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

8 items
10 Conclusion Fourth Report - Rural Mental Health Rejected

DEFRA's prioritisation and resources for rural mental health policy remain unclear

Although DEFRA is clearly responsible for working with the Department for Health and Social Care (DHSC) to ensure mental health policy and services are rural proofed, it is unclear what priority, resources and energy DEFRA has assigned to achieving impact in this area. The NHS Long Term Plan and Mental … Read more

Government response AI summary
The government acknowledges the importance of rural proofing health policy and inter-departmental collaboration but rejects the idea of a joint Defra/DHSC rural mental health policy and delivery team, stating existing channels are more effective. It confirms the Rural Wellbeing Framework is not intended for measuring …
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Department for Environment Food and Rural Affairs
11 Recommendation Fourth Report - Rural Mental Health Rejected

Establish a national working group and set targets to improve rural mental health outcomes

DEFRA has produced a welcome framework and associated guidance for rural proofing policy but, for instance, claimed close working with DHSC and NHSE 78 Rural Mental Health over the new 10-year cross-government Mental health and wellbeing plan has not so far resulted in a single reference to rural priorities (rather … Read more

Government response AI summary
The government rejects the recommendation for a new joint DEFRA/DHSC rural mental health team and a national working group, preferring existing collaborative channels and a new Mental Health Impact Assessment Tool. It also rejects consulting on using the Rural Wellbeing Framework for measuring rural communities' …
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Department for Environment Food and Rural Affairs
15 Recommendation Fourth Report - Rural Mental Health Rejected

Open up NHS access for rural veterinary community, supporting flexible appointments and appropriate digital provision.

The NHS also needs to open-up access to the rural veterinary community to reflect restrictions on their ability to attend appointments, and support people who need to Rural Mental Health 79 continue practising. Better digital provision could improve service access but must not be the default offer to rural communities, … Read more

Government response AI summary
The government highlights existing support initiatives for the veterinary profession but states there are no plans to commission a specific training programme for rural NHS staff. It promotes existing digital and remote access options for mental health services as beneficial for rural communities.
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Department for Environment Food and Rural Affairs
17 Recommendation Fourth Report - Rural Mental Health Rejected

Issue call for evidence on ICS effectiveness for rural mental health services by March 2024.

We recommend the joint rural mental health policy and delivery team issue a call for evidence on the effectiveness of the ICS-model for providing rural communities with access to mental health services and publish its findings with proposals to address any shortcomings, by the end of March 2024. The team … Read more

Government response AI summary
The government rejects launching a call for evidence or setting national targets related to the ICS model for rural mental health, stating it does not align with NHS England's new operating model of local accountability. It reiterates that work is already underway through ICSs and …
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Department for Environment Food and Rural Affairs
18 Recommendation Fourth Report - Rural Mental Health Rejected

Consult on proposals to expand preventative mental health support for rural children and young people.

Child and Adolescent Mental Health Services (CAMHS) have been under intense pressure for many years, but a lack of alternative rural social infrastructure and a fall in support for youth services means CAMHS is often the “only show in town”. However, focussing on providing ‘reactive’ mental health services will only … Read more

Government response AI summary
The government outlines its existing rollout for Mental Health Support Teams (MHSTs) but does not commit to expanding provision to 100% of rural schools by 2026/27. For Early Support Hubs, it has commissioned a longitudinal study but does not commit to establishing and funding them …
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Department for Environment Food and Rural Affairs
19 Recommendation Fourth Report - Rural Mental Health Rejected

Identify farming and veterinary mental health as priorities and develop specific NHS staff training.

It is very important for the farming and veterinary communities to feel that their circumstances are understood by NHS staff when seeking to access, or receiving, support (otherwise this may work against help-seeking behaviours). Charities with specialist-knowledge can gain people’s trust from a position of credibility, so it makes sense … Read more

Government response AI summary
The government recognizes the importance of mental health for farming and veterinary communities but explicitly rejects developing a work programme with specific measures and targets, citing misalignment with NHS England's operating model. It also states there are no plans to commission a specific training programme …
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Department for Environment Food and Rural Affairs
24 Recommendation Fourth Report - Rural Mental Health Rejected

Establish dedicated funding stream for rural communities' mental health needs during crisis events.

We recommend that by the end of this year, 2023: a) DEFRA and DHSC, working with all relevant public health, environmental and first responder stakeholders, assess the readiness of local plans for crisis events, and commence consultations on upgrading local preparedness for rural populations’ mental health, and b) HM Treasury, … Read more

Government response AI summary
The government rejected the recommendation to establish a dedicated rural mental health funding stream, stating there are no such plans. While acknowledging the need for close planning and provision of support, the response did not commit to assessing the readiness of local plans or commencing …
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Department for Environment Food and Rural Affairs
26 Recommendation Fourth Report - Rural Mental Health Rejected

Fund and roll-out Mental Health First Aid training for front-line staff supporting farmers.

We hope that DEFRA’s attempt to reduce regulatory stress is a positive change in cultural practice. However, encouraging and investing in Mental Health First Aid (MHFA) training for people dealing with farmers is a pre-requisite to ensure they are skilled and able to signpost to mental health support. We recommend … Read more

Government response AI summary
The government did not commit to prioritising mental health support as a key deliverable within the Farm Resilience Fund, instead noting its indirect positive impact and current signposting services. It rejected developing an implementation plan to fund and roll out Mental Health First Aid training, …
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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