Mental Health

Baroness Tyler of Enfield Excerpts

Tuesday 27th February 2018 Lords Chamber

[Baroness Chisholm of Owlpen]

I thank the noble Baroness for her question, and indeed, some of the CQC report is disappointing. That is why it is so important that it is working with Sir Simon’s review to feed its thoughts into the review. I know that he will take a terrific interest in what it says.

As to ring-fenced funding, there was an overall increase in spending of £11.6 billion, which was up 8.4% since 2014-15. NHS England has strengthened the mental health investment standard in its planning guidance. This means that as of 2018-19, every CCG will be required to increase its spend in excess of its overall increase in funding. Commissioners must be given the freedom to make decisions about the needs of their population. At the moment, we believe that the investment standard strikes the right balance in allowing that freedom while ensuring that crucial mental health services are properly funded. However, I believe, as the noble Baroness said, that the review will look into this. It is very important that the money going to the commissioners is spent on what it is meant to be spent on.

[Baroness Tyler of Enfield (LD)]

My Lords, the consistent theme running through the findings of the CQC report is that patients are not being fully involved in decisions about their care. A particularly worrying concern was whether clinicians are recording evidence of their conversations with detained patients about their proposed treatment, particularly about whether the patient has consented, refused to consent or, indeed, is incapable of consent. In too many cases it is clear that this is simply not happening. Given that the ability to impose medication is unique to the Mental Health Act, could the Minister say what steps the Government will take to ensure that this is addressed as a matter of urgency? I do not think that this can wait for the review, good as I am sure it will be.

[Baroness Chisholm of Owlpen]

I thank the noble Baroness for her question. I think that we will have to wait for the review. An interim report will come out in the spring and then the final review will come out in autumn 2018. At the centre of that review will be the rights of the patient. It is very important that the patient is taken along by healthcare professionals in the process in terms of how they want to be treated. This will be one of the highlights of the review.