In regards to HSJ's 2 August article on care farming, it is well worth exploring Dr Dixon’s suggestions for the new ‘farmacy’ and looking at what other countries have done for decades.

I visited the Havana Psychiatric Institute in 1976. At the time, it cared for 3,000 inpatients (not a model we would want to follow) and the huge grounds were full of greenhouses, outdoor gardens, art studios and galleries. The patients provided a huge share of the wholesale floral and vegetable produce for the city of Havana at that time. It was impressive.

Susan Rautenberg is head of planning and partnerships at the children's and maternity services unit at Leeds primary care trust.