Mental Health Treatment and Support

Debate between Baroness Winterton of Doncaster and Andrew Gwynne

Wednesday 7th June 2023 Commons Chamber

[Andrew Gwynne]

I will not give way. We have heard enough from the right hon. Lady, supporting her “Through the Looking-Glass” amendment which bears no relation to the reality.

As we have heard today, people who require mental health support, no matter where they live—except in the right hon. Lady’s part of England—will be confronted by a system that is buckling under the pressure of 13 years of Tory mismanagement, neglect and incompetence. The right hon. Lady shakes her head, but the figures speak for themselves. Last year, patients suffering with mental health issues waited more than 5.4 million hours in accident and emergency departments. There are 400,000 children currently waiting for mental health treatment, and 1.2 million people are waiting for community mental health care, with some patients being forced to travel more than 300 miles because there are no beds in their local area. My hon. Friend the Member for Hemsworth spoke powerfully about that. The Resolution Foundation has found that, of the 185,000 young people who are unable to work, nearly two thirds cite mental ill health as the reason. Suicide is now the leading cause of death in adults under 34, with about 18 people losing their lives every single day. As the cost of living crisis has worsened, we have also seen a knock-on effect on addiction and rehabilitation. Drug-related deaths are at a record high, and last year there were 9,641 deaths in the UK from alcohol misuse, a 27% increase on the year before.

Make no mistake: the emergency in mental health has become a public health crisis, and we need to see action. Our motion calls on the Government to adopt Labour’s plan to recruit 8,500 mental health staff to expand access to treatment, to provide specialist mental health support in every school, and to establish open-access mental health hubs for children and young people. That would be paid for by the closing of tax loopholes, because politics is about priorities, and Labour’s priority is to ensure that those who need mental health support have access to it in all parts of the country. Our priority is to build a Britain where patients start receiving appropriate treatment within a month of referral. I hope that those on the Government Benches will demonstrate that they share these priorities by voting for Labour’s motion today.

Staffing is just one part of the equation. Like any public health issue, addressing mental health requires a holistic approach that recognises its complex nature. That is why Labour has committed to a whole-Government plan to improve outcomes for people with mental health needs and to address the social determinants that drive mental ill health for many people. Our mental health can be influenced by a multitude of different things. Secure jobs, fair pay and good housing are all building blocks for a healthy life, physically and mentally, and unless we improve people’s lives in the round, positive change will remain out of reach.

It is for this reason that the next Labour Government will focus as much on prevention as we do on treatment. We will pioneer a transformative cross-departmental agenda with a mission delivery board at the heart of the Government ensuring that all Departments work to improve the wider determinants of health. We will boost capacity in mental and public health teams so that people can get the support they need before presenting at A&E or turning to substance abuse. We will also encourage the integrated care systems to identify opportunities to join up services within the community. Our aim will be for more patients to have one point of contact for appointments with a range of professionals and services. This neighbourhood team will include the family doctor, carers, health visitors, social prescribers and mental health specialists.

Our vision is to turn the national health service into a neighbourhood health service with the patient right at the heart of it. The benefits of this kind of work will travel far beyond improving the lives of individuals suffering from mental ill health. For instance, in my own region of the north-west of England there were over 140,000 calls to 999 from people in a mental health crisis last year, and in my own constituency local people spent over 6,500 hours waiting in A&E for mental health treatment. If we were to help people before they reached these crisis points, we would drastically reduce pressure on the wider health system and thereby improve patient outcomes right across the board.

The same is true of wider economic productivity. As we have heard in the debate, the Mental Health Foundation and the London School of Economics have estimated that poor mental health costs the British economy £117 billion a year. That is a phenomenal amount of money and a huge loss to our country’s economic power. Improving mental health outcomes is therefore not just a moral imperative—although it is certainly that—but a practical one, and one that is essential if we want the United Kingdom to prosper, as I hope and believe we all do. That is what we come to this House for. We want to leave our country in a better shape for our children than it has been for ourselves.

