
Biodiversity loss is one of the most urgent environmental challenges of our time. The 2023 State of Nature report highlights a stark reality: the UK has experienced a 19% decline in species abundance since the 1970s, leaving us as one of the most nature‑depleted countries in the world. With less than half of our biodiversity remaining, and insect populations declining at 2.5% per year, the impact on pollinators, ecosystems and ultimately food production is profound.
Within health and care, the natural environment plays an essential role in supporting physical and mental wellbeing. With more than 5,165 hectares of NHS estate across England, the health system is uniquely positioned to help restore nature while creating healthier places for staff, patients and communities.
In 2025, trusts across the North East and North Cumbria (NENC) region came together to take tangible action – by joining No Mow May.
No Mow May encourages organisations and households to pause mowing for a month and allow grass and wildflowers to flourish, providing much‑needed habitat for bees, butterflies and other pollinators.
For NHS estates – often large, diverse and located in both urban and rural areas – this small shift can have a powerful environmental and wellbeing impact.
From May to September, NENC trusts selected suitable areas, guided by Rewilding and Biodiversity Action Plans, to allow natural growth to take place. Clear signage, internal communications and engagement with staff and visitors were key to helping communities understand the purpose of the change and the benefits it delivers.
By letting grasslands and wildflowers grow, trusts:
This work not only benefits wildlife – it also enhances the experience of people using NHS sites. Access to nature is proven to support recovery, relieve stress and improve general wellbeing.
1. Patient care
2. Financial savings and efficiencies
3. Footprint reduction
While exact emissions savings are difficult to measure, the environmental benefits are clear:
Interest across the region is high, with strong enthusiasm from staff, biodiversity groups and local site teams. However, several challenges remain:
Key barriers identified
To move from small‑scale success to widespread, lasting change, targeted leadership support is crucial.
To build on the success of No Mow May 2025 and scale biodiversity action across NHS estates, the following support is required:
No Mow May demonstrates how small, low‑cost actions can drive meaningful environmental and health improvements. By embracing nature‑friendly practices, NHS organisations can nurture healthier spaces for patients, staff and wildlife – while contributing to a greener, more resilient health system.
If supported and scaled, biodiversity initiatives like this have the potential to transform the NHS estate into a vast network of thriving, restorative natural environments.