Mental Health Bill [Lords]

Andrew Cooper Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[Andrew Cooper (Mid Cheshire) (Lab)]

It has been an absolute privilege to listen to contributions from Members with real expertise and experience. I wholeheartedly welcome the Government’s Mental Health Bill, and I am proud that this vital and, as we have heard, long-overdue Bill will modernise the woefully out-of-date Mental Health Act, which we know is linked to racial inequalities, poor care for people with learning disabilities and neurodivergence and which fails to give patients a proper voice.

By modernising the Mental Health Act and making it fit for the 21st century, the Government are demonstrating that they have the ambition, compassion and determination to ensure that patients have greater choice, autonomy, rights and support, and that all patients are treated with dignity and respect throughout their treatment.

There are many welcome measures in the Bill, from strengthening patient rights to reforming the use of involuntary detention and limiting the extent to which people with a learning disability can be detained, but to ensure that we tackle the crisis in—and transform the future of—mental health care as a whole, we must go further and build on these reforms. Nowhere is that need more urgent than in children’s mental health services where, alongside profound societal change, the damage to the capacity of the state made by the previous Government is most painfully visible, and where the cost of inaction is overwhelming.

The relationship between unhealthy online habits among adolescents and poor mental health is well documented. The World Health Organisation reported last year that

“potentially damaging social media use…has been shown to lead to depression, bullying, anxiety and poor academic performance”.

But those changes have occurred at the same time as huge reductions in the availability of youth services and other early intervention, the closure of safe community spaces, which provide access to trusted role models, and stark increases in relative child poverty and homelessness.

Earlier this month, I launched a constituency survey to hear directly from children and their families to better understand the state of local children’s mental health services. Some of the responses paint a bleak and harrowing picture of parents desperately trying to get their children the support they need. The initial results of the survey demonstrate that we must focus on two connected areas of reform, which I believe must be part of our wider plans to tackle the mental health crisis.

First, we must begin with early intervention as a system-wide principle, not an afterthought. Under the previous Government, the mental health system often failed to intervene in a timely, consistent and adequate manner. It is widely understood that early mental health challenges can significantly impact a child’s development, yet services for young children remain insufficient and poorly co-ordinated. For children in their early years and pre-school stages, support is often fragmented or entirely lacking. To address the gap, we need a cohesive early intervention strategy that does more to integrate early years health and education.

Additionally, we must go further by giving children access to mental health professionals in every primary and secondary school, making support not just accessible but familiar and trustworthy. Schools are often where issues are first identified, and they must also be where the support starts. It was brilliant to hear the announcement on Friday that that will begin to be rolled out, but it does need to be accelerated.

Secondly, we must overhaul how children access specialist care and tackle the systemic barriers created by high thresholds and long waits. Early intervention works only if there is a functioning system to refer into, but that system is broken. Over the last 14 years, services have been hollowed out, waiting lists have spiralled and thresholds for access have been pushed so high that even children in a clear crisis are being turned away. I have heard countless stories of children who are self-harming, experiencing suicidal thoughts or in deep emotional distress being told they do not meet the criteria for treatment. Families are left to watch their children deteriorate, terrified, helpless and too often unheard. That is not care; that is the cost of failure.

That is no reflection on the professionals delivering the care. My survey showed good levels of satisfaction, but there simply is not enough of it to meet demand. Unless we expand the service capacity and rethink how thresholds are applied, the most vulnerable children will continue to fall through the cracks, no matter how early their needs are identified. Early help must lead somewhere. That means ensuring that timely and specialist care is available for those who need it.

These two reforms are not stand-alone; they are interdependent. We cannot have meaningful early intervention without timely access to specialist care, and for as long as we do not address the root causes of poor mental health—child poverty, hollowed out youth services and weak online safety—the problem will continue to get worse. The Bill, along with a wider plan to tackle the mental health crisis, presents the opportunity not only to fix what is broken but to create something better: a mental health system that is accessible, equitable and fit for the future. I am proud to support the Bill.