Disability Confident Scheme

Debate between Carol Monaghan and Lisa Cameron

Wednesday 10th January 2018 Westminster Hall

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)]

It is an absolute pleasure to serve under your chairmanship, Mr Rosindell. I congratulate the hon. Member for Ochil and South Perthshire (Luke Graham) on, and thank him for, securing this extremely important debate. As chair of the all-party parliamentary group on disability, I am pleased that we are having this debate. I share the hon. Gentleman’s sentiment that we should be having these debates in the main Chamber as well. This week, I applied to the Backbench Business Committee for a debate on the potential that disabled people bring to our economy. We must harness their skills and potential, and I would hope that the hon. Gentleman and other hon. Members here today would support that application.

The Disability Confident scheme is extremely symbolic. I have held a Disability Confident event in my constituency and would advocate other hon. Members doing so. It was important because only when we go through the process of helping employers to look at the scheme and what it would mean can we understand the hurdles that they feel they face—we can see not only the positives, but some of the limitations within the scheme as it stands.

A number of employers came along to the event on the day. We had great support from the Department for Work and Pensions and from various other organisations, and it was a successful event. I was pleased to publicise it and to tell people, “This is a really positive scheme and a positive event.” However, I would say that, in the follow-up, almost a year later, I re-contacted many of the employers who came to the day. They said, “Yes, it’s a good scheme, and we feel a bit more confident,” but confidence in itself does not always lead on to employment. While it is a good scheme, there is much more we can do.

[Carol Monaghan (Glasgow North West) (SNP)]

I congratulate the hon. Member for Ochil and South Perthshire (Luke Graham) on bringing forward this important subject. My constituent, Atif Aslam, is a maths graduate but suffers from multiple sclerosis. Although he can access interviews, often employers do not put in place what he needs. For example, he needs a scribe in an interview if he is to fill in particular applications. He has been to interviews where he has told them in advance and the employer has not provided it. Does my hon. Friend agree with me that it is one thing for employers to say that they will sign up to this, but another thing for them to act on it?

[Dr Cameron]

My hon. Friend makes an excellent point. Providing adaptations is one of the challenges that employers, particularly small businesses, have come to me about following the event. They have said that they need further support from the Government. As a psychologist, I know that feeling confident is great. I feel confident that I will probably do lots of exercise this year, but whether that turns into my doing exercise might be a different story, particularly when it comes to February or March, rather than January when I am full of inspiration. We are starting off with a good scheme, but we need to build on it and my hon. Friend’s point is extremely important.

Small businesses find dealing with legislative requirements a challenge and a concern. They need help to navigate them, and support in overcoming what are mainly perceived barriers—perceived barriers can still mean businesses taking a step back from giving employment opportunities to people who have disabilities. I understand from disability organisations that the scheme itself has received mixed reviews—I am referring to Disability Rights UK research. I believe it is possible to get to level 3 of the scheme without actually employing anyone who has a disability. We want to see much more of the additional practical support that employers need.

The disability employment gap has remained pretty static at 32 percentage points for many years, which shows that we are making some progress, but certainly not the progress we need to make. That reinforces the point that we need to do much more. The APPG, which hon. Members are welcome to join, recently compiled an inquiry report looking at the disability employment gap. The report estimated that, with the current policies, as of 2016-17, it would take 50 years to meet the Government’s pledge to halve the disability employment gap. That is not where we want to be and is further evidence that much more needs to be done.

Mental Health

Debate between Carol Monaghan and Lisa Cameron

Wednesday 9th December 2015 Commons Chamber

[Dr Cameron]

I do not support the motion and how it reflects Scottish Government care. As I have said, for children who have mental health difficulties, clinicians have to make a sensitive judgment regarding the length of potential stay, and whether the problems are intractable and the children should be admitted to a specialist unit, which can often be some miles from their home. Many of cases of self-harm attempts require psychiatric assessment and monitoring, overnight care and monitoring, and then a package of intensive home care to try to reduce the chance of another such incident. I hope that answers the hon. Lady’s question.

Recommendations, however, do have to be made in relation to CAMHS. They include having a wider appreciation of children’s mental health beyond any problems, providing education and awareness in schools, and having access potentially to mental health clinicians in school settings and not just clinics. As with diet and exercise, good mental health should be normalised. Those are all fundamental living skills that impact on all aspects of functioning and deserve more of a health and well-being slant, rather than a pathologising label.

[Carol Monaghan (Glasgow North West) (SNP)]

Does my hon. Friend agree that it is invaluable to have these services in schools as that normalises the feelings of low self-esteem that many of these young people are experiencing, and does she also agree that to have counsellors based in the school is very important for young people’s mental health?

[Dr Cameron]

Yes, access to such mental health services in schools is certainly merited, as well as mental health awareness and training, and particularly training for staff in schools so that they can pick up at a very early stage if someone is experiencing a mental health problem and then try to access services at that very early stage. Specialist training for teachers would be a positive step forward so that they recognise the signs of mental distress in children. We also need to modernise our approaches to mental health for children and adolescents and embrace the IT and social media method of communicating with young people, because that is the modern world and that is often where they communicate from.

There is a project in Scotland called SafeSpot, an application, website and school intervention to promote positive coping skills, safety planning and access to information about mental health services for young people. The project is going very well and the app is freely available on iTunes and in Android stores. The SafeSpot app and website will be used within Greater Glasgow and Clyde health board, and Dundee health board is also looking at access to it. It was designed by a clinician, Dr Fiona Mitchell, specialist registrar in child and adolescent psychiatry, and I commend her on her innovative work in that regard.

There remains a lack of empirical data regarding effective interventions for young people with comorbidity issues, by which I mean mental health coupled with learning difficulties or substance use, and that requires to be built upon. Looked-after and accommodated children are some of the most severely disadvantaged in terms of services and magnitude of difficulties, particularly those who also may have violence-risk needs or self-harm needs. Further service provision for specialist groups and underpinning research will be crucial.

Given that the weight of evidence for child and adolescent mental health services is in favour of psychological, rather than pharmacological, interventions for the majority of child mental health presentations, clear structures should be in place to support the delivery of effective, evidence-based psychological therapies for children and adolescents. Those from socially disadvantaged backgrounds have always tended to have a poorer uptake of CAMHS. An assertive outreach may be required so that some of the most vulnerable and disadvantaged children and families do not slip through the net.

Specialist service delivery in areas of developmental disorder such as autism, children in the criminal justice system, and children with comorbidity requires to be thought through and planned, so that those children and their families are able to access facilities without feeling they are being passed from pillar to post. It is extremely difficult for families in particular to access early diagnosis of developmental disorders such as for those with autistic spectrum disorder, which means that their needs can go unmet for years and their attainment may diminish.

I continue to believe that the mental health of veterans is an area that is underfunded across the UK and that those who have been willing to lay down their lives for their country should have consequent health, including mental health, needs prioritised. The Minister agreed a few months ago during my Adjournment debate that much more would be done. I would like to have a statement on what more is being, and will be, done, particularly as we are now in a new conflict and the numbers of those in our armed services who witness or experience trauma will increase.

As a clinician in mental health, I make the following plea to the House. To me, mental health services are beyond party politics and it is crucial we tackle this meaningfully in a cross-party manner that brings about real continued progress on the ground for service users and staff, and that we share best practice across the UK and a “what works” philosophy.

I welcome the announcement of improved access to data, which is also crucial in terms of taking forward and ensuring best practice. I say in conclusion that I sense a real note of collegiality across the House and a will to take this important issue forward. I look forward to fully partaking in that, and my party wishes to see mental health services continue to improve in Scotland, the UK and beyond.