Covid-19
Barbara Keeley Excerpts(3 years, 7 months ago)
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Barbara Keeley (Worsley and Eccles South) (Lab)
I am glad to be able to speak in this debate, but the only reason I feel able to do so is that we are unlikely to have a Division today. Last year I was diagnosed with breast cancer, and I had to have surgery and radiotherapy. The radiotherapy caused damage to one of my lungs, and the advice from my doctors is to reduce my level of contact during the pandemic. That would be difficult, if not impossible, to do with the current voting system.
We had the absurd situation last week where a debate was held about proxy voting for MPs during the pandemic in which those MPs with proxy votes were not allowed to speak. As one of the MPs affected, I support a return to remote voting during the pandemic, which would help MPs who cannot vote safely in the present system and those in areas under local lockdown. I feel safe coming to the Chamber, where Mr Speaker has ensured that social distancing is observed, but because I cannot take part in voting, I cannot normally speak in debates. I hope that that can change.
There are, of course, many damaging consequences of this pandemic, one of which has been the way that people in care homes and mental health hospitals have been cut off from the outside world. At an early stage of the pandemic, most of these settings put in place a blanket ban on visiting. Six months on, we are hearing of the devastating impact that this lack of contact has had. Vic Rayner of the National Care Forum and Caroline Abrahams of Age UK have described the impact as
“residents going downhill fast, giving up hope and ultimately dying sooner than would otherwise be the case.”
They also point out that the social care winter plan outlines measures already in place that have created a blanket lockdown of care homes in areas of intervention. That is nearly 20% of all care homes in England, and even more than that are now covered by a blanket ban, after further restrictions were imposed over the weekend and today. There is a risk that needs to be managed in allowing visits, but there is also a risk to the physical and mental health of those being deprived of contact with the family members who mean the most to them. There is a balance to be struck, and I am arguing that we must move away from blanket bans.
The impact of banning visits is no less worrying in mental health hospitals. As well as social contact, visits from friends and families act as a check on the power of staff, who can otherwise have near total control over their patients. I am particularly concerned about this given the pausing of regular inspections by the Care Quality Commission. Having both inspections and family visits suspended has led to a deficit in accountability. We always hope that staff in such units act in the best interests of their patients, but we have seen a number of scandals where patients—particularly autistic people and people with learning disabilities—have been subject to cruel treatment and abuse at the hands of staff. Most shocking were the revelations of abuse at Winterbourne View in 2011 and at Whorlton Hall last summer, but last week, 10 staff were suspended at the Cygnet Yew Trees Hospital in Essex after they had been filmed dragging, slapping and kicking a patient, among other abuses.
It is unacceptable that there are any cases where autistic people and people with learning disabilities are subject to abuse, but it has become too common in the units where they are detained. Units like this should be closed down, and the people should be moved back to their own communities. A solution to this has been promised since 2012, but more than 2,000 people are still trapped in these units. Ministers first promised to close these units, then they modified that to say that the numbers would halve, but since 2015, the number has fallen by only 300. We now know that female residents at Cygnet Yew Trees were exposed to abuse during the pandemic when there were no inspections and no family visits.
I call on the Health and Social Care Secretary to set out what steps he is taking to investigate abuse in those settings during the pandemic. What is he doing to ensure that scandals such as those at Whorlton Hall and Cygnet Yew Trees Hospital become a thing of the past, as he and his predecessor both promised? I also ask him to lift the blanket ban on visits to care homes and to work with Age UK, the National Care Forum and John’s Campaign to develop guidance and support for safe care home visiting during the pandemic.
Finally, I want to support the comments made by our Greater Manchester Mayor, Andy Burnham, today that the 10 pm curfew caused many problems at the weekend, with crowds on the street and on public transport. I support the call from my hon. Friend the Member for Leicester South (Jonathan Ashworth), the shadow Health and Social Care Secretary, for examination of the evidence on that. Further, in areas with extra restrictions such as Bolton, there is a need for extra financial support for the businesses that the Government have closed.
Covid-19 Update
Barbara Keeley Excerpts(3 years, 9 months ago)
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Matt Hancock
My hon. Friend has pushed on this point repeatedly, and all I can tell him is that that is vital and ongoing work inside Government.
