Healthcare in Rural Areas

Katie Lam Excerpts

Wednesday 4th March 2026 Westminster Hall

[Katie Lam (Weald of Kent) (Con)]

It is a pleasure to serve with you in the Chair, Dr Huq. I thank my hon. Friend the Member for Mid Bedfordshire (Blake Stephenson) for securing this debate on such an important topic.

Any Member who represents a rural constituency can attest to the practical challenges that our healthcare system faces in the countryside. It can often be difficult to sustain genuinely local GP services, and that forces people to travel long distances to access care. Where services do exist, they are often unable to provide the full suite of care owing to resource shortages or manpower deficiencies. Hospitals, of course, are even further away.

The current make-up of the workforce and workload cannot meet those challenges, so I was heartened by this Government’s plans, introduced earlier this year, to prioritise British medical graduates over foreign-trained doctors, though there is still much work to be done on ensuring that our medical training system rewards our most talented graduates.

I have also been heartened by some of the Health Secretary’s rhetoric on Pharmacy First, and the need to reduce the workload on doctors, so that the public can access basic services without contributing to the NHS waiting list. It is a superb initiative, and was launched by my right hon. Friend the Member for Louth and Horncastle (Victoria Atkins) under the previous Conservative Government. Clearly we need to move the healthcare service towards a model that reduces the workload on doctors, trains more of our workforce here and rewards our best-performing practitioners. That would be better for doctors and patients alike, and would be particularly welcomed in rural areas, where it is often much more practical to have a pharmacy in a village than a full GP surgery.

In principle, the Health Secretary’s public statements on this issue represent a step in the right direction, but since coming to power, this Government have conceded to medical unions such as the British Medical Association, which takes an altogether different line. For example, on Pharmacy First, a scheme that allows people to be treated for simple conditions at their local pharmacy, the BMA said that patients are

“being seen by less-skilled people to further enable the steady downgrade of patient expectations”.

It has since retracted those comments, but that the sentiment exists within the BMA at all is deeply troubling. On physician associates—a group of healthcare professionals who can carry out certain assessments and tests to reduce the workload of doctors—the BMA has launched legal action over whether they can even be called “medical professionals”. Fortunately, it lost the case, but again, its overwhelming hostility towards the reforms that our healthcare system needs in rural areas is concerning.

Enabling local health services such as pharmacies to provide care is particularly important in the countryside, where it will never be possible to sustain a large hospital in a rural area. I very much welcome the Government’s rhetorical direction on Pharmacy First and on reforming the NHS workforce, but will the Minister tell us what this Government intend to do to face down groups such as the BMA, which stand in the way of the reforms that we need to provide high-quality care to the British public?

[Several hon. Members rose—]