The report, published by Professor Sir Chris Whitty, highlights Herefordshire's strong community networks, prevention-focused approach and partnership working as examples of how rural areas can improve health and wellbeing despite the challenges of geography, ageing populations and access to services.

Herefordshire is one of only eight council areas to be given a dedicated chapter in the report.

As one of England's most rural counties, Herefordshire faces a number of challenges identified in the report, including limited public transport, health inequalities, housing affordability, fuel poverty and digital exclusion. The report also notes that the county has an older-than-average population, with demand for health and care services expected to continue growing in the coming years.

The chapter highlights a number of initiatives helping residents stay healthy, independent and connected, including:

• Talk Community and its network of 75 community hubs.
• Supervised toothbrushing programmes in early years settings.
• Targeted and workplace health checks designed to reach people less likely to engage with traditional services.
• The Fit for Life programme, supporting people living with dementia.
• The One Herefordshire Health and Care Partnership and Community Integrated Response Hub.
• Neighbourhood Health pilots designed to bring services closer to local communities.

The report also shines a spotlight on Ledbury, highlighting how local organisations, volunteers and community groups work together to support residents through initiatives including volunteer transport schemes, community hubs, youth provision and Places of Welcome.

Zoe Clifford, Director of Public Health at Herefordshire Council, said:

"We're delighted that Herefordshire has been recognised in the Chief Medical Officer's report. The chapter reflects both the realities of delivering health and wellbeing support in a very rural county and the strength of the partnerships and communities that help people live well. From Talk Community and neighbourhood health to targeted prevention programmes, it shows what can be achieved when organisations and residents work together to improve outcomes."

Cllr Carole Gandy, Cabinet lead for Public Health, said:

"This national recognition is a real credit to staff, partners, volunteers and communities across Herefordshire. It highlights the innovative, practical work taking place across the county to help people stay healthier, more connected and independent, and shows what can be achieved when councils, health services, community organisations and residents work together to tackle the particular challenges of rural life.

"It also shines a welcome light on the important, but often unseen, role the council plays in protecting and improving the public health of the county. Much of that work is about prevention – creating the conditions that help people live well, supporting communities, reducing inequalities and intervening early before problems become more serious. That work happens every day, often quietly and in partnership with others, and this report is valuable recognition of its impact across Herefordshire."