We examine the ethical and operational challenges of Green Social Prescribing (GSP) within the UK mental health system. Despite growing policy enthusiasm, GSP is currently underpinned by limited evidence, inadequate infrastructure, and inequitable access. We argue that without addressing these issues, GSP risks reinforcing health inequalities and undermining patient trust.
Key concerns include:
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A weak and inconsistent evidence base for GSP’s effectiveness
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Lack of referral and outcome tracking systems within the NHS
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Structural barriers to green space access for marginalised groups
We propose clearer communication with patients, national infrastructure reform, and policies grounded in collective responsibility to support ethical implementation.