Mental Health (Discrimination) (No. 2) Bill Debate

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Department: Cabinet Office

Mental Health (Discrimination) (No. 2) Bill

Charles Walker Excerpts
Friday 14th September 2012

(12 years, 3 months ago)

Commons Chamber
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Charles Walker Portrait Mr Charles Walker (Broxbourne) (Con)
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Thank you very much for calling me, Mr Speaker. It is a pleasure to follow the hon. Member for Aberdeen South (Dame Anne Begg), who gave a simply fantastic speech.

I have spoken frequently about mental health over the last six years, often supported by my hon. Friend the Member for New Forest East (Dr Lewis). It will not come as a surprise to you, Mr Speaker, to learn that I have very little left to say on the subject. I would say, however, that I am simply delighted at what is happening today. We serve in a simply fantastic Parliament. We have fabulous colleagues here and they are doing great things in the area of mental health. Today’s Bill will provide so much hope and reassurance to many millions of people out there. They may not be watching the Chamber—I imagine only 3 million or 4 million are watching this morning’s debate—but over time we will change the view that people have of mental health problems.

On the other side of the Chamber, I see the hon. Member for North Durham (Mr Jones), who, with me, in June admitted to his own mental health problems. I do not think he was prepared—I certainly was not—for the tsunami of interest that that created. The media were calling us almost hourly, asking for interviews and asking us to comment on what we had said. What was totally overwhelming was sitting in a studio waiting to be interviewed and having the people doing the make-up say, “My husband”—or, “My son,” or, “My father,”—“suffers from mental health problems. Thank you.” Then we would go through to the next level and meet the producer, who would quietly say, “I’ve suffered from mental health problems for a number of years. Thank you for giving me a voice.” Then there would be the woman or the gentleman doing the interview, who would say, “My child has mental health problems. Thank you for giving him”—or her—“a voice.”

For years we felt that the media were not on our page. I think, in fact, the media were on our page, but did not know what to do because, mistakenly, they felt that the public were frightened about people with mental health problems. The media played up to that fear in the headlines, everybody nervously laughing along to the ridicule that was directed towards people suffering with an illness. I think the press now realise that many of their readers and viewers were made deeply uncomfortable by that approach, and that for the last 20 years they got it wrong. What we are seeing is a sea change in the reporting of mental health problems. There is still some distance to go, but things are improving, and they are improving quickly.

What my hon. Friend the Member for Croydon Central (Gavin Barwell) is doing today and what he is going to do over the next few months will probably be his most important achievement in political life. He will find it difficult to make more of a difference than he is going to make over the course of this year and the beginning of next. I am sure he will go on to hold great office—no doubt he will be a Secretary of State and perhaps go beyond—but what he is now doing is so important that it is unlikely that he will ever be able to top it.

I would also like to thank my colleagues in the Chamber today, because they are at the forefront of changing views and changing minds. They are to be celebrated, both in this House and in their constituencies. The two hon. Friends on either side of me today—my hon. Friends the Members for Totnes (Dr Wollaston) and for Bracknell (Dr Lee)—spoke movingly and openly about their experiences, and when they did so, they had been in this House for little more than two years. I would not have had the bravery to do that after two years in this House, so I say this to them. I salute you for your honesty and integrity. No doubt your constituents recognise what you did that day in June.

I am going on a little and I did not want to go on too much, so I shall bring my few words to an end. I would like first, however, to pay tribute to Lord Stevenson of Coddenham. I have known him for about two and a half years now, and his energy, enthusiasm and dynamism are incredible. Indeed, I think I do my hon. Friend the Member for Croydon Central no disservice by saying that if it were not for Lord Stevenson’s enthusiasm for this Bill and his sheer determination, I doubt we would be here today. I would also like to thank—without naming them—the many civil servants who have promoted the Bill in their Departments. They, too, are to be lauded for their contribution.

That is really all I have to say. There are other discriminations out there that people with mental health problems continue to face—for example, a lack of advocacy when they are in crisis. That needs to be addressed. How we look after people in detention and the rights we give people in detention also need to be looked at. Then there are Criminal Records Bureau disclosures, where, under the question: “Is there any other relevant information?”, chief constables will too often write, “We are aware that this individual was detained under the Mental Health Act, but we don’t know whether they are a danger to children or adults. We don’t believe that they are.” All too often that is damning to the individual, so we need to look at that, too.

