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This paper highlights some key actions social workers can take to help improve the physical health of people living with mental illness. Despite an 80% comorbidity rate, many people living with mental illness still do not receive a physical health check-up. For this and other reasons, people living with mental illness die, on average, 10–20 years prematurely. This early death is usually preceded by years or decades of poor health. Using a collective impact approach, this paper discusses actions to increase autonomy, advocate for better access to quality physical health care, and minimise iatrogenic harm for people living with mental illness. IMPLICATIONS This paper highlights the key opportunities for social workers to improve the physical health of people living with mental illness. Using a collective impact approach, it highlights the vital role social workers can play in enacting the essential elements of the Equally Well national consensus statement, such as advocating equity of access to physical health care services, supporting quality care, and reducing stigma and discrimination for people living with mental illness. [ABSTRACT FROM AUTHOR]

People diagnosed with mental illness have relatively poor physical health and die earlier than their counterparts in the general population. People living with mental illness in rural Australia have three times the risk of premature death than the total population. This article reviews recent international, Australian and New Zealand research, identifies the increased risk of early death of people living with mental health issues in rural settings and looks at the need for policy and practice responses. The 'Equally Well' national initiatives are described in Australia and New Zealand, which seek to systematically address this inequity as a matter of priority. Finally, it argues for co‐design and consumer participation in policy development, program implementation and research. Improved understanding of the perspectives and priorities of people with experience of mental illness is vital if change is to be fully realised. [ABSTRACT FROM AUTHOR]