Mental Health Act Reform

Debate between Baroness May of Maidenhead and Matt Hancock

Wednesday 13th January 2021 Commons Chamber

[Matt Hancock]

I thank the shadow Minister for her thoughtful approach. I agree with the way that she described the challenge, and with her insistence that we must not just improve the legislation—and we will—but improve and continue to strengthen service provision, in particular community service provision, as an alternative to admission. That is how we turn legislation from dry words on a page into real action on the ground.

The shadow Minister is absolutely right, too, that service users must be at the heart of framing the legislation. If I may link that point to her question about the timeframe, the challenge of the timeframe is to ensure that we move fast enough to help people and get the new legislation on the statute book as quickly as reasonably possible, but at the same time continue with the consensus-based approach that we have taken.

I am very grateful, as I said, for the work of Sir Simon and the NHS team, and I am grateful that we have managed to develop this White Paper with broad consensus among those who provide mental health services and service users, and politically across the House. I think that is an important consensus to keep, and I want to try to keep it by ensuring that we take as open an approach as possible to the legislation. I am absolutely open to joint prelegislative scrutiny, and I am absolutely open to the publication of a draft Bill. Let us get the details right, and let us work together on this and keep it as consensual as possible.

I also agree with the hon. Member’s point about the need to tackle broader health inequalities, and covid has laid bare some of those. That is a core part of our levelling-up agenda, and it is an important consideration for both physical and mental health. I am glad to say that this landmark White Paper, which will lead to a once-in-a-generation Bill, is proceeding with the support of the Opposition. I am really pleased about that, because this is for everyone. It is to make sure that some of the most vulnerable people in our country get the support they need and deserve.

[Mrs Theresa May (Maidenhead) (Con)]

May I congratulate my right hon. Friend on this White Paper and also on his continued commitment to this issue during what have been really challenging times for him and his Department in dealing with the pandemic? I fear, though, that the legislation might not be on the statute book until 2023. Meanwhile, GPs and hospitals caring for my constituents tell me that there is an increasing problem of mental health and increasing numbers of people with mental health problems, particularly young people. So what steps can my right hon. Friend take to put in place the principles that underpinned the Wessely review—I thank Sir Simon Wessely once again and his team for their work—of less coercion, better choice and control for service users, better care, and a reduction in inequality and discrimination, while dealing with the growing number of people who have mental health problems, some as a result of the pandemic?

[Matt Hancock]

I put on record my gratitude to my right hon. Friend. Without her, I am not sure we would have reached this point. Her dedication to this topic, both as Home Secretary and then as Prime Minister and since, has been vital, and I am grateful for the advice that she has given me in the last few months as we prepared this White Paper. I am grateful to her for appointing Sir Simon Wessely, and I am grateful to her for appointing me as Health Secretary, too. [Laughter.]

My right hon. Friend is absolutely right about the urgent pressures right now in mental health services right across the country, so I am really pleased that during the pandemic we have been able to keep work going on the policy and the new legislation that we are proposing. At the same time, however, in hospitals and in GP surgeries right across this country, there is urgent pressure on mental health services, and we know that there are mental health impacts of the actions that we have to take to control covid.

As I said in my statement, we have put in more money in the short term, on top of the long-term plan that was agreed when my right hon. Friend was Prime Minister. We are committed to doing everything we can to support people with mental ill health and, crucially, to support people to keep their mental health strong, even if they do not have a mental illness, because these are difficult times. The good public health approach means that, just as looking out for our physical health and our mental health is important for all of us, so too is the provision of acute services for people with serious mental health conditions, which is under strain right now. We are willing to—and have—put the money in at the spending review, but we must also support the clinicians on the frontline who are working so hard right now.

Covid-19

Debate between Baroness May of Maidenhead and Matt Hancock

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

We do not support mass gatherings. We have advised against unnecessary social contact, so it goes without saying that we do not support mass gatherings.

The hon. Lady asked about surveillance testing. Across the UK, we have one of the biggest coronavirus surveillance operations in the world. Of course it happens in Scotland, but it happens throughout the UK. She also asked about Parliament. I understand, Mr Speaker, that you have been having discussions today about how Parliament will operate, but I think the whole House will be sure, in our collective decision, that although Parliament may have to operate differently, it must remain open.

[Mrs Theresa May (Maidenhead) (Con)]

May I join the Secretary of State, and the shadow Secretary of State, in commending and paying tribute to all who work in our national health service, on whom we rely from day to day, but on whom we rely all the more under these conditions?

May I press the Secretary of State on two points that have been raised by others? The advice from the World Health Organisation was very clear: test, test, test. At an earlier stage the UK changed its testing requirements, and those who have symptoms and self-isolate are no longer tested. If the full information is to be available, surely the testing has to be very significantly increased. Who exactly is going to be tested?





One of the difficulties has been the way in which information has been presented. To pick up the point made by the SNP spokesman about the over-70s that was echoed elsewhere, the headlines are that over-70s, even now, are going to have to stay at home for 12 weeks. Can the Secretary of State be absolutely precise as to what the advice is for over-70s and those with other conditions, and what those conditions are? Finally, on the question of seven or 14 days’ self-isolation, my understanding was that if someone had symptoms and were on their own they should self-isolate for seven days, but if they were in a family the whole family should self-isolate for 14 days. Perhaps my right hon. Friend could confirm.

[Matt Hancock]

My right hon. Friend is precisely correct on the third question. The difference between the advice for seven days and 14 is precisely as follows. If you have symptoms yourself, if you live on your own you should self-isolate for seven days, but if you live in a household with others, the whole household now needs to stay at home for 14 days. The reason is that if you live in a household with someone who has coronavirus it is highly likely that you will catch it, so it is important, to protect against onward transmission, that everybody stays at home. That is the reason for the distinction between the seven days and the 14 days, and I hope that is clear—seven days for individuals, 14 for households.

On the point about the World Health Organisation saying that we should “test, test, test”, I wholeheartedly agree. We have continued the increase in testing in this country throughout this outbreak. The point that was made last week was that as the increase in the number of cases continues, so our testing capability must increase faster, and at this stage we have to make sure that the use of the tests we have are prioritised. As we expand testing capability, we will expand the number of people who can get hold of those tests. I understand the frustrations of those who want a test, but the whole House will agree that we have to make sure that we use those tests on the people who need them most, which means saving lives in hospitals.

On the point about the over-70s, to reiterate the answer that I gave a moment ago, the advice to everybody is to avoid unnecessary social contact. For the over-70s, for their own protection, that is strongly advised. The shielding, which is essentially reducing all contact as much as possible, is for those who have underlying health conditions and will be contacted by the NHS. The precise details of all these will be published on the gov.uk website so that everybody can see not only the answers I am giving to the questions, but the precise wording of what we expect everybody to do, as I have set out in the statement.