DHSC fully recognises the importance of ensuring that NHS mental health services are accessible for rural communities. Work is already underway to support integrated care systems (ICSs) in providing rural communities with access to mental health services... For aspects related to prevention and promotion of good mental health, local public health teams in receipt of the public health grant in rural areas are best placed to develop services and solutions that reflect their geography. Not only can they co-produce localised solutions with their communities, but the majority of mental health services (especially those that are the first point of contact) are commissioned locally. The Office for Health Improvement and Disparities (OHID)’s regional teams already work closely with local areas to ensure local accountability through a range of reporting mechanisms and relationships. We therefore do not intend to launch a consultation as recommended by the Committee, but we will continue to ensure accountability through existing mechanisms.