Barbara Keeley (Worsley and Eccles South) (Lab) [V]
The fourth annual report of the Learning Disabilities Mortality Review Programme was published today, and it showed that people with learning disabilities continue to die prematurely and from treatable causes. Since March, nearly 40% of the deaths notified to the LeDeR process were linked to covid-19, compared with a quarter of all deaths in the UK. That group of people have been let down by our health and care services. They die 22 years before their peers, and they are now dying disproportionately from covid-19. Will the Secretary of State look urgently at the 10 recommendations in the LeDeR report, and consider what can be done to reverse that tragic loss of decades of life for people with learning disabilities?
Matt Hancock
Yes, of course. The hon. Lady rightly references an incredibly important report. We brought in a system of annual reports precisely to bring such issues to public attention. I am also glad to report that the number of people with learning disabilities and autism who are in secure settings has fallen significantly over the past few months—that is a connected area in which I know the hon. Lady takes a great interest.
Independent Medicines and Medical Devices Safety Review
Barbara Keeley Excerpts(3 years, 10 months ago)
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Ms Dorries
I thank my hon. Friend for her comment. She is absolutely right. The report is entitled “First Do No Harm”, and we here have to do some good in response to it. Work is being undertaken—the all-party group for valproate and other anti-epileptic drugs in pregnancy works incredibly hard. It is about getting information out there. For some women with epilepsy, sodium valproate is the only drug that works, and the pregnancy prevention programme works alongside this. As I have said, I cannot comment on Primodos, but work is ongoing. We have seen a decline in the number of pregnant epileptic women taking sodium valproate. That decline needs to be driven down even further, in tandem with the pregnancy prevention programme, but my hon Friend is absolutely right. I hope that nobody ever has to come to the Dispatch Box again to discuss a report such as the Cumberlege report and have to apologise for what happened, with the glaring inconsistences in treatment that has been provided to those women who have not received the information they should have received when taking those drugs.
Barbara Keeley (Worsley and Eccles South) (Lab) [V]
After decades of having their concerns dismissed and struggling to be heard, the victims of these scandals deserve both the apologies we have heard and ex gratia payments for the avoidable damage they suffered. Will the Minister confirm that it will be a priority to establish the independent redress agency recommended to help those affected by these scandals and a priority that the agency will be able to move quickly to provide the redress that the victims deserve? They have waited long enough.
Ms Dorries
Every recommendation in the report is a priority and everything will be given equal consideration. I hope that either I or the Secretary of State will be able to come back to the House as soon as possible after the report has been evaluated in full and make our own recommendations at that time.
Coronavirus
Barbara Keeley Excerpts(3 years, 10 months ago)
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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Matt Hancock
I will certainly look into the last point. However, that categorisation is not quite right. The beauty industry is an important industry in and of its own right. While we do still have restrictions in certain areas and categories, that does not mean that they should all be lumped in together. The beauty industry is an incredibly important industry and we will get it open as soon as it is safe to do so.
Barbara Keeley (Worsley and Eccles South) (Lab) [V]
At the start of this crisis, the guidance for care homes was unclear. They could not get PPE, and patients were being discharged from hospitals to care homes without being tested for covid. The Prime Minister’s comments have given offence. Does the Secretary of State accept that care home providers cannot be blamed for the deaths of their residents, and that it is time to give care staff the pay and respect they deserve, and to bring forward plans to fund social care properly?
Matt Hancock
The need to reform social care is no less urgent than before the crisis. Indeed, we have learned through the crisis yet more about the nature of the reforms needed, because we have seen the positive impact of much closer, system-level working between the NHS and social care and local authorities. That should inform our thinking about the long-term social care reforms that this country needs to see.
Covid-19 Update
Barbara Keeley Excerpts(3 years, 10 months ago)
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Barbara Keeley (Worsley and Eccles South) (Lab) [V]
As the Secretary of State has detailed, when areas are put into local lockdown, businesses will have to close, including some that had probably been preparing to reopen this week. Can he confirm that any business impacted by a local lockdown in Leicester, and in other areas in future, will be able to access the furlough scheme as it currently exists, rather than having to subsidise the wages of staff who cannot work?