In the main, however, today is a day of celebration. It is a great day, and I am just so pleased to serve in such a wonderful national Parliament. We are rightly proud—and have the right to be proud—of what we are doing today. It is fabulous to be here. It is possibly the greatest day of my life. My wife and my three children may take exception to that, but it is certainly one of the greatest days of my life. Finally, I say this to my hon. Friend the Member for Croydon Central. You are doing a fabulous thing. Thank you so much for taking this Bill forward.

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Robert Buckland Portrait Mr Buckland
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I am grateful to the hon. Lady for that important point. She is entirely right. It is a question not just of removing legislative barriers, but of encouraging a change in culture. Owing to a lack of understanding, frankly, far too many businesses and organisations still display that outdated and unfortunate response to those with mental health conditions.

Charles Walker Portrait Mr Charles Walker
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Good practice needs to be recognised, and I am pleased to report that next week Legal and General is hosting a major conference in the City about mental health and tackling stigma. I believe that the company should be congratulated for doing that, particularly in the City, where there is a sort of macho culture in which people deny any weakness in case their colleagues think the worse of them.

Robert Buckland Portrait Mr Buckland
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My hon. Friend is absolutely right. The equation of mental health problems with weakness is something we must destroy utterly. We all know about that culture in the City, and it exists elsewhere. Organisations such as Legal and General and Swindon’s Mindful Employer network, an excellent organisation that brings together companies large and small in my constituency to encourage and share best practice with regard to employees with stress or mental health and other related conditions, can demonstrate the way to go when it comes to dealing with these conditions.

Robert Buckland Portrait Mr Buckland
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My hon. Friend brings a great hero of mine to our attention: Field Marshal the Viscount Slim, leader of the forgotten army, a man who led an outstandingly courageous operation in the far east. My hon. Friend is absolutely right to bring that huge experience to bear in this debate, which allows me to make an important point. We must be very careful when we use words such as “vulnerable”, because many people I know who have mental health conditions—I am sure other Members of the House know such people—would not like to be described as vulnerable. Often they are very tough people indeed who have gone through the toughest of circumstances.

I make that point because a good-natured and well-intentioned approach that describes people with mental health conditions as vulnerable brings with it a danger that the vulnerability becomes the basis by which, rather than encouraging and enabling such people to engage fully in society and public life, we assume that they need to be looked after in a different way and separated from mainstream society. Such a view is only a short step away from the old thinking about institutionalisation—the thinking of previous generations, which did so much harm and damage to people with mental health conditions. Although it is undeniable that people with disabilities or mental health conditions can find themselves in vulnerable situations, that is very different from making glib assumptions about their vulnerability.

The Bill would be a straightforward and simple piece of legislation. As my hon. Friend the Member for Bury North (Mr Nuttall) said, it would also reduce and repeal legislation—something that I, as a Conservative, am always happy to support. In three particular respects it deals with provisions that are not only discriminatory, but wholly superfluous. The provision relating to Members of Parliament, as has already been noted, is not only dangerous, with the additional vice of potentially driving hon. Members to deny mental health problems, but in the light of the provisions of the Mental Capacity Act 2005, which allows for a person lacking capacity to be detained without losing their seat, section 141 is utterly redundant. On the principle that redundant legislation is bad law, we as legislators should act swiftly to remove such a provision.

It has been reported today that people with stressful jobs in which the ability to control events is limited—I most definitely include being a Member of Parliament in that category—are at a 23% greater risk of having a heart attack. We really would be idiots in this place if we denied the possibility that the mental health of hon. Members is not invulnerable. In my opinion the 2005 Act caters well for cases in which, sadly, detention for mental health reasons is the only alternative available but, importantly, it does not allow the automatic vacation of a seat because of the fact of a mental health condition. That is the important distinction that we must draw between the mere fact of a condition and the question of capacity. The two things are very different.

As you probably know, Mr Deputy Speaker, I have had more than my fair share of experience of dealing with the great British jury, to quote the words of W. S. Gilbert, whether I have been sitting as a Crown court recorder or appearing as counsel in criminal cases. I say with all the experience that I can muster that the court system is perfectly capable of catering for and dealing with people with conditions—sometimes lifelong ones—that can be managed by the administration of medication.

When somebody with diabetes, or another type of physical condition managed by regular medication, comes to the court, the well adopted practice is for sittings and administrative arrangements to be adjusted so that the person’s needs can be accommodated, they can take their medication and can serve as a juror. In other words, no assumption is made that, just because a potential juror has a physical condition or disability, they cannot serve as a juror.

