The Bench Report

Student Mental Health in England: Navigating Support & Duty of Care

The Bench Report Season 2 Episode 16

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This episode explores the growing issue of student mental health in English universities. We look at how many students are affected, what factors contribute to poor mental health, and the debate around whether universities have a legal "duty of care" to their students. We discuss key court cases like Abrahart v University of Bristol and existing legal requirements like the Equality Act. We also cover government actions, university support services, and sector guidance aimed at improving student wellbeing and preventing tragedies.

Key Takeaways:

  • More students are reporting mental health issues, though surveys show even higher numbers.
  • Certain student groups face higher risks of mental health difficulties.
  • The legal question of a university's general duty of care to students is complex and hasn't been fully decided by the courts.
  • Universities do have legal duties under laws like the Equality Act 2010, requiring reasonable adjustments for disabled students.
  • Government and universities are working on initiatives, guidance, and funding to improve mental health support and suicide prevention.

Important Definitions and Concepts:

  • Duty of Care: A legal idea that someone has an obligation to take reasonable steps to avoid harming another person. Whether this fully applies to universities and their students is being debated.
  • Reasonable Adjustments: Changes universities must make for students with disabilities, including mental health conditions, so they aren't unfairly disadvantaged. This is required by the Equality Act.
  • Abrahart v University of Bristol: A court case that clarified universities' duties under the Equality Act for students with mental health conditions, but noted there wasn't a clear legal precedent for a general duty of care.

Discussion: Given the legal complexities and challenges universities face, how can they most effectively support students' mental health while respecting students' independence?

Source: Student mental health in England: Statistics, policy, and guidance
Research Briefing
Published Monday, 28 April, 2025

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No outside chatter: source material only taken from Hansard and the Parliament UK website.  

Contains Parliamentary information repurposed under the Open Parliament Licence v3.0....

Ivan

Welcome to The Bench Report. You're listening to Amy and Ivan. It's exam season and all the stress that comes with it.

Amy

And we're looking into how university students in England are doing with their mental health. We've gathered quite a bit of information showing how common these issues are becoming.

Ivan

And also what universities are actually doing about it and this interesting question of whether they have a legal responsibility here.

Amy

Exactly. That legal side is quite debated.

How widespread is the issue?

Ivan

So let's start with how widespread these issues are. What do the numbers tell us?

Amy

Well, the official university figures show quite a jump. If you look back at 2010-11, less than 1% of students disclosed a mental health condition.

Ivan

Less than 1%.

Amy

But fast forward to 2022-23, and that number is up to 5.8%. So a definite increase in what's being reported to universities.

Ivan

Well, you mentioned other data.

Amy

Yes, and this is where it gets quite striking. Confidential surveys paint a very different picture. Student Minds did one in And what did

Ivan

that find?

Amy

It found 57% of students self-reported having a mental health issue, and 27% said they actually had a diagnosis.

Ivan

57%? Yeah. That's more than half. A huge difference from the official 5.8%.

Amy

It really is. It suggests maybe that students are more willing to share anonymously than formally declare it to their university. Or perhaps the university figures only capture those needing formal support adjustments.

Ivan

And what are the consequences when students are struggling like this?

Amy

We see it impact their studies, certainly. Poor academic performance, sometimes dropping out altogether. And in the most tragic cases, self-harm and even suicide.

Ivan

Are certain groups more affected? You mentioned some recent data.

Amy

Yes, the 2023-24 data does show some patterns. Women report issues at more than double the rate of men, 7.2% versus 3.3%. Undergraduates seem more affected than postgraduates, full-time students more than part-time, and it seems to hit harder from the second year onwards.

Ivan

And UCAS data backed that up?

Amy

Broadly, yes. Their 2024 figures also flagged higher rates for women and, interestingly, students in their 20s.

Ivan

Other surveys seem to echo this, too.

Amy

They do. Sybil found 56% experienced difficulties in 2024. with higher rates among mixed ethnicity and LGBTQ plus students. And the Student Academic Experience Survey, also 2024, highlighted bisexual and lesbian students. And again, that big gap between female and male students.

Ivan

So what are the underlying factors contributing to all this?

Amy

It's a mix of things. For many, it's that big transition, leaving home, maybe for the first time, leaving established support networks.

Ivan

That makes sense.

Amy

Then you have the academic pressures, financial worries, which seem to be getting worse with the cost of living crisis. Several Surveys flagged that specifically.

Ivan

Right. The cost of living is huge right now.

Suicide rates

Amy

Absolutely. And we can't forget the pandemic. NUS, ONS, student minds, they all found COVID had negative impacts, things like isolation, increased anxiety. It cast a long shadow.

Ivan

Let's shift slightly to the very difficult topic of suicide rates. Yeah. What does the data show there?

Amy

The rates have fluctuated. There was an increase up until the 2017-18 academic year,

Ivan

but

Amy

then they fell in the following two years, 2018-19 and 2019-20.

Ivan

And how do they compare to, say, other young people?

Amy

Importantly, the rate for students is lower than for the general population of similar age. In 2019-20, it was around 3.0 deaths per 100,000 students.

Ivan

Lower. Okay. Are there demographic differences within the student population itself?

Amy

Yes. Looking at the period 2017-18 to 2019-20, rates were higher for male students about 5.6 compared to 2.5 for females per 100,000.

Ivan

So more than double for male students.

Amy

Correct. And generally higher for older students, although there was also a higher rate noted for younger first-year students, which is concerning.