Matt Hancock
Of course the furlough scheme is available, as it is across the country. In addition, we have provided the councils in question—both Leicester and Leicestershire, because some of the affected area is in the conurbation of Leicester that is technically in Leicestershire—with support to use at their discretion for this sort of purpose.
Covid-19: R Rate and Lockdown Measures
Barbara Keeley Excerpts(3 years, 11 months ago)
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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Matt Hancock
I thank my hon. Friend for that question. It is incredibly important that people follow the social distancing rules. Where the demonstrations that we saw over the weekend did not follow the social distancing rules, they risk increasing the spread of the virus. That is the clear scientific evidence. It is a mistake for people to participate in demonstrations that help to spread this vile disease. Instead, we should all be doing our bit to reduce the spread.
Barbara Keeley (Worsley and Eccles South) (Lab) [V]
With the R number above 1 in the north-west in one model, we need action to prevent a second wave of infections and deaths. The Secretary of State has talked about local lockdowns, but will he commit to ensuring that Public Health England supplies more local information on the spread of the virus to assist in that? Will he also tell us whether there will be additional powers and financial support for areas covered by a local lockdown, as called for yesterday by our Greater Manchester Mayor, Andy Burnham?
Matt Hancock
Yes, we hope very much to be able to publish more and more granular, localised information and to work with local leaders to deliver on what is needed to act upon it.
Covid-19
Barbara Keeley Excerpts(3 years, 12 months ago)
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Barbara Keeley (Worsley and Eccles South) (Lab) [V]
I speak today as an MP from one of the areas outside London that has been hardest hit by covid-19. Tragically, 246 people in Salford died due to covid-19 in the first two months—a death rate of 95 per 100,000 of our residents. Our thoughts are with their families and the families of everyone who has died due to the pandemic. At the start of—[Inaudible.]
Mr Deputy Speaker (Mr Nigel Evans)
Order. We have a problem. Can we please try audio-only to see if that is an improvement?
Mr Deputy Speaker
No, there is still an audio problem. Let us go to Theresa May and come back to Barbara Keeley.
Barbara Keeley (Worsley and Eccles South) (Lab) [V]
Thank you, Mr Deputy Speaker. I speak today as an MP for one of the areas outside London that has been hardest hit by covid-19. [Inaudible]—with their families and the families of everyone who has died due to the pandemic. At the start of this crisis, the Government said they would do whatever it takes to defeat covid-19. [Inaudible]—council took them at their word and has done a fantastic job in supporting vulnerable people, our care system and our local businesses, but now the Government seem to be backtracking and expecting councils to foot not just the bill, but the crisis response. Across—[Inaudible.]
Mr Deputy Speaker
Order. I am sorry, but that has not worked. Can we move on to Neil Gray?
Barbara Keeley (Worsley and Eccles South) (Lab) [V]
I speak as an MP for one of the areas outside London that has been hit hardest by covid-19. Tragically, we know that 246 people in Salford died due to the disease in the first two months—a death rate of 95 per 100,000 of our residents. Our thoughts are with their families, and the families of everyone who has died due to the pandemic.
At the start of this crisis the Government said that they would do whatever it takes to defeat covid-19. Local authorities such as Salford City Council took them at their word, and have done a fantastic job in supporting vulnerable people, our care system, and local businesses. The Government now seem to be backtracking and expecting councils to foot the bill for the crisis response. Across Greater Manchester, Government support for local authorities is already £400 million lower than the costs our councils have incurred, with Salford Council spending £33 million extra in the first six months of the year.
Can the Minister confirm that Government Ministers meant what they said and that all additional costs incurred by councils will be covered by Government funding? Will the Government look carefully at the suggestion from our Greater Manchester Mayor Andy Burnham about English regional representation at Cobra meetings?
On the sustainability of local businesses, I have heard from businesses across my constituency that are not eligible for the funding support that they need—from private limited companies to veterinary businesses, from dentists through to the Veterans Garage, which operates in a shared space to provide vital support for veterans.
Given that none of the businesses that I have highlighted are eligible for any support apart from loans, what reassurances can the Minister give them about their situation? Ministers also need to look again at the need for support for self-employed people in the creative industries. I have been contacted by many constituents working at MediaCityUK in Salford quays, who are not eligible for support.
