Introduction

Rural communities are extraordinarily diverse. Some are commuter areas, others consist of a predominantly elderly and retired population, the young having migrated to study or work elsewhere. Rural deprivation affects health, but it is often hidden. Trauma is common, often associated with farming, and the local surgery is often the first port of call for casualty services. In 1995, the World Organisation of Family Doctors (WONCA) published a seminal report on training for rural general practice. In 1994, the Centre for Health Services Research at Newcastle University published a comprehensive and useful literature review and in 1997 it completed important research on equity and access in rural primary care. Formed in 1996 and based at Gregynog Hall in Wales, the Institute is helping to establish a multidisciplinary academic foundation for rural practice. The event has been influential in developing links between rural health professionals within the UK and internationally.