Danny Chambers Portrait Dr Chambers
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That is a prescient point. At the moment, there is no responsibility to ensure that children in particular, and other carers too, are identified. Even if they are put in advance choice documents, if the person making those decisions does not identify them, that will not come about. We would have to be careful that there is not unnecessary duplication; however, the initiative the hon. Gentleman puts forward is not a belt-and-braces approach to identifying young carers and other carers who are struggling.

New clause 7 seeks to end the detention of children on adult wards, requiring the number to be reduced to zero within five years—other Members have discussed that today—and the Secretary of State to set out how that will be achieved. It simply cannot be right that children are still being treated on adult wards. It is unacceptable and can seriously hinder recovery and effective care.

Although the Bill rightly focuses on hospital-based treatment, the process has also laid bare how fragile our wider mental health services have become, with the lack of early support in primary and community care and the shortage of initiatives that help people long before they reach crisis point. That is why new clause 14 would place a duty on integrated care boards to ensure that community services have the resources they need to meet the demand and report on that regularly. Keeping people well in their communities must be at the heart of any modern mental health strategy, because if we get the community care right, we prevent crises, reduce pressure on hospitals and help people live healthier, more independent lives.

Finally, new clause 22 would establish a veterans’ mental health oversight officer. That dedicated role would ensure that those who have served our country receive the understanding and tailored care they deserve when they come into contact with mental health services. Too often, veterans experience mental ill health, sometimes linked to their service, and they find themselves in systems that do not fully recognise their unique experiences. The proposal would help change that by providing proper oversight; encouraging joined-up working across the NHS, veterans’ services and the third sector; and ensuring that compassion and accountability sit at the heart of how the Mental Health Act is applied to veterans.

Taken together, the proposals are about making our mental health system even more humane, more joined up, and more focused on prevention and recovery. I hope the Government will take them in the spirit in which they are intended, which is to strengthen this important Bill, which we very much support, and deliver a system that truly supports those who need it most.

Abtisam Mohamed Portrait Abtisam Mohamed (Sheffield Central) (Lab)
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I will speak on new clause 35, which sets out the conditions under which community treatment orders can be extended beyond 12 months. Like many across my constituency of Sheffield Central, I know personally how overstretched our mental health services are. My brother lives with complex mental health needs and our family has seen at first hand the impact of a churning workforce, long waiting lists and a lack of community support services, brought about by an unrelenting crisis in funding.

Our system has not been properly expanded or adapted to meet the challenges. Instead, far too many people are detained and restricted, rather than supported to recover. We see this nowhere more acutely than in the overuse of community treatment orders, which were supposed to be a bridge from hospital to home for those who are constantly readmitted to hospital. People have described them as

“a tag that nobody can see, but you know it’s around your mind.”

The evidence shows that they have not met their intended purposes, with three major studies having found no reduction in readmissions or hospital time through their use. Yet despite the previous Government having promised reform, community treatment orders have continued. Reform has been too slow and too narrow in scope.