The Prime Minister’s announcement on Sunday, and the guidance published since, have led to confusion about what is and is not allowed. Many of my constituents now fear that they will be forced back to work before it is safe for them. I have heard from one constituent whose son has been told to report back for work this week, despite the fact that he lives with his mother and she has been told to shield. The son has been on furlough but was asked to go back to work yesterday, even before the covid-19 secure guidance had been published.
Will the Minister confirm that businesses will be required to put the necessary protections in place and that no staff will be expected to go back to work until they can be sure it is safe to do so? Will the advice on shielding cover the issue of how that can work when another family member has to go out to work, increasing the risk?
Finally, I want to talk about family support. The Prime Minister set out a plan for getting people back to work, but the only concession for family contact was allowing one person to meet one member of another household outside, while maintaining social distancing. I was contacted after the Prime Minister’s speech by a new mother who had given birth to her baby during lockdown. None of her family or friends has been able to meet her baby or support her, and she is now feeling exceptionally isolated.
My constituents are being directed back to work, where social distancing is advised but is not even guaranteed. Why is it acceptable for someone to meet large numbers of people at work, but not get the support they need with a new baby from family members? Can the Minister clarify when we will see updated guidance for that new mother and when she will be allowed to meet family members to get the support that she needs with her baby?
Oral Answers to Questions
Barbara Keeley Excerpts(4 years ago)
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Steve McCabe (Birmingham, Selly Oak) (Lab)
Barbara Keeley (Worsley and Eccles South) (Lab)
The Parliamentary Under-Secretary of State for Education (Vicky Ford) [V]
We have two key priorities at this time: making sure that there is sufficient childcare for critical workers and vulnerable children; and ensuring the longer-term sustainability of the vital early years sector. Therefore, the Government will continue paying local authorities for the hours that we normally fund, and, where appropriate, providers can also access business rates relief, grants, a business interruption loan and the self-employment support scheme, which is especially helpful for childminders. In order to retain staff, providers can also furlough up to the proportion of their salary bill that would normally be considered as being paid from non-public funding sources.
Barbara Keeley (Worsley and Eccles South) (Lab) [V]
Changing the guidance on the job retention scheme at the last minute has pulled the rug from underneath many nurseries and childcare providers. A survey by the Professional Association for Childcare and Early Years has found that 40% of childminders are not confident that their business will survive this crisis. Despite the answers that the Minister has given, there is a lot of confusion. Will she do the right thing and bring forward a comprehensive plan to protect the childcare sector during this difficult time?
Oral Answers to Questions
Barbara Keeley Excerpts(4 years, 2 months ago)
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The Minister for Health (Edward Argar)
It is vital that the people of Grantham are able to access 24-hour care for both accident and emergency and urgent treatment needs. I urge my hon. Friend to continue to work with his local health services and commissioners to develop plans to ensure the needs of his constituents are met. I know he has already been a strong advocate on this matter in this House for his constituents since his election, but I am of course very happy to visit him in Grantham if that would be helpful to him.
Barbara Keeley (Worsley and Eccles South) (Lab)
Personal protective equipment can be as important in social care settings as it is in hospital or GP settings, but care staff report having to buy their own gloves and one care provider had their order of protective equipment requisitioned by the NHS. The Secretary of State says that he is all over this issue, so what plans does he have to ensure that care staff have access to protective equipment to protect them and the people they care for?
Matt Hancock
Of course care staff too are absolutely vital in the national effort to address coronavirus, not least because of the increased risk to many people who are in residential settings and who receive domiciliary care. The work to make sure that protective equipment is available extends to social care staff. Of course, most social care is provided through private businesses, and the delivery model is therefore different, but that does not make it any less important. I am very happy for the hon. Lady and the Minister for Care to have a meeting to make sure that we can listen to the concerns that she has heard about, because we want to address them.
Barbara Keeley
There are already 120,000 vacancies in the care workforce and we now face the prospect of large numbers of care staff having to self-isolate because of coronavirus. With the NHS also needing staff, as we have discussed already, what plans does the Secretary of State have to ensure that care providers are still able to fulfil their contracts and provide their clients with support?
Matt Hancock
This is also an incredibly important issue that we are considering and working on. We will make sure that we address any barriers to social care operating. In all contingency plans on the reasonable worst-case scenario, plans are needed for being able to operate with a 20% reduction in workforce, but making sure that the best care can be provided in what is going to be a difficult time for social care is a really important part of the effort that we are making.
