Oral Answers to Questions

Debate between Bambos Charalambous and Edward Argar

Tuesday 9th July 2019 Commons Chamber

[Bambos Charalambous (Enfield, Southgate) (Lab)]

T2. Since the Corston review into women in the criminal justice system in 2007, over 100 women have died in prison. INQUEST has recently published an update on its report, “Still Dying on the Inside”, which sets out the tragic and often avoidable circumstances around the deaths of women in custody. What concrete actions has the Minister taken to resolve this crisis?

[The Parliamentary Under-Secretary of State for Justice (Edward Argar)]

The hon. Gentleman makes a very important point. Although the female deaths in custody rate is lower than that of men, every single death is a tragedy that we must do everything we can to prevent; and likewise with self-harm. We have improved the support available to women in prisons. As my right hon. Friend the Secretary of State has said, we believe that in many cases a community sentence or community support is better and more effective than prison. The hon. Gentleman will have seen the announcement we made a few weeks ago about the health and justice plan that we are currently working on to improve health and support for everyone in prison—not just female offenders, but obviously including them.

Oral Answers to Questions

Debate between Bambos Charalambous and Edward Argar

Tuesday 23rd April 2019 Commons Chamber

[Edward Argar]

We have worked extremely hard across the Government, and with local authorities and other state and charity agencies, to drive down the level of offending. We have seen an 86% reduction in the number of young people coming into the criminal justice system for the first time, but there is more to do to break the cycle of reoffending for those who are already in the system, and that is what we are focused on.

[Bambos Charalambous (Enfield, Southgate) (Lab)]

8. What assessment he has made of trends in the number of people able to access early legal advice for housing cases.

Eating Disorders Awareness Week

Debate between Bambos Charalambous and Edward Argar

Tuesday 27th February 2018 Commons Chamber

[Edward Argar]

My hon. Friend makes an important point. One of the key themes drawn out from this and related research is that it should not just be one symptom or factor that determines when someone needs help; there is a basket of factors and considerations that demonstrates when that need is there and when treatment is needed. He is absolutely right, therefore, to highlight that point.

As we know, GPs do an amazing job, but, as my hon. Friend the Member for Henley (John Howell) said, we need to ensure that doctors’ medical training gives them the tools they need in this area, as in others, to recognise all the symptoms of an eating disorder; and to ensure that that training is kept up to date and that medical professionals are familiar with and follow National Institute for Health and Care Excellence guidelines on eating disorders, including its guidance that single measures—this touches on the point my hon. Friend the Member for Boston and Skegness (Matt Warman) has just made—such as body mass index and duration of illness alone should not be used to determine whether to offer treatment or what treatment to offer.

The Government have made huge strides in focusing on reducing delays through investment and funding and waiting-time targets, but these targets are not always fully applicable to everyone. As my hon. Friend the Member for Angus (Kirstene Hair) set out, the Government have a target of 95% of non-urgent cases involving under-19s being seen for treatment within four weeks. I understand from the latest figures that that target is now being met in 79% of cases. That is good progress, but there is still more to do. It is vital, however, that these waiting-time standards for accessing treatment also apply to over-19s. I would welcome the Minister’s reflections on that, and, of course, I reiterate what my hon. Friend the Member for Angus said and hope that the Scottish Government will follow the very positive lead set in this respect.

More broadly, I would also highlight the waits experienced for child and adolescent mental health services and adult mental health services more generally. In some parts of the country—I have highlighted this in my county of Leicestershire—delays in treatment can have a profound effect on individuals and the families who care for them. I hope that the Minister will touch more broadly on that bigger picture.

[Bambos Charalambous (Enfield, Southgate) (Lab)]

I attended an NSPCC event yesterday where we were made aware that young people, despite accounting for 20% of mental health need, receive only 9% of the mental health budget. Does the hon. Gentleman agree that more needs to be spent on meeting young people’s mental health needs?

[Edward Argar]

I will come very shortly to overall spending, but part of that is not just the overall size of the pot, but how that money is spent and works its way through the system to reach the frontline. In 2016-17, we spent a record £11.6 billion on mental health services, and that amount will continue to rise year on year until 2020-21, by which point 21,000 new mental health posts will be in place. This is all very welcome, and I commend the Health Secretary and his colleagues in the Department for it. Funding is vital. However, although £30 million per annum will be available over the next five years to fund eating disorder services, the way in which such funds are spent by clinical commissioning groups sometimes lacks transparency. At times it is hard to follow the funding from its source to ensure that it reaches the frontline. Implementation is key, and I hope the Minister will tell us how the Government are working to ensure that every penny reaches the frontline eating disorder services for which it is needed.

Community-based mental health services are often the most effective local services to help people, but they and in-patient mental health services are commissioned separately, by the CCG and by NHS England respectively. That can lead to a sense of a lack of joined-up care, and it can mean that people have to receive treatment many miles from their homes and families. That can place a huge strain on families, and, indeed, on family finances. Beat’s report suggests that in some instances the cost can be up to £32,000 as a result of lost earnings, travel and a range of other expenses. I believe that funds for eating disorder treatment should be held locally by the same budget holder in the same pot to create incentives for the development of improved treatment and reduced costly in-patient care, with CCGs working to extend their focus on early intervention to include the earlier stages of the illness.