costs make practices less financially viable, placing additional strain on already overstretched staff. The result is longer waiting times, fewer appointments and growing frustration for patients who simply want timely care close to home.

Those pressures are compounded by wider inequalities. Rural communities tend to have older populations and higher levels of chronic illness, yet funding formulas do not always reflect the true cost of delivering care across a large, sparsely populated area. It is also worth mentioning that South Derbyshire has a high number of falls, which accounts for a large proportion of emergency hospital admissions for people over 65, and has other negative consequences such as impacting people’s confidence and their sense of independence. Mental health services are also particularly patchy, leaving many people waiting far too long for support, if they can access it at all.

Tracey Thorneloe, one of my constituents in South Derbyshire, experiences debilitating pelvic girdle pain as part of a chronic health condition. While pelvic girdle pain is normally experienced during pregnancy or childbirth, she began experiencing this pain six years ago and has had great difficulty accessing physio. There are no specialist physios for her condition in South Derbyshire, and access to hydrotherapy is very limited.

Wheelchair provision is also an ongoing issue in my constituency. My constituent Amanda Storer has told me of her year-long battle to get a wheelchair for her son Derrick, who has Down’s syndrome. A wheelchair allows him to be more independent and allows Amanda to get out and about more as he grows. We have helped her as much as we can, but we have been struggling too.

All that does not have to be the case; with the right investment and planning, rural healthcare can thrive. We need fairer funding that properly reflects rural need, stronger incentives to recruit and retain healthcare professionals in rural areas, and a renewed commitment to community-based services. Digital healthcare has a role to play, but it must complement, rather than replace, face-to-face provision.