Ivan

But the numbers are small overall.

Amy

Exactly. The ONS always cautions that because the absolute numbers are relatively small, it's hard to detect statistically significant changes year on year. We need to be careful interpreting fluctuations.

Ivan

And is there a clearly link between these tragic cases and known mental health issues? Could universities have known?

Amy

That's incredibly difficult. A report back in 2017 looked into student suicides and found only about 12% were known to university counseling services beforehand.

Ivan

Only 12%? That's quite low.

Amy

It is. It highlights a real challenge in identifying and reaching students who might be at risk but aren't seeking help through official channels.

Ivan

Which brings us squarely to that legal question.

Amy

Yeah.

Ivan

Do universities actually have a formal legal duty of care for student mental well-being?

Amy

This is a really hot topic right now. And honestly, it's still quite ambiguous legally. The government itself admitted in March 2023 that it hasn't been widely tested in the courts.

Ivan

There was that Bristol case, wasn't there? Eberhardt.

Amy

That's the key one. Eberhardt v. University of Bristol. In the initial 2022 judgment, the judge explicitly stated there was no statute or precedent establishing a general duty of care on universities to prevent psychiatric injury. But

Ivan

it went to appeal.

Amy

It did in 2024. The appeal court upheld the finding of disability discrimination under the Equality Act, which is significant in itself. But crucially, it didn't make a definitive ruling on that broader common law duty of care question.

Ivan

So still no firm answer there.

Government position

Amy

Not on the general duty. No. Some in the legal and university sectors argue a duty could exist in specific situations depending on things like control, foreseeability, the relationship. But it's not automatic.

Ivan

What's the government's latest thinking?

Amy

Well, in January 2025, the government positions seemed to shift slightly. They said a duty of care may arise, but it would be for the courts to decide based on the specific facts of a case and common law principles.

Ivan

So leaning more towards maybe than definitely not.

Amy

Perhaps. It's definitely different from the previous government stance, but they stopped short of proposing a new statutory duty. There was a petition for that, but it was rejected in 2023.

Ivan

Why was it rejected?

Amy

The government argued a general duty already exists in common law where appropriate, and the university sector was largely against a new specific law too, perhaps worried about the implications.

Ivan

So aside from this debated general duty, what laws do apply?

Amy

Oh, universities absolutely have existing legal obligations, health and safety law, safeguarding duties, and critically, the Equality Act 2010. That requires them to make reasonable adjustments for students with disabilities, which includes many mental health conditions.

Ivan

And reasonable adjustments can cover quite a lot.

Amy

Yes. Things like adjustments to assessments, deadlines, maybe different accommodation. There was also another case, Federer McCamish in 2023, that established a duty to reasonably investigate allegations like sexual assault. So specific duties are definitely there.

Government support / Student Space

Ivan

Okay. So while the big duty of care question mark remains, universities and the government aren't just sitting back. What support is being put in place?

Amy

The government's approach seems focused on funding initiatives, promoting best practices, setting up task forces. There's a task force specifically looking at identifying needs, finding common principles, developing sensitive data policies.

Ivan

And reviewing suicides.

Amy

Yes. A national review of HE suicides is underway. The Office for Students, the It's also active funding projects, providing guidance, supporting platforms like Student Space.

Ivan

I've heard of Student Space.

Amy

It's a dedicated resource hub. They're also really pushing the university mental health charter, trying to get universities signed up to a whole institution approach. About 90 percent of English students are now at universities participating in that.

Ivan

And disabled students allowance.

Amy

That's still there. Yes. DSA helps cover extra costs students face due to a disability, mental health condition or learning difficulty.

Ivan

And what are universities doing on the ground?

Amy

Most offer a range of services, well-being teams, counseling, disability support. Many also now have specific suicide prevention strategies.

Ivan

Are there guidelines for them?

Amy

Yes. Sector bodies like Universities UK have developed guidance. They work with PAPE-RS on a suicide safer universities framework that covers things like postvention support after a suicide and sharing information with trusted contacts, with student consent, of course.

Ivan

And support for students on placements too.

Amy

Yes, that's included. UK also has its step change framework for that whole university approach we mentioned and Student Minds developed a mental health charter itself. There's also a specific disabled students commitment.

Ivan

It sounds like there are lots of frameworks and initiatives. What about student led efforts?

Transparancy

Amy

They're crucial. Groups like Nightline provide confidential listening services run by students for students. Student Minds has campus groups and Students Against Depression offers resources too. Peer support is really One

Ivan

last point, transparency. There were calls for universities to publish their own suicide stats, weren't there?

Amy

Yes, but UUK pushed back, arguing that official statistics are already compiled by the ONS using coroner's reports, which are public record, and that university-level data could be misleading or distressing without proper context.

Ivan

And the government?

Conclusions

Amy

The government has said it has no plans to legislate to force universities to publish these numbers individually.

Ivan

So wrapping this up, it feels like student mental health is clearly a major issue, with reported cases rising, even if the overall picture is complex.

Amy

Definitely. Universities are certainly grappling with the scale of the need and their precise responsibilities, especially the legal ones.

Ivan

But there's a lot happening. Government funding, sector guidance, university services, student initiatives, all trying to improve support.

Amy

Exactly. It's a developing landscape, legally and practically, understanding all all these different facets is key.

Ivan

As always, find us on social media at Bench Report UK. Remember, politics is everyone's business. Take care.

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