This final chapter summarises themes which recur repeatedly when considering mental health in UK universities. It identifies seven key issues in determining the overall mental health of university communities in the UK: transitions, the need to belong, finance, routine and structure, social media, mental illness and intoxication. The rest of the chapter considers their importance and their interactions in the context of many significant changes in both the nature of universities themselves and in current attitudes to the nature of mental health and disorder. It is emphasised that the wellbeing and mental health of staff is also of concern and must be addressed if universities are to achieve their aspirations. The book concludes with a call for thoughtful action, rather than suggesting ‘quick fixes’, and appreciates the potential for mental well-being and human development in university communities.