That brings me again to the motion. All Members of the House have the opportunity today to support a fully funded plan to improve mental health treatment. Those on the Government Benches can choose to put party politics first, but that will not change the fact that this Government have failed people on mental health. No matter what amendments they put before us, that does not change people’s real, lived experiences or the experiences of Members on both sides of the House who deal with the impact of mental ill health in their constituency casework. The system is crumbling and more of the same will just not cut it, so I am enormously proud to be supporting Labour’s motion today and I would strongly urge Members on both sides of the House to back it. It is time to give those suffering from mental ill health the treatment and support they deserve, and I commend our motion to the House.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I reiterate for those who were not here that it is incredibly important that people get back in good time to hear the Opposition wind-up as well as the Government wind-up—that includes Ministers. I would expect anybody who was not here at the beginning of the Opposition wind-up, some of whom are still not here, to write to Mr Speaker to apologise. I take it that people will do that.

Appointment of Lord Lebedev

Debate between Baroness Winterton of Doncaster and Andrew Gwynne

Tuesday 29th March 2022 Commons Chamber

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. The hon. Gentleman has to be very careful if he has not notified somebody when he intends to make allegations about them, and he should know that.

[Andrew Gwynne]

Perhaps the hon. Gentleman has not noticed that the Labour party has changed, but certainly people in the country have, and I would say to him that I hope the Whip on the Treasury Bench is paying due attention, because he did read out some of the points on page 4 of the Conservative party brief.

The Government claim that Lord Lebedev was nominated in recognition of his contribution to the UK and his charitable ventures. If that is the case, let us see the formal information concerning the appointment of Lord Lebedev. If there is nothing untoward, there is no reason not to publish the advice.

The urgency of this request cannot be overstated. As we debate here in this Chamber, Vladimir Putin is wreaking destruction on the people of Ukraine. His forces are murdering people in their thousands, and displacing millions more. We speak with one voice in this House of Commons and this British Parliament when it comes to the disgraceful actions of Putin in Ukraine.

For over a decade, however, Putin’s money has been allowed to flood into our democracy. Nearly £2 million of Kremlin cash has found its way either to the Tory party or into constituency association coffers since this Prime Minister took office. That should be a profound mark of shame for Conservative Members. In that context, Labour Members are requesting this vital information. We, and the people we represent, need to know whether the Prime Minister puts the national security of this country ahead of personal relationships. This is about a basic prerequisite for the job.

I have no doubt that most Conservative colleagues will abstain from voting, and therefore this humble address will pass. I hope, and sincerely expect, that the Government will follow the letter of the humble address, and release the information forthwith. However, I urge colleagues to think carefully about the message that their actions send out of this place, and I urge them to do more than abstain and to vote with Labour Members. Let us send a strong message that Putin’s cronies will not be tolerated in British democracy, and that we in this House uphold the highest standards of integrity and transparency. Release the Security Service’s advice to the Prime Minister, so that we all know what he was told and the actions that followed.

Points of Order

Debate between Baroness Winterton of Doncaster and Andrew Gwynne

Thursday 20th January 2022 Commons Chamber

[Madam Deputy Speaker (Dame Rosie Winterton)]

I thank the hon. Member for his point of order. I am sure he will realise that the content of answers to parliamentary questions is not a matter for the Chair, but he has obviously put on the record his concerns, which I am sure will have been noted by those on the Front Benches.

[Andrew Gwynne (Denton and Reddish) (Lab)]

On a point of order, Madam Deputy Speaker. The Leader of the House, in answering the hon. Member for Bury North (James Daly) on the Greater Manchester clean air zone, may have inadvertently misled the House; he is certainly unaware of the facts. It is a ministerial direction, the Environment Act 1995 (Greater Manchester) Air Quality Direction 2019, that imposes a category C clean air zone on Greater Manchester. Further, section 8 states:

“The authorities must not vary, revoke or suspend…without the prior written consent of the Secretary of State.”

Last week, I asked the Leader of the House to urge his colleagues to do just that and revoke the direction. His response was that the Mayor should just get on with it. How can we correct the inconsistency in the Leader of the House’s answers to myself and to the hon. Member for Bury North and get on the record that this is a Government instruction?

