Mental Health

Alistair Burt Excerpts

Wednesday 9th December 2015 Commons Chamber

[The Minister for Community and Social Care (Alistair Burt)]

I thank the hon. Member for Worsley and Eccles South (Barbara Keeley) for her remarks. I thank colleagues for a remarkable debate, to which I shall return in a few moments.

Less than a week after being appointed, I made a visit to the Maudsley hospital in south London. I met a parent who had an eight-year-old little girl and told me of her two-year struggle in her home county some 200 miles away to find information on what would be best for her daughter—until, by her own efforts and through the internet, she had hit upon the Maudsley. On the same visit, however, I met a team working in primary schools to introduce children to mental health difficulties, giving them the understanding that just as they would look after one of their classmates who took a tumble in the playground and grazed their knee, they would look after a friend with a hurt mind.

I went to Derby and sat round a table for a meeting organised by my hon. Friend the Member for Derby North (Amanda Solloway). I met and was inspired by Sarah Eley, who had set up Borderline Arts to promote awareness and combat stigma against borderline personality disorder, from which she suffers and about which she is up front with great bravery. At the same time, I heard once again a familiar refrain from those around the table and from mental health sufferers in too many places, especially at crisis times—that “no one listened to me”. That is how it is with mental health issues in this country—a pattern of light and shade, good news and bad.

So I welcome this debate, which has given us such an opportunity to raise a number of the issues that reflect that light and shade—issues raised in powerful and personal speeches that reveal the depth of pain that mental ill health can cause. Through those expressions we can provide a sense of the urgency and purpose with which Parliament as a whole now addresses and will continue to address such matters. There is a sense that progress is being made—and I mean real progress, not “political-speak” progress—in areas ranging from therapy to crisis care. There is, however, still too much variation in the delivery of services; there are areas of unmet need; there is much more to do. More than ever before, though, there is a belief that those of us here are listening and acting on what we are hearing.

I cannot cover everything in the time available, and I will answer by letter colleagues who raised specific questions. Let me say that we heard powerful speeches, often about local issues, from my hon. Friend the Member for Worcester (Mr Walker), the hon. Member for Rochdale (Simon Danczuk), the right hon. Member for Exeter (Mr Bradshaw), my hon. Friend the Member for Erewash (Maggie Throup), the hon. Members for Livingston (Hannah Bardell) and for Salford and Eccles (Rebecca Long Bailey), my hon. Friend the Member for Norwich North (Chloe Smith) and the hon. Members for Norwich South (Clive Lewis) and for Bootle (Peter Dowd).

I am grateful to the hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron), who represents the Scottish National party, for offering her support for a consensual process. I look forward to visiting Scotland to see what is going on there, as I think there is much that we can share. I greatly valued the hon. Lady’s contribution.

Strong personal statements were made by colleagues who know about these things, and I particularly thank the hon. Members for North Durham (Mr Jones) and for Manchester, Withington (Jeff Smith), as well as my hon. Friend the Member for Bath (Ben Howlett). The hon. Member for Edmonton (Kate Osamor) bravely raised the issue of recent ethnic minority issues in mental health. That needed to be raised, and I am very pleased that she did so. We do not concentrate nearly enough on that issue, and I am sure I will come back to her on that.

The right hon. Member for North Norfolk (Norman Lamb), who grappled with these difficulties himself so well and is so well regarded, spoke of the matters that he wanted to be dealt with more urgently than had been the case since he left office. I assure him again that we will do that.

I can tell the hon. Member for York Central (Rachael Maskell) and my hon. Friend the Member for York Outer (Julian Sturdy) that a letter is on the way to them. It will not give the hon. Lady quite the assurance that she wants in regard to the inquiry that she requested, but it will move matters on a little further. She knows that my door is open, and, indeed, I shall be happy to see both Members whenever they wish.

My hon. Friends the Members for Bracknell (Dr Lee) and for Henley (John Howell) raised the issue of mental health in the law and justice system. That is sometimes another less regarded area, but, as my hon. Friends pointed out, mental health issues matter there as well.

My right hon. Friend the Member for North Somerset (Dr Fox), my hon. Friends the Members for Plymouth, Moor View (Johnny Mercer) and for South Cambridgeshire (Heidi Allen), the hon. Member for Ashton-under-Lyne (Angela Rayner) and my hon. Friend the Member for Lewes (Maria Caulfield) raised the important issue of suicide. I take that issue extremely seriously, and I think that we have not done nearly enough to deal with it. I shall say something about my ambition in that regard towards the end of my speech.

The concept of parity of esteem was also mentioned, and Members wanted to know where it was in the mandate. The new NHS England mandate will be published shortly, and it will refer to that concept.

This is an Opposition day debate, involving a motion and a vote. Just as it is the right of the Opposition to press the Government to do more, and to level criticism where it is due—and occasionally where it is not due—it is the duty of the Government to explain what they are doing, and, in this instance, to ask for the House’s support for our response to the mental health needs that were set out earlier by my right hon. Friend the Secretary of State. However, I do not want the message of today’s debate to be in our procedure and our vote. I want it to be in the speeches that we have heard, in the words that have been quoted from our constituents and others, in the recognition that our Parliament and its Members have “got it” in terms of mental health, and in our assurance that the progress that has been made by successive Governments over a number of years will not stop, but will be accelerated.

We will point to our world-leading IAPT programme, and to the work of Richard Layard and David Clark in that connection. We will point to the inspiration in our local areas for our crisis care concordat work, to the appointment of the first Minister for Education whose remit includes tackling mental health issues in schools, to the improvement in the diagnosis and treatment of dementia, and to our determination to see the £1.25 billion investment in children and young people’s services deliver a sea change in what were previously undervalued services.

However, I want more. I want our ambition and our vision, building on all that has been done so far, to be recognised as providing the world’s best mental health services, and I want us to be really close to that by 2020. I want to see the inevitability of suicide to be challenged and rejected as we do more to combat the scourge of too many suicides. I want a national campaign against loneliness and isolation, and the mobilisation of the millions in clubs, faith groups and associations around the country, to bring more people in, and to let no one go.

I want to see a step change in perinatal mental health recognition, and urgent work to improve the services involved. Like my hon. Friend the Member for Macclesfield (David Rutley), I want our children’s mental health—which is now at the mercy of a social media whose effects are as yet not fully calculated—to be protected by young people themselves through their own use of new technology and ingenuity, with the assistance of teachers and mentors everywhere. I want the mother whom I mentioned at the beginning of my speech to be reassured that others like her will know who to turn to quickly. I do not want anyone suffering from mental ill health ever again to feel that no one is listening.

Whether or not Members join my right hon. Friend and me in the Lobby this afternoon, I know that each and every one of us in the Chamber shares that vision and ambition, and I look forward to working with colleagues on both sides of the House to pursue it relentlessly.

Question put.