A woman is in a serious condition following a horse riding accident in Kempsey.
The Westpac Rescue Helicopter has been called to a horse riding accident west of the Kempsey Airport.
It's believed that a 42 year female has had a situation where the horse she was riding has fallen on her.
The woman has sustained head and other injuries in the fall.
She is being transported to the John Hunter Hospital in a serious condition.