Abuse and Deaths in Secure Mental Health Units

Baroness Berridge Excerpts

Wednesday 9th November 2022 Lords Chamber

[Lord Markham (Con)]

I thank my noble friend for the work that she and others are doing in this space. I agree that we need to respond rapidly. As I said, this is very high on Minister Caulfield’s agenda, and I assure my noble friend that we will be looking to respond quickly.

[Baroness Berridge (Con)]

My Lords, I am also serving on the Joint Committee mentioned by my noble friend. We received evidence that the highest rate of mortality for those held in custody between 2016 and 2019 was among those held under the Mental Health Act. If you die in a prison or an immigration centre, there will be an independent investigation under the Prisons and Probation Ombudsman, and if you die in police custody, the IOPC will investigate. There is no independent investigation should you die while detained under the Mental Health Act. Is that not a lacuna that the Government could look into in relation to deaths while being detained under the Mental Health Act?

[Lord Markham (Con)]

My noble friend raises a good point. My understanding is that the rapid review that we seek to put in place would involve an independent chair, because independence is key in this area. On the detail of whether that should be the case for every death, I will take back that point and respond to my noble friend.

Queen’s Speech

Baroness Berridge Excerpts

Tuesday 22nd October 2019 Lords Chamber

[Lord Bassam of Brighton (Lab)]

My Lords, given that the Queen’s Speech was little more than a poorly disguised election gimmick, it is surprising that there were no new proposals for legislation or policy on education, never mind higher education. To recap: the Government have failed to respond to the Augar review, published in May 2019, or to bring forward their own proposals for a sustainable model for HE funding. The Conservative-led coalition Government trebled tuition fees, overseeing a system in which the average student now graduates £50,000-plus in debt, while students from the most disadvantaged backgrounds graduate with an average debt of some £57,000. The system urgently needs to be reformed. Labour has committed to scrapping university tuition fees so that education is genuinely free for all and students do not face the prospect of a lifetime of student debt simply for seeking a decent education.

On HE funding, this is all the Government have to say:

“We are committed to making sure that higher education funding reflects a sustainable model that supports high quality provision, maintaining our world-leading reputation for higher education and delivering value for money for both students and the taxpayer”.


In a nod to parental concerns about what good value looks like, they added:

“We want to ensure we deliver better value for students in post-18 education, have more options that offer the right education for each individual, and provide the best access for disadvantaged young people”.


As part of a search for the safety of the long grass, they added finally:

“We are undertaking a review of post-18 education to ensure we have a joined-up education system that is accessible to all”.


Who can argue with much of that? However, it is clear that the current funding system is not working for students, nor for those in FE and HE providers.

Meanwhile, universities are struggling to manage the impact of successive real-term cuts in their budgets. In the face of wage inflation and increasing pension contributions, not only does this have an impact on teaching, vital services and staffing, as costs outpace income, but it also makes forward investment planning more difficult, storing up problems for future generations and for students themselves. The system urgently needs to be reformed, yet the Queen’s Speech made no reference to the Augar review—no doubt in fear of raising expectations that cannot be met, as I said.

At the time, the previous Education Secretary promised that the Government would,

“come forward with the conclusion of the review at the end of the year, at the spending review. That has always been the plan”.—[Official Report, Commons, 4/6/19; col. 58.]

In the absence of the Government’s response to the Augar review, will the Minister set out a timetable for bringing forward proposals? Surely we have waited long enough. Universities need us to end the uncertainty, not least because our universities have to compete for students in a global market to ensure funding.

On widening participation, the Government say that they want to,

“provide the best access for disadvantaged young people”.

However, their decision to abolish grants worth £3,500 and replace them with additional loans that will have to be repaid was a mistake—a mistake that has left some of the poorest students saddled with a lifetime of debt. The Queen’s Speech was an ideal opportunity for the Government to announce the reinstatement of grants and a policy that would have been warmly welcomed across the House. It is therefore disappointing to see such a glaring omission at a time when income disparities are rising and are at their widest ever. In visiting universities over the past few months, I have been impressed by the steps that many of them are taking to change their demographic and widen participation. Birmingham is a particularly good example, with its dedicated support to students from hard-to-reach communities. Why are the Government not making this happen as standard?

Immigration policy is also an area of concern for the higher education sector, given that universities are dependent on overseas students for financial support and because of the tie-ups on international research projects. The Government’s Queen’s Speech pledged to introduce,

“a more accessible visa system to attract global scientific and research talent”.

