Autism Community: Mental Health and Suicide

Baroness Laing of Elderslie Excerpts

Thursday 30th November 2017 Commons Chamber

[Several hon. Members rose—]

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Order. As the House knows, we have limited time this afternoon, so we have to start with a time limit of seven minutes for Back-Bench speeches.

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[Several hon. Members rose—]

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Order. I do not criticise the hon. Lady for having taken interventions—that is the stuff of debate, and a lot of people want to intervene—but it means we now have to go down to five minutes per person.

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[Thangam Debbonaire (Bristol West) (Lab)]

I thank the Backbench Business Committee for bringing this debate before us and the hon. Member for East Kilbride etc. (Dr Cameron) for leading on it. I also wish to say a special thank you to Mr Speaker and Mrs Bercow, who have done so much to support autism awareness in the House and beyond, particularly through their support for the National Autistic Society.

I should make a declaration of personal interest: I have a young cousin on the autistic spectrum, and I am married to someone who runs a special educational school for people with autism. My constituency team has also prioritised making Bristol an autism-friendly city. We have made a start, but we have more to do. We have held a training event for employers on how to make reasonable adjustments in recruitment and employment practices, and have had training for my team and made some adjustments ourselves.

That matters because unemployment is unacceptably high among people with autism, which contributes to mental ill health. According to the National Autistic Society, only 16% of adults with autism are in full-time paid work, and only 32% are in some kind of paid work, compared with 47% of disabled people and 80% of non-disabled people, and we know that unemployment affects mental health and self-esteem. The Government have committed to halving this autism employment gap by the end of this Parliament. In the interests of the mental health of people on the autistic spectrum, I urge the Minister to urge her colleagues to do everything they can to meet that much-needed target.

I have heard from schools in my constituency that funding pressures are affecting their specialist provision for children with special educational needs and mental health problems. Some families have told me that they have experienced effective or partial exclusion from school because of a lack of understanding of autism or of specialist support. That in turn leads to further mental health problems and is exacerbated by a lack of autism-focused specialist mental healthcare and high demand for mental healthcare generally. They have also told me of brilliant support and help from some teachers and schools, but they have fears about staff changes and worries about funding.

I have talked to public venues about what they can do with the help of the National Autistic Society and others to make themselves more autism-friendly. It cannot be acceptable that, according to the Royal College of Psychiatrists’ briefing for this debate, autistic people are more than seven times more likely than non-autistic people to commit suicide and that so many young people on the spectrum have at least one anxiety disorder. None of us wants to accept this, and we do not have to, and there is much we can do.

As I have said, my team has made autism a priority. In association with the fantastic Bristol Autism Support service and the local branch of the National Autistic Society, we recently held what we think was the country’s first MP constituency surgery specifically for adults with autism and parents of children on the autistic spectrum. I encourage all colleagues to do likewise, and I am happy to talk to them about how we did it. It meant that adults with autism and the parents of children with autism could come and tell us about challenges they faced with simple things such as transport and public spaces, as well as housing and employment, all of which affect mental health.

I am not going to repeat things that hon. Members have already said, particularly the hon. Member for East Kilbride, Strathaven and so on—I am so sorry, I cannot pronounce the last bit.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Lesmahagow.

[Thangam Debbonaire]

Thank you, Madam Deputy Speaker.

The hon. Lady comprehensively listed recommendations that I urge the Minister to follow. I will finish by recommending two things. First, I suggest that hon. Members who care about autism and the 1% of our population who are on the autism spectrum consider, as I have done, asking a member of staff to champion that cause. I work closely with my member of staff, Councillor Mike Davies, who is our local autism lead on the council and within my own team. He has patiently taught me a great deal about how to make Bristol a truly autism-friendly city. We have a lot more to do, but I know that, with someone like Mike, I will be able to do much more than I would otherwise have done.

Secondly, I would like us to take a leap. In the House restoration and renewal programme, we could decide to work with the National Autistic Society to make this place autism-friendly. Doing so would help not just people on the autistic spectrum, including children and their parents, but all of us. It would make the place calmer, more welcoming and truly more accessible for everyone. It would be the mother of Parliaments leading by example to the rest of the country so that we can truly make the United Kingdom autism-friendly and address the chronic levels of mental ill health and suicide risk for people on the autism spectrum. I recommend that colleagues consider the suggestions that have been made by me and my team, and by others in this House.

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[Patricia Gibson]

I absolutely agree with the hon. Lady’s excellent point. Should such a tragedy occur and a suicide take place, it is important that the family is supported through that as much as possible.

