We need to reduce the unfair and avoidable differences in the health and wellbeing of people living in our rural and coastal communities. This programme aims to uncover and understand the differing needs and demand within the rural and coastal communities within the East Riding of Yorkshire and then improve the current balance of need/supply/demand of health and social care services.

Rapid needs assessment

A rapid needs assessment has been undertaken which aims to introduce local needs, challenges and potential solutions across the rural, urban and coastal communities within the East Riding. The rapid needs assessment can be viewed and downloaded below.

Key points

Coastal Issues

Rural Issues

Employment and Economic Insecurity: Rural areas may face challenges related to seasonal employment, low wages, and limited job opportunities Chronic and Multiple Health Conditions: East Riding coastal communities have higher rates of chronic and multiple health conditions such as heart disease, diabetes, and respiratory conditions, often associated with lifestyle factors like diet and physical inactivity. With residents often experiencing more than one condition. Mental Health: Coastal areas can experience higher levels of social isolation, which can be a risk factor for mental health issues such as depression and anxiety. Seasonal fluctuations in employment, particularly in tourism-dependent areas, can also contribute to economic stress and mental health problems. Obesity and Poor Diet: Some of East Riding’s most deprived communities are coastal, along with the isolation / distance from main transportation routes access to fresh, healthy food options can be limited and therefore lead to poor dietary choices. This can contribute to higher rates of obesity and related health issues like diabetes and heart disease. Alcohol and Substance Use: Some coastal areas, particularly those with a history of fishing or tourism, often have higher rates of alcohol and substance abuse. Seasonal employment patterns, social isolation and generational deprivation can be contributing risk factors for alcohol or substance use. Smoking: Smoking rates in coastal communities are often higher than the national average, in part due to stressors associated with socioeconomic challenges. Smoking in Pregnancy rates are also often higher posing a challenge in offering children the best start in life as Smoking in Pregnancy can contribute to low birth weight, childhood asthma and the risk of stillbirth. Flooding and Climate Change: Coastal areas are vulnerable to the effects of climate change, including sea-level rise and increased flooding. These environmental factors can impact on health outcomes. Aging Population: East Riding’s coastal communities have an aging population, which can lead to increased health and care demands and the need for specialised services for older residents. Access to Health and Care Services: Many of East Riding’s coastal communities are remote and / or have limited access to secondary and tertiary healthcare facilities, making it challenging for residents to receive timely medical care. This will continue to impact on health outcomes as the populations living in our coastal communities age. Recruitment and retention of health and care workforce leading to reductions on services due to staffing shortages. Unemployment and Seasonal Employment: Seasonal, unstable and low paid employment can cause financial instability and a risk factor for poor health and wellbeing.

Access to Healthcare: Rural areas often have fewer secondary and tertiary facilities leading to longer travel times for medical appointments and delayed access to care. Recruitment and retention of health and care workforce leading to reductions on services due to staffing shortages. Aging Population: East Riding communities have seen an increase in older populations, which can increase the demand for health and care services and specialised care for conditions associated with aging. Mental Health: Social isolation and limited access to mental health services can be a risk factor for higher rates of depression, anxiety, and other mental health issues in rural areas. Access to Emergency Services: The distance to emergency services like hospitals and crisis services can lead to longer response times during medical and other emergencies, potentially impacting health and wellbeing outcomes. Transportation Challenges: Limited public transportation options can make it difficult for residents, to access health and care services, employment and other essential amenities.

Further information

• Ploughing through barriers: Understanding the challenges and promoting help-seeking in farming communities (Healthwatch North Yorkshire 2025)
• Tackling healthcare challenges in farming communities infographic document (Healthwatch North Yorkshire 2025)