This rings a bit hollow. It is worth reminding ourselves that 12% of the world’s international students attend UK universities and, as other Peers have noted, four of the top 10 global universities are here in the UK. We welcome the Government’s policy on work-study visas offering international students a two-year visa after graduation, up from the absurd situation they inherited under Theresa May. Can the Minister advise us of when the new system will come into play? Will it apply to entrants starting in 2020 or for students who are currently here, and how has this change been promoted? Given that the restrictions on post-study work visas was blamed for a drop in international student enrolments, communicating the U-turn will be key to reversing this trend by ensuring that prospective overseas students see the UK as a possibility.

On research and development, the Government said that they would be setting out plans in the autumn to significantly raise and boost public R&D funding. The statement has attracted support, but the other statement on introducing a US-style advanced research projects agency has alarmed the research community as it seems to miss the key point about research in UK universities. We need stability and certainty, something which at present is sadly missing. According to the Royal Society, since 2015 funding for Horizon 2020 has fallen by 28%, or €0.5 billion, and UK applications have dropped by a third. It is understandable that leading researchers do not want to gamble with their careers when they have no sense of whether the UK will be willing and able to maintain its global scientific leadership.

Through the Queen’s Speech, the Government announced plans to create a UK equivalent of the US Defense Advanced Research Projects Agency and to cut down on research funding bureaucracy. Over the past two years, UK scientists have already witnessed a huge reshaping of the funding landscape with the formation of UKRI. With this in mind, how will such a new body complement the work of UKRI? Moreover, does the Minister share our concerns and those raised by academics that the research and innovation communities—

[Baroness Berridge (Con)]

My Lords, the noble Lord has spoken for more than six minutes.

[Lord Bassam of Brighton]

I am conscious of that and I am coming to a close. Does the Minister share our concerns and those raised by academics about the creation of a new and different process running alongside the current one?

Finally, we have uncertainties about the future of research funding in the universities that help to drive the innovation that is vital to our economy. This fictional Queen’s Speech is a missed opportunity to answer hard questions—questions that will not go away.

Alcohol Abuse

Baroness Berridge Excerpts

Thursday 30th March 2017 Grand Committee

[Baroness Berridge (Con)]

My Lords, I thank the noble Lord, Lord Brooke, for his persistence in keeping the matter of alcohol abuse on the parliamentary and government agenda.

Evidence and reports abound on this matter. Public Health England did a thorough evidence review in 2016, the Government’s alcohol strategy was issued in 2012 and there are numerous reports detailing the cost to the NHS, which has been outlined as £3.5 billion a year. Last year there was an excellent report by the APPG on Alcohol Harm called The Frontline Battle about the huge burden on the emergency services caused by alcohol misuse. However, there is precious little mention in these reports—or, therefore, praise or policy from Her Majesty’s Government in this regard—of how alcohol and its use varies in religious and ethnic minority communities, the Joseph Rowntree Foundation report in July 2010, Ethnicity and Alcohol: A Review of the UK Literature, being a notable exception.

What is known is that in many ethnic minority communities the rates of abstinence are higher. According to the Public Health England evidence review that I have mentioned, 15% of white women, 38% of black women and 74% of British Asian women abstain completely. There are many reasons for this, including the physiological. According to the Berkeley university well-being project, it is very common in people from Chinese, Japanese and Korean backgrounds to have difficulty digesting alcohol because of a genetic variant that impairs the production of an enzyme that helps to metabolise alcohol in the liver. Within religious communities such as the Latter-day Saints, Muslims, the Salvation Army and Methodists, and for many within the black Pentecostal churches, refraining from alcohol is advocated, which may explain the lower levels of alcohol consumption in the British black and black Caribbean communities.

While the main government messaging needs to remain around drinking sensibly as this is the majority activity, the lack of commendation by the NHS and government Ministers of religious and ethnic minority communities, particularly Muslims, who refrain is remiss. Having taken part in the parliamentary police service scheme and been out on a Friday night on Shaftesbury Avenue, it is not people in obvious religious attire such as Muslim women or Salvation Army leaders that you see literally in the gutters and then appearing at A&E—a fact that is just not mentioned. These religious and ethnic minority communities are indeed ahead of the curve as they are in tune with the rising number of young adults, the millennials, who drink in moderation or do not drink at all.

