In many of Europe’s rural regions, sociodemographic changes, the transformation of the labour market, and the advent of digitalisation pose significant challenges in safeguarding services of general interest (SGI). This paper draws on a broad literature review to identify the key challenges and potential adaptation strategies in three SGIs in four European countries. Our analysis explores potentials for rede-signing the accessibility of these SGIs, restructuring their human and physical assets, and improving the coordination of their delivery. We argue that in the context of a fading welfare state, there is scope for improving the local coordination of state, private, and civil society actors in delivering SGIs in rural areas.