Some 70% of autistic people are reported to have mental health disorders, such as anxiety or depression. As we have heard, suicide is one of the leading causes of death in the autism community, and that alone tells us that this issue demands our attention. As the hon. Member for Blaydon (Liz Twist) pointed out, diagnosis is important because it should be the foundation on which effective support for autistic individuals and their families is built. Similarly, a delay in diagnosis can hinder effective support and prevent intervention strategies from being put in place.

The National Autistic Society Scotland reported in 2013 that 61% of those it had surveyed said they felt relieved when they received a diagnosis, because such a diagnosis can end years of feeling misunderstood and isolated. We have talked a lot about this as a UK issue, but as a Scottish MP, I want to mention the Scottish Government’s strategy for autism. The strategy, which is based on research, is working to improve waiting times for diagnosis and assessment to create consistent service standards across Scotland, and is providing training opportunities. The entire autism spectrum needs to be addressed, as well as the whole lifespan of people living with autism in Scotland. This is the logic behind this autism strategy, so it is a very positive step.

We have heard about initiatives such as autism hours in supermarkets and special autism-friendly cinematic screenings, and these are all very important and positive steps. There is a greater awareness and understanding of autism in this country but, as we have recognised today, we still have a long way to go. I will end by saying that we often think of those with autism as finding it difficult to see the world as we see it, but the truth is that we need to see the world as they see it, because if we do so we may then be able to start to make real progress.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

I call David Linden.

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[Dr Cameron]

This has been a wonderful debate. It has been truly cross-party and collegiate, and we must work together to improve the lives of people across the autistic spectrum and the services that we provide for them. This is about lifespan, so it involves a number of services for all aspects of the lifespan. It is also about streamlining the transfer from child to adult services. This is a multi-departmental matter, and I urge the Minister to speak to other Departments to ensure that the autism strategy is embedded in all their policies. As has been said, we need more early diagnosis, awareness and support in schools, and treatments that can be adapted. There is also vital research to be done, and we could be world leaders in that regard. That is a key aspiration that we should endeavour to meet. People with autism need support from school to the workplace, and carers and families also need support. We also desperately need to provide crisis services. Parliament must be inclusive, and I am keen to hear more about what we can do as individual MPs, both in our surgeries and through Parliament, to take these issues forward. We need to make our surgeries autism-friendly places, to ensure that we are role models in service development.

The Minister has many issues to take forward, and I am thankful for her response. I am glad that her door is open, because I might be coming through it on numerous occasions. I am also keen to visit the projects that she has described, which are going to pave the way for progress. It is vital that we take this forward and save lives. Let us work together and do this right across the United Kingdom. Finally, I would like to wish everyone a happy St Andrew’s day.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Happy St Andrew’s day.

Question put and agreed to.

Resolved,

That this House has considered the support available for autistic people experiencing mental health problems; calls on the Government to ensure that the NICE-recommended indicator for autism in GP registers is included in the Quality and Outcomes Framework; and further calls on the Government to ensure NHS England works closely with the autism community to develop effective and research-based mental health pathways.

[Ian Blackford (Ross, Skye and Lochaber) (SNP)]

On a point of order, Madam Deputy Speaker. I want to raise with you a conversation that I have had in the past few minutes, in which I have been informed that Royal Bank of Scotland is going to close three branches in my constituency, at Kyle of Lochalsh, Beauly and Mallaig. I am asking for your assistance, Madam Deputy Speaker. What do I need to do in order to ask one of the Treasury Ministers to come to the House to discuss this important matter? We understand that Royal Bank of Scotland is operationally independent, but none the less, we as the state are the majority owners of the bank. The bank in Kyle is one hour’s travelling distance to the nearest Royal Bank of Scotland branch in Portree. The one in Mallaig is an hour’s distance to Fort William. Those banks have thousands of customers. The branch in Beauly is the last remaining bank in that village. We need to have an urgent debate in the House about the responsibility that banks such as Royal Bank of Scotland have to their communities.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

I thank the right hon. Gentleman for his point, but he knows that it is not a point of order for the Chair and I cannot give an answer on the substantive issue that he has raised. He seeks my advice, however, on how to bring a Minister to the Dispatch Box, and I can advise him that there are various methods that he can use to do that. He might like to consult the Table Office on the best way forward. I am sure that he will also consider other ways, such as approaching the Backbench Business Committee in order to arrange a debate, if he is so inclined. If he is certain that this is a matter that ought to be discussed on the Floor of the House, I am sure that his ingenuity will ensure that that happens.