Healthcare in Rural Areas

Debate between Blake Stephenson and Jess Brown-Fuller

Wednesday 4th March 2026 Westminster Hall

[Blake Stephenson]

I know Lyneham quite well; it is a beautiful part of the world—although of course, Mid Bedfordshire is far more beautiful. I have to agree with the hon. Lady. The situation is deeply concerning for those in rural communities who are struggling to access GPs, and, given the growth and development in our communities, access is becoming much more difficult as the years roll on.

[Jess Brown-Fuller (Chichester) (LD)]

The hon. Gentleman is making a valid point about development. In the rural village of Bosham in my constituency, a resident was recently told that they would have to wait four months for a GP appointment. Meanwhile, they have seen plans come online for the development of 300 homes behind the GP surgery, and the surgery is now expecting 600 new patients. Does the hon. Gentleman agree that we need to have an infrastructure-first principle, because the reason that residents get so frustrated with development is that they cannot see those extra GP appointments coming online once those homes have been built?

[Blake Stephenson]

The hon. Lady front-runs entirely a point I will make later, and I thank her for doing so.

Unfortunately, that early optimism about neighbourhood healthcare was somewhat tempered by a response I received to a written question, indicating that the Government expect neighbourhoods to have a geography of around 50,000 people. I am afraid that that will do nothing for people in Mid Bedfordshire. It will mean either that rural communities on the edge of urban catchments will be split up and served by “neighbourhood” health hubs in nearby major settlements, which will likely be Hitchin, Bedford, Luton or Milton Keynes, or that one rural “neighbourhood” will cover the vast majority of rural communities, meaning that constituents will have to travel to a central location to access the services that they need. In either case, that is what already happens now.

People in rural communities can only get to healthcare services in big towns that are often a distance away. They deserve better than to be viewed as the hinterland of larger urban areas. They deserve a neighbourhood health service designed not as a one-size-fits-all solution, but as genuinely local to their needs. I appreciate that funding is not unlimited and that tough choices need to be made, but those tough choices always seem to result in rural communities losing out when it comes to access to healthcare.

Water (Special Measures) Bill [Lords]

Debate between Blake Stephenson and Jess Brown-Fuller

2nd reading
Monday 16th December 2024 Commons Chamber

[Blake Stephenson (Mid Bedfordshire) (Con)]

I welcome many of the measures in the Bill and will focus in the time available on the real action our constituents need from Government to bring our sewage network up to date.

Too often and for too long, our constituents have paid the price for a failure of forward planning by the water industry. In September, my constituency was the victim of exceptional flooding. In the aftermath, as we sought to learn lessons, many stories involved raw sewage coming up into people’s homes and gardens and flowing down their streets in places such as Harlington, Barton-le-Clay and Greenfield, as excess surface water overwhelmed the sewage system. No one, be they in Mid Bedfordshire or anywhere else in our country, should see a storm cloud overhead and fear that they will end up ankle deep in sewage—not in the 21st century.

I say this is a problem of forward planning because a shocking example of industry neglect during the flooding came from new town Wixams. The town is still being built out, with construction beginning this century, and yet the flooding overwhelmed the wastewater and sewage infrastructure, which could not cope with the amount of water being discharged into it. Thousands more homes will be built in Wixams and across Mid Bedfordshire over the coming years. We must do more to force the water industry to ensure that those homes are served by infrastructure that is fit for purpose and climate resilient.

The previous Government recognised that we have a Victorian sewage network, and they stepped up requirements for water companies to invest in improving our infrastructure. This Government must be similarly ambitious. I welcome clause 4, which talks of the importance of nature-based solutions in drainage and sewage management plans, building on the previous Government’s work in their plan for water.

[Jess Brown-Fuller (Chichester) (LD)]

In 2023, Chichester experienced 990 spills lasting over 17,000 hours. It is an environmental scandal and a public health crisis. As the Secretary of State said in his opening comments, it is time to clean up our water once and for all, and I welcome the Bill. Does the hon. Member agree that nature-based solutions, such as wetlands, will play a vital role in reducing spills and can be brought in quickly, but only if the regulation allows?

[Blake Stephenson]

I absolutely agree on the importance of nature-based solutions, and those solutions are talked about frequently in my community and, I am sure, in communities across the country. They were not necessarily spoken about five or 10 years ago, but we have a real opportunity to make a difference if we focus and deliver on nature-based solutions.

We must go much further in this area to ensure that all our towns and cities are built to absorb water. On implementing sustainable urban drainage systems, I mentioned this previously to the Minister for Water, and I will keep banging on about it. We must bring into force schedule 3 of the Flood and Water Management Act 2010—I recognise that the Act is from 2010 and a lot has happened since then—and take much stronger action to ensure that drains do not become blocked.

One way we could tackle the problem of abstraction and, indeed, flooding is by backing projects like the Bedford to Milton Keynes waterway park, which would run through the Marston Vale in Mid Bedfordshire and help channel water to where it is most needed. I hope the Government will give that project the support it needs.