[Madam Deputy Speaker]

I thank the hon. Gentleman for his point of order. He seems to have managed two bites at the cherry, including in business questions. Again, I have to say that that is not a point of order for the Chair, but the Member has put his concerns on the record, and I am sure the Leader of the House and those on the Government Front Bench will have heard what he had to say.

Long Covid

Debate between Baroness Winterton of Doncaster and Andrew Gwynne

Thursday 14th January 2021 Commons Chamber

[Andrew Gwynne (Denton and Reddish) (Lab) [V]]

I begin by thanking the hon. Member for Oxford West and Abingdon (Layla Moran) for her superb opening to the debate and for her leadership of the all-party group.

My experience with covid began in early March, when I started to feel grotty and run down. I just wanted to rest, but as a precaution I phoned NHS 111, which suggested to me that it could not possibly be covid because no cases had been reported in M34, even though I explained to them that I worked in hotspot SW1. Eventually, typical covid symptoms developed, so I spent the next fortnight in self-isolation. The illness lasted for about 12 days, by the end of which the country was in lockdown 1, but the reality is that, although the coronavirus passed, the effects are still with me today.

Thankfully, research is now being carried out and the Government recognise long covid as being real. That has been a battle. I was lucky: my GP is brilliant, and from an early stage recognised my condition—long before it had the name “long covid”. My condition is not as severe as it was even just a few months ago. There have been real improvements, but it has been a hard slog to get here. For the first seven months or so, the exhaustion came back frequently and to the point where just doing simple tasks around the House brought me out in massive sweats as if I had run the London marathon. I had lots of dizzy spells; I have never had vertigo before this. And oh, the brain fog! In a job where we have to be razor sharp, my short-term memory is shot to pieces. I have had to learn to pace myself. Trying to push my limits would set me back. I still have to remind myself not to overdo it.

The lasting symptom is still the brain fog. When it is bad, taking in information and processing it is so difficult. It is physically and mentally tiring, often triggering headaches, dizziness and vertigo. I am fortunate in having been able to balance work with my disabilities. Virtual participation and proxy votes have helped. I talk about the difficulties of doing my job, but what about the mechanic, the builder, the emergency worker, the teacher, the nurse—people who do not have the luxury of virtual participation, aides-mémoire, and an efficient and brilliant office to hide deficiencies? They are left to struggle and make the most of it, or to lose their jobs. On that point, the Department for Work and Pensions has to do more to recognise the condition for work capability assessments and other interviews.

I am so grateful to some of the representatives from long covid support groups for meeting me earlier this week. They want the Government to acknowledge that children can also get long covid. Of course children often present with symptoms different from adults’, so an awareness campaign is required, but children should also have access to treatment in long covid clinics and throughout the NHS.

The problem of long covid is not going away; it is growing as the number of people catching covid grows. I would like to hear from the Minister about a holistic approach, with research, treatment and support in the health sense, but also in the wellbeing sense, the workplace sense and the family sense too. Let us support people and their families—

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. I thank the hon. Gentleman for his speech.

Local Government Funding

Debate between Baroness Winterton of Doncaster and Andrew Gwynne

Wednesday 28th March 2018 Commons Chamber

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. The hon. Gentleman will give way if he wishes to, but we must hear his speech.

[Andrew Gwynne]

Thank you, Madam Deputy Speaker. Metropolitan district councils have seen a reduction in spending power of 33.9% in real terms from 2010 to 2017-18. Over the same period, county councils’ spending power has fallen by 22.1%, but spending power masks the true scale of the cuts to Government grants. This is having a drastic impact on council services. Youth centres, museums and libraries are having to close. Our social care system is in crisis. Compared with 2010, there are now 455 fewer libraries, 1,240 fewer Sure Start centres and 600 fewer youth centres.

--- Later in debate ---

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. That is a very long intervention. I call Andrew Gwynne.

[Andrew Gwynne]

Thank you, Madam Deputy Speaker. The hon. Member for Bath (Wera Hobhouse) is right that these cuts have gone far too far. Many of my constituents, though, will not forgive the Liberal Democrats for the part they played in pushing through the deepest austerity in the coalition Government. Many of those hard choices have resulted in some of the increases in demand that we are now seeing, particularly in children’s services and adult social care.