Eating Disorders Awareness Week
Barbara Keeley Excerpts(4 years, 2 months ago)
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Barbara Keeley (Worsley and Eccles South) (Lab)
It is a pleasure to speak in this debate with you in the Chair, Mr Rosindell. I congratulate my right hon. Friend the Member for Knowsley (Sir George Howarth) on securing this important and timely debate, and for the excellent way he opened it, which was very helpful. It has been a compact debate, but he covered a wide range in what he said.
I welcome the contributions of the hon. Member for Broxbourne (Sir Charles Walker), particularly when he spoke about the moving case of his young constituent who took her own life, which is always sad to hear; the hon. Member for Strangford (Jim Shannon), and the SNP spokesperson, the hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron). I agree with her about using the debate today as a starting point. There is much that we should be talking about.
As we have heard, eating disorders are serious mental illnesses that affect too many people in this country. It is estimated that there are currently 1.25 million people in the UK with an eating disorder. It is a serious issue that we should be talking about, even more so because that is only an estimate as we do not have reliable data on the prevalence of eating disorders in the UK. The hon. Member for Strangford talked about that; it is an issue that we must take forward from the debate today. It is part of a broader problem with our data on mental health conditions, although we must acknowledge that some of it comes down to the stigmatisation of eating disorders.
Eating disorders can affect people of all ages, from instances among children as young as six years old, which should alarm us, to women in their seventies. Around three quarters of people with an eating disorder are women but, as we have heard in the debate, eating disorders also affect men. We need to be careful not to stereotype when we describe people affected by eating disorders because it can deter men and young men from seeking help.
Anorexia has the highest mortality rate among all psychiatric disorders because of the severe medical complications that it can cause, but all eating disorders have an impact on the daily life of people who live with them. It is vital that eating disorder services are there to support people when they need it. It is my belief that too often people with eating disorders are being let down by our NHS, and those of us who are interested in this must take that forward from here.
Someone with an eating disorder will currently wait an average of three and a half years before receiving treatment. Too often someone goes to their GP to ask for help, but simply does not get it, as we have heard. The eating disorder charity Beat, which we have all rightly mentioned in our speeches, found that nearly one in three people who seek a referral to an eating disorder service did not get one from the first GP to whom they spoke. These delays clearly go against the NICE guidance on ensuring prompt access to specialist services, and they come with an enormous emotional toll for the person involved. The hon. Member for Broxbourne talked about where that emotional toll can take somebody. Imagine having finally built up the confidence to go and ask for help only to be told, “You won’t get to see a specialist”.
Earlier this week, I spoke to people who are now recovering or recovered from eating disorders, who told me about their struggles to get support. I thank Beat for organising that meeting with MPs. One person was told by a doctor that she weighed too much to have treatment for an eating disorder, despite weighing only 38 kg, which is less than 6 stone. Let us imagine that weight. I also heard about a doctor praising over-exercising, as if that were a good thing. We heard from my right hon. Friend the Member for Knowsley that Mel C had the problem of obsessively exercising, which is another way people can seek to lose weight. Finally, a person was told that she needed to find the willpower just to eat. My right hon. Friend rightly criticised the attitude of underestimating the difficultly of the condition and the danger of the “just get a grip” attitude. We have to get over that and clearly it is even more damaging when it comes from clinicians.
People with bulimia have been denied treatment based on the frequency, or lack of frequency, of their bingeing and purging episodes. The continued focus on weight that we have talked about is particularly concerning as bulimia, along with other over-eating disorders, does not always lead to excessive weight loss. My right hon. Friend and the hon. Member for Strangford talked about Hope Virgo, the campaigner who leads the Dump the Scales campaign. That campaign tells us that clinicians are still using measures such as BMI to assess whether someone is eligible for eating disorder treatment, as I was told by the young person I met this week.
That is another instance where NICE guidelines are not being correctly followed, meaning people are being turned down for the support they should receive. Is someone who has been told they are ineligible for help after visiting their GP really going to go back and ask again and again, until they get the help they need? Or are they going to struggle with their eating disorder, potentially deteriorating to the point where they need to be admitted to hospital?
