Closure of High Street Services: Rural Areas

Debate between Sarah Dyke and Jamie Stone

Wednesday 5th February 2025 Westminster Hall

[Jamie Stone (Caithness, Sutherland and Easter Ross) (LD)]

I beg to move,

That this House has considered the closure of high street services in rural areas.

It is a pleasure to serve under your chairmanship, Ms Furniss. I am extremely grateful to have been granted the time to shed light on the impact that the closure of high street services continues to have on our rural communities. In recent years, exacerbated by the covid-19 pandemic, more and more shops on our high streets have closed their doors, leading to less vibrant town centres, reduced footfall to other businesses, job losses and, sadly, a diminished sense of community.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

I thank my hon. Friend for giving way so early in his speech. The Overt Locke is an independent family-run retailer that has been trading in Somerton for more than 100 years but has recently announced that it will close. That heartbreaking decision was accelerated by the Chancellor’s decision in the autumn Budget to freeze the small business multiplier and reduce retail, hospitality and leisure business rates relief from 75% to 40%, which, with the addition of the national insurance contributions increase, has made the business financially unsustainable. Does my hon. Friend agree that fundamental reform of business rates is needed to boost small businesses and high streets in rural areas, to avoid penalising productive investment?

[Jamie Stone]

I agree with my hon. Friend, and I will touch on that matter later in my contribution.

I want to go back to when I was a boy—some time ago, I might say. My hometown of Tain in the highlands was a vibrant and bustling place. It was a short walk up Shore Road from where I lived, where my father had a small farm, to the high street, where we got everything we needed, from lavatory paper in piles and pyramids in Ross the chemists, via Lesley the grocer, where we could buy broken biscuits in brown paper bags, to Hamilton Cormack, the local solicitor, who played the piano beautifully but, happily, never seemed to send out a bill. We had everything. Tain was a totally self-contained, prosperous community—but, oh my goodness, how very different today.

My constituency in the far north has long faced unique challenges. We have higher living costs, limited transport options and poor broadband connectivity. Rural areas such as mine have to contend with significant disadvantages compared with urban centres. We are all here today to talk about not just the loss of shops, banks and post offices, but the erosion of a way of life and a sense of connection, and a loss of public services and access to essential services that rural communities rely on.

Over recent years, our rural communities have faced unprecedented challenges. Once bustling with activity, like my hometown, they are now marked by shuttered windows and “for sale” signs. The causes are many. We know that they include the rise of online shopping, changing consumer habits, economic pressures and, of course, the rise of large out-of-town centre supermarkets. In my home in the highlands, those trends are compounded by rural isolation and limited access to alternative services. The closure of shops, banks, post offices and other essential services has left many residents in town centres feeling abandoned.

Health Services: Rural Areas

Debate between Sarah Dyke and Jamie Stone

Wednesday 17th July 2024 Commons Chamber

[Jamie Stone]

The hon. Member makes his point with his customary charm. It is no wonder that he is so well liked in this place, because he always speaks for his constituents.

I have talked about the delays in vaccinations, which also applies to the lifesaving vaccinations that babies must have. The Scottish Government take a one-size-fits-all approach that, frankly, does not work in remote rural areas such as mine. The retention and recruitment of GPs and other healthcare workers is crucial, but poor wages and terms and conditions, and a lack of proper travel reimbursement, all lead to a general impression that the game is simply not worth the candle. That is why we are missing key workers and doctors, and why we are paying through the nose for locum and temporary staff. Madam Deputy Speaker, can you believe that NHS Highland has spent £21 million on locum staffing in the past year? That is almost 3% of its entire budget—an eye-watering sum. Could that money not have been spent much better, for example on care homes, hospitals or pain clinics that have been forced to close?

[Sarah Dyke (Glastonbury and Somerton) (LD)]

I apologise for coming a bit late to this debate. Primary care is asked to do more in rural areas than in urban settings, piling pressure on GPs, pharmacists and dentists, yet they struggle to recruit staff, as my hon. Friend said. A dental practice in Street, in my constituency, has been without an NHS dentist on its books for 18 months, despite its best efforts. Does my hon. Friend agree that we must explore ways in which we can incentivise healthcare professionals to practise in rural areas?

[Jamie Stone]

I absolutely endorse that. I am glad that I said in my opening remarks that my experience in a very remote part of Scotland applies to other parts of the United Kingdom. What we have just heard proves that this is the case.

NHS Scotland has halted all new builds and repairs to health centres across the entire country, which is another problem for healthcare. I have said already how big my constituency is. Just by commuting or doing house visits, healthcare staff will rack up 3,500 miles easily, because the distances are so great. At that point, their reimbursement per mile is more than halved, which does not encourage people to get involved. It is, in fact, discrimination against healthcare professionals who live in rural communities. Training is overwhelmingly based in urban areas, and there is very little incentive to get people to come and work in rural areas. Other factors, such as a lack of housing and job opportunities, feed into this problem.

There is another issue I want to raise: the lack of women’s health provision, which is pretty severe. In my maiden speech in 2017 I spoke about the need to restore maternity services to Caithness. Seven years later, that is more important than ever. Caithness general hospital used to have a consultant-led maternity service, which meant that expectant mothers could have their babies locally in the far north of Scotland. It was downgraded when I was my constituency’s Member of the Scottish Parliament. At that time, I had more influence and I got it restored. Since then, however, the maternity services have been downgraded again, and there appears to be no movement from the Scottish Government to reverse that. I wish that some Members from the party of the Scottish Government were present today.

Let me give an example of what this situation means: pregnant mothers have to make a 200-mile round trip in the car to deliver their babies. Imagine a trip like that in the middle of winter, and on rickety-rackety roads in the highlands. In 2019, a pair of twins were born—one was born in Golspie, and the other was born 50 miles away, in Inverness. It is a miracle that those children survived, and that neither a mother nor a child has perished. I have been calling for a safety audit all along, but there has never been one. We know perfectly well what the result would be: the arrangements would be deemed unsafe, if not a breach of human rights.

It is not just about maternity services; women’s health has been removed from the far north. A routine trip to see a gynaecologist and get a diagnosis for a life-threatening ovarian cyst, or for endometriosis, means travelling the same huge distance—if a woman is lucky enough to get an appointment before her condition has progressed too far for her safety. I wonder what we can do to encourage healthcare professionals to relocate to remote areas, because the health and wellbeing of their wives and daughters must surely be a factor when they consider moving.

For children growing up in the far north, it is no better. The waiting list for child and adolescent mental health assessments is three years. For neurodevelopmental screenings—for the diagnosis of dyslexia, autism, attention deficit hyperactivity disorder and so on—it is four years. That is the majority of their time at school. One family I spoke to during the election had waited 13 years for a diagnosis. That is a disaster. Dentistry has already been mentioned, and we know that intervention is crucial for long-term dental health