Mental Health

Baroness Keeley Excerpts

Wednesday 9th December 2015 Commons Chamber

[Barbara Keeley (Worsley and Eccles South) (Lab)]

We have heard in this important debate from an astonishing 27 speakers, in addition to many interventions during the opening speeches. I welcome the involvement of all those who have taken part. In particular, I would like to thank the hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron), the right hon. Member for North Somerset (Dr Fox), my right hon. Friend the Member for Exeter (Mr Bradshaw), the hon. Member for Worcester (Mr Walker), my hon. Friend the Member for Rochdale (Simon Danczuk), the hon. Member for Erewash (Maggie Throup), my hon. Friend the Member for North Durham (Mr Jones), the hon. Member for York Outer (Julian Sturdy), the right hon. Member for North Norfolk (Norman Lamb), the hon. Member for Plymouth, Moor View (Johnny Mercer), my hon. Friend the Member for Manchester, Withington (Jeff Smith), the hon. Member for Bracknell (Dr Lee), my hon. Friend the Member for York Central (Rachael Maskell), the hon. Member for South Cambridgeshire (Heidi Allen), my hon. Friend the Member for Salford and Eccles (Rebecca Long Bailey), the hon. Member for Henley (John Howell), my hon. Friend the Member for Ashton-under-Lyne (Angela Rayner), the hon. Members for Halesowen and Rowley Regis (James Morris), for Livingston (Hannah Bardell) and for Norwich North (Chloe Smith), my hon. Friend the Member for Bootle (Peter Dowd), the hon. Member for Bath (Ben Howlett), my hon. Friend the Member for Edmonton (Kate Osamor), the hon. Member for Macclesfield (David Rutley), my hon. Friend the Member for Norwich South (Clive Lewis) and the hon. Member for Lewes (Maria Caulfield). It is a remarkable number.

The Secretary of State was right to thank the hon. Member for Broxbourne (Mr Walker) and my hon. Friends the Members for Barrow and Furness (John Woodcock) and for North Durham for talking about their personal experiences. My hon. Friend the Member for Manchester, Withington also spoke about his experiences today. We should always thanks hon. Members who speak from their own personal experience. I also want to mention the leadership of the all-party group on mental health and the commitment of the right hon. Members for North Norfolk and for Sutton Coldfield (Mr Mitchell) and Alastair Campbell, who have formed a group arguing for equality for mental health and an increase in funding.

I want to thank my hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams) for her persistence in raising issues relating to suicide and the work capability assessment, and on the impact that changes to social security programmes can have on people with mental health problems. If we are to have a zero suicide ambition, as the Secretary of State mentioned, we must do more work on that particular issue, and on the crisis of male suicide, which was raised by the right hon. Member for North Somerset and my hon. Friends the Members for Rochdale and for Ashton-under-Lyne.

Right hon. and hon. Members have spoken with knowledge about mental health services around the country and about the excellent work being done in their own constituencies, often by charities and voluntary projects. Many speeches illustrated the fact that our mental health services are under intense pressure and in urgent need of improvement. In the previous Parliament, we heard much from Ministers on parity of esteem, but we saw little progress. I think all the speeches today have shown us that things have got worse. The independent King’s Fund commented recently that parity of esteem for mental health “remains a long way off.” The hon. Member for York Outer said exactly the same thing and the right hon. Member for North Norfolk called the current situation “morally wrong and economically stupid”.

Mental health services have faced cuts and Government promises on spending have not been kept. We focused on that in this debate. In 2012, the annual national survey of investment in mental health services found that spending on mental health had been cut for the first time in a decade, but rather than take action to put it right Ministers discontinued the survey. As my hon. Friend the Member for Liverpool, Wavertree (Luciana Berger) said earlier, since then it has been very difficult to make an accurate assessment of the level of investment in mental health services. Indeed, we have to rely on freedom of information requests and on expert analysis by charities and independent bodies. The King’s Fund found that about 40% of mental health trusts experienced reductions in income in both 2013-14 and 2014-15. The charity Mind reports a real-terms reduction of 8.25%, or almost £600 million, in the funding of mental health services at the same time that referrals to community mental health teams have risen by nearly 20%. Labour’s own analysis by my hon. Friend the shadow Minister found that one in three clinical commissioning groups was not increasing its spending on mental health in line with the growth in their budget allocations, despite an explicit promise from Ministers that that would be the case. If Ministers have the determination to change that, we would welcome it.

The suggestion made by the right hon. Member for North Somerset of ring-fencing extra funding for mental health was very welcome and was supported by a number of hon. Members. The Secretary of State admitted earlier that he just did not know by how much standards and investment varied across the country. The lack of information is simply not good enough. I urge the Minister to reinstate the national survey of investment in mental health. That is the way to go.

One area on which we have accurate information is funding for social care. Social care services play an important role in supporting people with mental health problems. Cuts to social care services have a serious impact on people with mental health needs, as do other issues raised in this debate such as housing. A report on mental health care from the Health Foundation found that the number of people receiving social care support for mental health problems has fallen by 25% since 2009-10. A recent survey of NHS mental health trusts found that cuts to social care budgets were having an adverse impact on their services. Indeed, as my hon. Friend the Member for North Durham said, we need to road-test policies from other Departments for their impact on mental health.

The recent spending review will surely go down as a missed opportunity to do something about the desperate funding crisis in social care, which does affect people with mental health problems. The Chancellor’s proposals on social care funding are woefully inadequate. They will leave a black hole in care services for older people and for people with mental health problems. To cite a local example, Government cuts to Salford City Council’s budget have caused budgets for adult social care to fall from £76 million in 2010 to £61 million this year—a cut of £15 million. However, the 2% council tax precept will raise only £1.6 million. The King’s Fund warned this week that the decision to use council tax rises to offset cuts in social care will widen the gap between richer and poorer areas but will raise less than half the £2 billion the Chancellor predicted.

Older people are not just being hit by cuts to social care; they are also being hit by cuts to mental health services. The Secretary of State said that depression was more debilitating than angina, asthma and diabetes, but depression affects 22% of men and 28% of women aged 65 or over—some 2 million people in England. In the UK, mental health problems present in 40% of older people attending their GPs, 50% of older people in general hospitals and 60% of older people in care homes.

The Secretary of State also said that talking therapies are more effective than drugs, but Age UK tells us that older people are six times as likely as young people to be on tranquillisers or equivalent medication, but only a fifth as likely to have access to talking therapies. While 50% of younger people with depression are referred to mental health services, only 6% of older people are. The Royal College of Psychiatrists estimates that 85% of older people with depression receive no help at all from the NHS. The Government are letting older people down by reducing their access to the services they need.

There is also a need for better emotional and psychological support for carers. Caring for a spouse or family member is more common in older age, and there are nearly 1.2 million carers aged 65 plus. Levels of stress and psychological distress are higher in carers who look after people living with dementia, and studies show that rates of depression can range up to 85% for carers of people living with dementia and up to 45% for carers of people living with anxiety.

The motion before us makes three clear calls, and I hope Members of all parties will join us in voting for the motion today. Good mental health is an issue for our schools, our workplaces and for our care homes, as well as for all our health services. I hope that Members on both sides of the House will join us in voting for the motion, which I commend to the House.