We should emphasise that the situation is not necessarily the result of medical professionals not caring about eating disorders, but a reflection of the fact that medical schools have less than two hours’ training on eating disorders across the average medical degree. In fact, one in five medical schools do not cover eating disorders at all and, where they are covered, the subject is not in the final exam, meaning students will give it a lower priority.
We see doctors who think people cannot have an eating disorder if they have a healthy BMI, family GPs who are not confident that they should make an urgent referral to a specialist service and many doctors who have never seen a patient with an eating disorder before. The Parliamentary and Health Service Ombudsman and the Public Administration and Constitutional Affairs Committee have both recognised this and call for all doctors to receive proper training on eating disorders. The General Medical Council has said that it will engage with medical schools on the lack of training, but that is a long way from guaranteeing that all newly-qualified doctors will have basic levels of knowledge on eating disorders.
Will the Minister act as a champion for improved training on eating disorders, so that patients can see a doctor who has a basic understanding of what an eating disorder is and of how important it is that a patient sees a specialist? That would be a first step in ensuring that the NHS gives people with eating disorders the support they need. I say a first step, because even when people can secure a referral to a specialist eating disorder service, there is no guarantee that they will then get the help they need.
Colleagues have brought a number of statistics into the debate. In 2017-18, an adult referred to a specialist eating disorder service could expect to have to wait an average of nine weeks to start treatment. That is clearly not good enough. In no other area of mental health would we accept a wait of more than two months to see a specialist. The Government seem to have accepted that in the case of children and young people, where we are finally seeing the introduction of waiting time targets, but waiting time targets for adult services are still being piloted. Can the Minister tell us why that is the case and when the Government will introduce waiting time targets for adult eating disorder services, to ensure that everyone can access timely support?
Simply setting targets will not solve this problem. I am afraid we are seeing that in services for children and young people where, despite some progress since the introduction of targets, people with eating disorders still face a postcode lottery up and down the country. In my constituency, 97% of young people referred to a specialist eating disorder service are seen within a month, but if they live just yards away, across the border in Wigan, the chances of their being seen in that timeframe fall to 66%. That is not good enough. We need all areas of the country to be given the resources they need to give people with eating disorders appropriate and timely support.
Sometimes the right support can mean the person with an eating disorder getting hospital treatment, but there are only 649 specialist in-patient beds for people with eating disorders in England, and just 249 of those are for children and young people. According to NHS data, the most common age for admission to hospital for eating disorders is 13 to 15. More than 4,400 children were admitted to hospital for eating disorder treatment last year.
When their local hospital does not have enough beds, children are being sent miles away from their families for special treatment, because the NHS does not have the resources to treat them closer to their homes. My right hon. Friend the Member for Knowsley also raised the issue of the use of private healthcare companies and private hospitals; too often, in the case of beds not being available, the NHS relies on private healthcare companies to deliver the services. My concern is that many of those services have been falling well below the standards expected. Some 28 privately-run mental health units have been rated as inadequate by the Care Quality Commission in the past three years. Vulnerable people with mental health conditions deserve much better.
Another issue worth mentioning is that the available treatment does not match the length of duration of adult eating disorders, even when a patient can have treatment. Two thirds of adult eating disorders last for three years or longer, but the current NICE-recommended adult out-patient therapies span only one year, or something like 20 to 40 sessions, 30% of which will be in-patient services. Fewer than 20% recover. There is a mismatch in the resources, there is a mismatch in the number of beds and there is a mismatch in the length of time that therapies last. If we catapult somebody out of a service before they are recovered, then clearly there will be a relapse. We need more research on that, and the NHS needs more mental health beds to cope with demand.
My final point is that services also need to be properly funded. The Minister will know that for too long we have seen money intended for mental health services diverted to meet other short-term financial concerns in the NHS. Given the pressure on NHS services now that we have the coronavirus to deal with, one can see that there will be even greater pressure not to spend money on mental health, but to spend it on other services.
Until mental health funding is both increased and ring-fenced, mental health services will remain a lower priority than patching up buildings, meeting demand for physical health services or even increasing services to deal with coronavirus. If we want to see eating disorder services improve, we must do everything we can to ensure that mental health services are properly funded, starting with increasing and then ring-fencing the funding.