Studies have shown that where there are young adults in a college setting with a significant number from a black or minority ethnic community, overall the young people in that group drink less. It has an effect of good peer pressure within the group. Yet the lack of evidence is serious as without it there are none of the bespoke policies needed to help those in these communities who drink. There is evidence that when such people drink they do so at higher levels, hidden away and facing barriers to accessing the help they need from the NHS. Also, if you drink without the enzyme to break down alcohol there are greater health risks and a higher incidence of hypertension. I have not seen any awareness of this within the NHS.

A national piece of work, looking at the evidence and policies in Yorkshire mill towns, city centres such as Birmingham, Chinatown and boroughs such as Lambeth is well overdue. It would show how much ethnic minorities save the National Health Service but also any deficiencies so that people could then access services they need. Perhaps religious leaders could also help bring down the barriers for communities when they need to access other professional services.

Mental Health and NHS Performance Update

Baroness Berridge Excerpts

Monday 9th January 2017 Lords Chamber

[Lord O'Shaughnessy]

I thank the noble Baroness for her question. She is absolutely right: millions of people across the country care for a relative who has some care need, be it a spouse, somebody at retirement age or a child with mental health problems. I do not have the specific details to answer her question; I shall write to her with those details—but through the social care reforms being delivered by local authorities and the reforms going forward through the five-year forward view in community health, there is more focus on that ground-level support, in a way that is much more difficult to do from Whitehall. So we are seeing through the early drafts of the STPs—one of the new bits of jargon that I have had to learn—ideas for how to provide family support that goes beyond the statutory support that is available through the benefits system or the community health system.

[Baroness Berridge (Con)]

My Lords, I welcome my noble friend to his new role and welcome particularly his comments on the parity in practice, as well as in law, of mental and physical health. I welcome the Government’s commitment of money and the Green Paper on young people’s mental health. Can my noble friend please comment on whether there will be a focus on the disparities of outcomes that persist for many in the black and minority ethnic community, who are often diagnosed late, are more likely to be detained for their condition and overall suffer poorer outcomes as a result in mental health? Could some focus be given to these issues of disparity?

[Lord O'Shaughnessy]

I thank my noble friend for her warm welcome. I take that point very seriously. Clearly, parity of esteem is no good unless it is applicable to everybody who is suffering from a particular illness. I am not fully aware of the details of the nature of the disparity with black and minority ethnic families but, if there is a problem, making sure that we fulfil this ambitious and I hope welcome strategy is going to make sure that we can lift performance of those services for people in minority ethnic groups.

HIV Diagnosis: Clinical Guidance

Baroness Berridge Excerpts

Thursday 1st December 2016 Lords Chamber

[Baroness Berridge (Con)]

My Lords, one of the largest groups within the population who have got this disease through heterosexual transmission is the British black African community—men and women. There are 30,000 cases there. As of last year, estimated undiagnosed cases were increasing within this population. Can my noble friend the Minister please outline what initiatives are specifically aimed at raising awareness and avoiding the late presentation prevalent among that community? In particular, as many in that community are members of faith institutions, what is being done to engage them in raising awareness?

[Lord Prior of Brampton]

The black African community, male and female, is a group especially vulnerable to HIV, as identified in the work done by NICE. It is a part of the population where special efforts must be made to increase early testing. The work done by the Terrence Higgins Trust in the MARPs programme has also identified that community as extremely important. I think we will see greater targeting of the about 13,000 people in the population who are living with undiagnosed HIV.

Health: Black and Minority Ethnic Psychiatric Patients

Baroness Berridge Excerpts

Monday 29th February 2016 Lords Chamber

[Lord Prior of Brampton]

The noble Baroness makes a very important point and that is why the Prime Minister has asked David Lammy to conduct an inquiry into this precise issue. In his recent report, the noble Lord, Lord Crisp, recommended that there should be a patients and carers race equality standard. The Five Year Forward View for Mental Health, produced recently by Paul Farmer, recommended an equalities champion. I hope that we will be able to do both those things in the near future.

[Baroness Berridge (Con)]

My Lords, the Minister of State, Alistair Burt, said earlier this month that he would be meeting a wide range of stakeholders to look at BME groups and their unequal access to mental health services. Will the Minister confirm that those stakeholders will include faith community leaders? Black and minority ethnic people are also disproportionately members of faith communities. If those leaders could be trained in recognising the early signs of mental illness, perhaps more people would be referred earlier to the mental health services that they need.

[Lord Prior of Brampton]

My Lords, I will certainly have a word with Alistair Burt, the Minister of State for Health, who is having the meeting to which the noble Baroness referred. I will bring her comments to his attention.