Business of the House

Barry Sheerman Excerpts

Thursday 12th December 2013 Commons Chamber

[Mr Lansley]

I think that the shadow Leader of the House was intending to make a joke, but to make a joke at the expense of our team in the Ashes test series shows very poor judgment.

[Mr Barry Sheerman (Huddersfield) (Lab/Co-op)]

This morning we heard about cuts to the mental health budget. We are supposed to have a national health service that treats mentally ill people, young and old, in a respectful way. That requires resources. What will the Leader of the House do about the Government policy to cut those vital services?

[Mr Lansley]

The hon. Gentleman will remember that it was this Government who in 2012 for the first time introduced a requirement—a duty—in the NHS that mental health issues should have parity with physical health issues, and that must of course be reflected in the way that clinical commissioning groups commission services. There is a structural issue, however, that I experienced when I was Health Secretary and that I fear continues. Many of the services that are commissioned and paid for from NHS providers are paid for under a tariff. Therefore, if somebody requires treatment, the provider gets paid for that, but as a consequence, the clinical commissioning group—mental health services are substantially not on tariff—gets a block grant. After the tariff expenditure has been calculated by the commissioners, the amount available for the block grant is often being squeezed. That is why mental health providers wanted a tariff basis, although they have not yet got it consistently. I hope the commissioners, NHS England and Monitor will continue to make progress on that.