Select Committee · Environment, Food and Rural Affairs Committee

Rural mental health

Status: Closed Opened: 16 Nov 2021 Closed: 9 Nov 2023 21 recommendations 10 conclusions 1 report

Improving the quality of mental health provision has been an increasing priority for the Government and the NHS in recent years. The NHS Long Term Plan, published on 7 January 2019 sets out the NHS’s aim to advancing mental health equalities, and commits it to providing an additional 380,000 people per year with access to … Show more

Clear

Reports

1 report
Title HC No. Published Items Response
Fourth Report - Rural Mental Health HC 248 18 May 2023 31 Responded

Recommendations & Conclusions

7 items
2 Conclusion Fourth Report - Rural Mental Health Acknowledged

Rural isolation creates significant mental health challenges for residents and agricultural workers.

While experience of nature and the countryside is consistently identified as potentially beneficial for people’s mental health, our evidence is equally clear that the isolation inherent in rural living poses a significant challenge to the mental health of those who reside and work in these areas. In addition, other factors … Read more

Government response AI summary
The government recognizes that individuals living and working in rural areas may face specific challenges in accessing necessary mental health services, directly acknowledging the committee's observation.
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Department for Environment Food and Rural Affairs
3 Conclusion Fourth Report - Rural Mental Health Acknowledged

Urgent, preventative action is warranted for rural mental health, despite no immediate crisis.

We believe that, while the available evidence does not reveal a mental health crisis in rural England, there are more than enough glaring gaps, and obvious red flags, to warrant urgent and meaningful action, aiming to achieve a degree of preventative impact rather having to wait for an inevitable crisis … Read more

Government response AI summary
The government states the new Suicide Prevention Strategy for England 2023-2028, published on September 11, 2023, identifies priority groups and risk factors, including those affecting rural areas and specific occupations. It also notes that the ONS is using Census 2021 data to improve understanding of …
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Department for Environment Food and Rural Affairs
5 Recommendation Fourth Report - Rural Mental Health Acknowledged

Require DEFRA to establish a clear and active role in national suicide prevention strategy

DEFRA should be an active stakeholder in any national suicide prevention strategy, as the Department is responsible for populations and occupational groups arguably at higher-than-average risk of poor mental health and death by suicide. However, DEFRA does not appear to have carved out a clear role in the last two … Read more

Government response AI summary
The government acknowledged the importance of addressing suicide risk factors in rural, agricultural, and veterinary populations, noting the new 2023-2028 Suicide Prevention Strategy identifies these groups. It also highlighted a new £10 million grant fund and ongoing ONS data work to understand occupational suicide rates …
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Department for Environment Food and Rural Affairs
6 Conclusion Fourth Report - Rural Mental Health Acknowledged

Joined-up public health approach essential for preventing suicide among agricultural and veterinary workers

Adopting a more joined-up approach to public health focused on early intervention could make a positive contribution to preventing suicide amongst agricultural and veterinary workers. It would need to ‘wrap-around’ people at potential risk, incorporating the NHS, other key public services and the regular contacts that people have in their … Read more

Government response AI summary
The government pointed to the new 2023-2028 Suicide Prevention Strategy, which includes actions to tackle risk factors for rural, agricultural, and veterinary workers. It also highlighted a new £10 million Suicide Prevention Grant Fund and ongoing ONS data work to improve understanding of occupational suicide …
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Department for Environment Food and Rural Affairs
8 Conclusion Fourth Report - Rural Mental Health Acknowledged

Local government suicide prevention plans lack rural focus and ringfenced funding

Local government is carrying a substantial proportion of the responsibility for delivering the existing national strategy through local suicide prevention plans. However, it is unclear how much these have identified, or address, the specific needs of rural areas. Finally, we are very concerned that core local funding is not ringfenced. Read more

Government response AI summary
The government points to the new Suicide Prevention Strategy for England 2023-2028, which identifies risk factors affecting rural areas and specific occupations. It mentions a £10 million Suicide Prevention Grant Fund, but confirms funding beyond 2024/25 is subject to future Spending Reviews. The ONS is …
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Department for Environment Food and Rural Affairs
16 Conclusion Fourth Report - Rural Mental Health Acknowledged

Integrated Care Systems are crucial for improving rural mental health service response.

We believe Integrated Care Systems (ICS) will be crucial to determining whether NHS mental health services are able to respond better in future to rural communities’ needs.

Government response AI summary
The government acknowledges the importance of Integrated Care Systems in providing accessible mental health services for rural communities, stating work is already underway and funding formulas account for rural costs.
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Department for Environment Food and Rural Affairs
25 Conclusion Fourth Report - Rural Mental Health Acknowledged

Re-evaluate Environmental Land Management programme to embed mental health support for farmers.