Ms Dorries
Absolutely, and the Green Paper, which I am sure the hon. Gentleman will be aware of, references the mental health of young people in schools. However, it is also about the trailblazer schemes, peer support workers and other people who go into schools who specialise in how to identify this and pick it up. Teachers have a huge job, and I think if we were to say that they needed to pick up when someone is suffering from an eating disorder, they would probably throw their hands up, because it requires specialised training. It is a skill, and it takes careful handling when identifying someone who is suffering from an eating disorder. So yes, of course we work across Departments, but it is those specialised and trained mental health workers in schools who will pick this up.
Barbara Keeley
We have a few moments left, so I refer the Minister back to the point I raised about relapse. We are largely talking about adults, and there is a mismatch between the average duration of an adult eating disorder—a large number of patients have severe and enduring illnesses—and the shortness of the therapies that they get. Professor Janet Treasure told me that a solution could be to increase the knowledge and skills of patients with those long, enduring conditions and their carers, so that they can self-manage the illness in parallel with clinical care. She is working on a pilot of that. I do not know if the Minister has heard about that, but I wanted to raise it as something that we ought to give attention to.
Ms Dorries
That is incredibly interesting. I had not heard about it, but I am sure that my officials will take note of it. We have an open door for anything that we can identify that helps us in targeting and providing services. We are looking for solutions to the problem. As I said, the money is there. Claire Murdoch, who I mention in almost every debate, and Professor Tim Kendall are rolling out mental health services across the country via NHS England. They have probably heard of it and are probably looking at it, but I am sure that we will take note and check if that is the case.
Although eating disorders are commonly first experienced by people when they are young, they can continue into adulthood. Following a report on how NHS eating disorder services were failing patients, NHS England convened a working group with Health Education England, the Department of Health and Social Care and other partners, which goes to the point that my right hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) made. We are working in collaboration to address the report’s recommendations and to take them into account when planning for improvements to adult eating disorder services. Work is in progress on that.
We are continuing the investment in mental health services through the NHS long-term plan, as I think most people know. The £2.3 billion is with NHS England, which has a long-term plan to deliver on mental health and is moving at incredible pace. Even today, although it is not relevant to the debate, it announced the opening of gambling clinics across the UK. Community services are being rolled out across the UK so that people in mental health crises do not end up in casualty. It is an incredibly impressive roll-out of mental health services across the UK, including for eating disorders.[Official Report, 5 March 2020, Vol. 673, c. 12MC.]
That long-term plan will give an additional 345,000 children access to mental health support; 380,000 adults access to psychological therapies; and 370,000 adults access to better support for severe mental illness by 2023-24. It commits to the delivery of eating disorder waiting time standards, which I have already spoken about, and I hope that we will reach those before the end of next year. The plan has also committed to the design and roll-out of a new integrated model of adult community mental health care.
To increase further the number of people seeking treatment for their eating disorder, the Government recognise that raising awareness and reducing stigma are incredibly important. Here I should come on to a few of the points made by the right hon. Member for Knowsley. I shall go through them backwards, because that will be more positive in terms of affirmative answers. He mentioned social media providers, their role in body image and the impact that they have on young women. My right hon. Friend the Secretary of State for Health and Social Care has already—this happened recently—held a roundtable with social media providers. It was an incredibly positive meeting, but that is something that needs to continue, because when it comes to social media interactors, providers and platforms need to be aware of the impact that their forums have on young women, so we are continuing that dialogue with them and, I hope, are continuing to push that point.
The right hon. Gentleman made a point about the entertainment industry and its relationship and responsibilities with regard to body image. I announced two weeks ago that I am holding a roundtable with the entertainment industry. That was as a result of the death of Caroline Flack, who took her own life. For me, that was a watershed moment. It is time for the entertainment industry to be aware that it does not have a duty of care only to the people who they take on a contract to work with them. This is not just about sudden fame and reputation loss. The industry has a wider responsibility in relation to images that it projects and how it projects them, because young women and, indeed, many people absolutely are influenced by what they see—their perceived role models—through the lens of television or the cinema. The entertainment industry definitely has a responsibility, so in response to the right hon. Gentleman’s question, I can say that I have already put that in train.
In relation to a review of the long-term effectiveness of CBT, I defer to the expertise and knowledge of our friend from the Scottish National party, the hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron), who made the point that short-term CBT may not be as effective, in terms of how it is delivered, for such long-term conditions. It may be part of the treatment, but as we know, when it comes to eating disorders, treatment is very prolonged in some cases. I am sure that CBT has a definite role, but it should not be seen in isolation. Management of eating disorders takes the input of physicians and psychologists—people who are expert in managing these conditions and working in this field. Therefore I would say yes, but not in isolation.
Ms Dorries
I am sure that Claire Murdoch and Tim Kendall at NHS England are all over that and very aware of that. A streamlining approach to treatment is about getting people seen within the first week. If people are first seen within the first week when they present with their first crisis, that is the time when greater intervention can happen and when that treatment plan can be designed and put in place and there can be that entire care pathway through. I will not say that I think that that would shorten the illness, because I do not know. The hon. Lady probably knows more than I do, but I would think that an effective treatment plan with CBT and everything that is involved in that would provide a better outcome than piecemeal interventions along the way.
The right hon. Gentleman’s first point was careful consideration of Beat and so on. I am a huge admirer of Beat. It provides an incredible service. Its helpline deals with 30,000 people a year, I think, if I am not mistaken—it is a few weeks since I saw Beat. The support service that it provides, particularly to young women who are looking for someone to talk to and advice and help, is second to none. We are absolute supporters of Beat.
Let me just go on to the point made by my hon. Friend the Member for Broxbourne (Sir Charles Walker) about diabulimia. It is also of course the point that the right hon. Member for Knowsley raised repeatedly. We are absolutely committed to ensuring that people with diabulimia receive the treatment that they need. That is why NHS England announced in February 2019 the piloting of services. The services are being piloted on the south coast and in London, and NHS England will evaluate and monitor the pilots and take the learning from them. I will raise what the results show, if the results are through yet from the pilots, and what learning there has been and how it will apply across the UK.[Official Report, 19 March 2020, Vol. 673, c. 13MC.] I am sure that the officials will take a note, and when I have had that meeting, I will report back to the right hon. Gentleman and let him know exactly what the findings are and where we are going on that. The group that we are talking about is very small, but it is at the extreme end and requires very serious consideration.
I think that those are all the points that were raised and that I need to answer.
Barbara Keeley
Could I remind the Minister of another two? I think that a number of us raised the issue of training, and I asked whether she would be a champion of improving training.
Barbara Keeley
There is also the question about when waiting time targets will be introduced for adult eating disorder services.
Ms Dorries
Absolutely. On training for GPs, I take the hon. Lady’s point exactly. The NICE guidelines are incredibly clear, in terms of the Hope Virgo campaign and taking BMI, weight and other things into consideration. The NICE guidelines are clear, and it is up to the clinical commissioning groups to ensure that GPs and others do not take weight as a consideration. Tim Kendall is all over this and is working on it. We want GPs and others to abide by what are already very strict NICE guidelines. We have the guidelines; we just need the medical profession to implement them, but I had an idea when the hon. Lady asked her question. We are talking about training for GPs with the General Medical Council and we will continue to hold conversations about that, and I am sure that NHS England is doing exactly the same thing, but there are quicker ways to get information through to GPs.
When I was a nurse and I was training, it was the Nursing Times that informed us, on a weekly basis, of what was new in treatments and operative procedures. For GPs, it is Pulse and other magazines that they receive. I think that there might be a quicker way into GPs’ surgeries to alert them to the fact that the NICE guidelines are not being applied by GPs or by clinical commissioning groups. I think that there may be more inventive ways around that. Yes, training GPs absolutely is important; it is important to include this issue in the GP training programme, but in terms of getting a message through to GPs now, I think that we need to look at a more innovative way of doing that.
On money being diverted and ring-fenced, I think that the hon. Lady knows that the money from the £2.3 billion that goes to the CCGs is ring-fenced for mental health services only. They are not allowed to siphon it off and use it for anything else. We have our own queries as to whether some are doing that, and I know that NHS England, because I raised this with it the last time I met it, is doing an evaluation of clinical commissioning groups and having a look and checking that that money, which is ring-fenced, is spent only on—