Government policies and regulatory activity are key sources of stress for the farming community so Ministers should think hard about the impact of their decisions. The Environmental Land Management (ELM) programme is a case in point given the prolonged uncertainty. DEFRA’s attempt to take account of mental health at least … Read more

Government response AI summary
The government recognized policy uncertainty as a stressor for farmers and detailed how the Farming Resilience Fund provides business support expected to have an indirect positive impact on farmer wellbeing, with providers asked to offer signposting to mental health support.
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Department for Environment Food and Rural Affairs

Oral evidence sessions

5 sessions
Date Witnesses
12 Jul 2022 Claire Murdoch · NHS England, Gillian Keegan · Department of Health and Social Care, Jonathan Baker · Department for Environment, Food and Rural Affairs, Rt Hon The Lord Benyon · Department for Environment, Food and Rural Affairs, Samantha Allen · North East and North Cumbria Integrated Care Board, Zoe Seager · Department of Health and Social Care View ↗
21 Jun 2022 Dr Jaspreet Phull · Lincolnshire Partnership NHS Foundation Trust, Dr Tim Sanders · Royal College of General Practitioners, Jacqui Morrissey · Samaritans, Kate Miles · DPJ Foundation, Professor Jim McManus · Hertfordshire County Council, Sarah Connery · Lincolnshire Partnership NHS Foundation Trust View ↗
24 May 2022 Carol Stockman · Cotswolds Community Wellbeing Service, Danny Hutchinson · Invictus Wellbeing, Edward Richardson · Farm Cornwall, Janette Smeeton · Derwent Rural Counselling Service, Mrs Melinda Raker · You Are Not Alone, Stephen Dodsworth · Darlington Farmers Auction Mart, Trudy Herniman · Farmerados View ↗
26 Apr 2022 Alicia Chivers · Royal Agricultural Benevolent Institution, Barbara Piranty · Gloucestershire Rural Community Council, Dan Mobbs · Mancroft Advice Project, Dr Jude McCann · Farming Community Network, Dr Rosie Allister · Vetlife, James Russell · British Veterinary Association, Karen Black · Off the Record Bristol, Melanie Costas · Rural Mental Health Matters View ↗
15 Mar 2022 Dr David Rose · University of Reading, Dr Rebecca Wheeler · Centre for Rural Policy Research (CRPR), University of Exeter, Rachel Hutchings · Nuffield Trust, Sarah Hughes · Centre for Mental Health View ↗

Who gave evidence

31 witnesses
WitnessOrganisationSessions
Alicia Chivers · Chief Executive Royal Agricultural Benevolent Institution 1
Barbara Piranty · CEO Gloucestershire Rural Community Council 1
Carol Stockman · Social Prescribers Cotswolds Community Wellbeing Service 1
Claire Murdoch · National Director for Mental Health NHS England 1
Dan Mobbs · Chief Executive Mancroft Advice Project 1
Danny Hutchinson · Chief Executive Officer Invictus Wellbeing 1
Dr David Rose · Elizabeth Creak Associate Professor of Agricultur… University of Reading 1
Dr Jaspreet Phull · Acting Medical Director Lincolnshire Partnership NHS Foundation Trust 1
Dr Jude McCann · Chief Executive Officer Farming Community Network 1
Dr Rebecca Wheeler · Senior Research Fellow Centre for Rural Policy Research (CRPR), University of Exeter 1
Dr Rosie Allister · Director Vetlife 1
Dr Tim Sanders · Clinical Lecturer in Rural Medicine Royal College of General Practitioners 1
Edward Richardson · Farm Adviser Farm Cornwall 1
Gillian Keegan · Minister of State Department of Health and Social Care 1
Jacqui Morrissey · Assistant Director of Research and Influencing Samaritans 1
James Russell · Senior Vice President British Veterinary Association 1
Janette Smeeton · Chief Executive Officer Derwent Rural Counselling Service 1
Jonathan Baker · Deputy Director of Policy, Engagement and Strategy Department for Environment, Food and Rural Affairs 1
Karen Black · Chief Executive Off the Record Bristol 1
Kate Miles · Charity Manager DPJ Foundation 1
Melanie Costas · Founder and Chief Executive Rural Mental Health Matters 1
Mrs Melinda Raker · Founder You Are Not Alone 1
Professor Jim McManus · Executive Director, Public Health Hertfordshire County Council 1
Rachel Hutchings · Fellow in Health Policy Nuffield Trust 1
Rt Hon The Lord Benyon · Rural Affairs Minister Department for Environment, Food and Rural Affairs 1
Samantha Allen · Chief Executive North East and North Cumbria Integrated Care Board 1
Sarah Connery · Chief Executive Lincolnshire Partnership NHS Foundation Trust 1
Sarah Hughes · Chief Executive Centre for Mental Health 1
Stephen Dodsworth · Fields Person Darlington Farmers Auction Mart 1
Trudy Herniman · Volunteer Farmerados 1
Zoe Seager · Deputy Director, Mental Health Policy and Delivery Department of Health and Social Care 1