The assumption in the Juries Act 1974 about mental health is wholly wrong. The blanket ban serves not only to reinforce stigma, but devalues the contribution that people with mental health conditions make to society and can make as jurors. In my humble opinion, there is no more important public service for an individual than to serve on a jury in judgment over their fellow citizen. To drive underground necessary disclosure of some mental health conditions that could affect the capacity to serve is, in my view, what is happening now—inevitably, as result of the outdated provisions in the 1974 Act. That is why those provisions must go and why I particularly welcome the Bill.

Charles Walker Portrait Mr Charles Walker
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May I take my hon. Friend back to his earlier comment that on occasions he felt a victim of events in this place? Today, with this excellent speech, as on so many other days, he is driving events and is to congratulated for it.

Robert Buckland Portrait Mr Buckland
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I am grateful to my hon. Friend, who is a friend indeed.

I turn to the final provision, which relates to company directors. The proposed removal of the provisions in the schedules to the Companies (Model Articles) Regulations 2008 has the function of removing not only discriminatory provisions but unnecessary ones. Why is that? It is because the model articles themselves already contain provision for the termination of a director’s appointment if a registered GP is of the opinion that that person has become physically or mentally incapable as a director and may be so for more than three months.

The provisions are a complete waste of time. They need to be removed for the sake of simplicity. Frankly, this is another example of removing unnecessary red tape and burdens when it comes to the setting up and creation of a business. From a practical point of view, the removal is effective and necessary. Let me also deal briefly with the existing provisions on orders made by the Court of Protection. Those orders are based on a lack of mental capacity, not the mere fact of a mental health condition.

I have mentioned that difference before, and I will say it again—I will keep saying it until everybody understands. Having a mental health condition does not mean that someone cannot play their full part in our society. That is why I warmly welcome the Bill as a real step forward, on a day of honour for the House.

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Chloe Smith Portrait Miss Smith
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The hon. Gentleman is correct and I certainly recognise that work. Today is a day for recognising the work of successive Governments in many spheres of policy and human sympathy.

Turning back to today’s debate, tackling stigma and discrimination is at the heart of the Government’s mental health strategy. I join all Members here today, who have said many times that it cannot be right in the 21st century for somebody to be automatically expelled from this place because they have had a mental health illness. That sends out entirely the wrong message: that if one has mental health problems, one’s contribution is not welcome in public life. That has applied not only to the House of Commons, but to juries and directorships. In February last year, the Government announced that section 141 of the Mental Health Act 1983 would be repealed when a suitable legislative vehicle became available. This Bill is that vehicle, and we are glad to see that issue linked to similar amendments on company directors and jurors.

This issue goes well beyond the business of government and opposition. Shifting public attitudes and behaviour requires a major and substantial social movement. The Government are doing their bit within that. February last year saw the publication of the Government’s strategy on mental health entitled, “No health without mental health”. The strategy recognised that mental health is central to our quality of life and to our economic success, individually and collectively. It is interdependent with the success that any Government might hope for in improving training, education and employment, and in tackling the persistent problems that scar our society, from homelessness through to violence, substance abuse and other forms of crime.

The title of the strategy, “No health without mental health”, captures our ambition to mainstream mental health in this country. That concept has been referred to many times today. The Government expect parity of esteem between physical and mental health services. I know, from the comments of the hon. Member for Hackney North and Stoke Newington, that the Opposition also want that.

Charles Walker Portrait Mr Charles Walker
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I mentioned a few moments ago that Legal and General is doing good work to address stigma. No doubt, as a former Treasury Minister, my hon. Friend will welcome that. Will she ensure that her colleagues in government work with employers to promote the agenda of “No health without mental health” and to celebrate those who take a lead?

Chloe Smith Portrait Miss Smith
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My hon. Friend is, once more, absolutely correct. In this arena, as in so many others, it is vital for the Government to work with the private sector, the voluntary sector and anybody in any capacity to achieve our aims. We are talking about broad-scale cultural change. We need the private sector, whether in a macho or non-macho environment, to stand up and say that it cares about mental health and wants people to be well supported. I want that to happen in all walks of life.

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Chloe Smith Portrait Miss Smith
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My hon. Friend is right that we need to encourage cultural change across a number of organisations. I hope she will forgive me for not responding to that example, because I was not there to see it, but we need to ensure that such stigmatisation is not possible, is not the done thing and is frowned on whenever it is seen or experienced. We need to stand up and speak up for that view, and whenever we can we need to frown on that stigma from a front row seat. One of the six objectives in the mental health strategy was exactly that—that fewer people will experience stigma and discrimination. As the House will know, and as my hon. Friend the Member for Croydon Central set out, the strategy has the full backing and endorsement of the whole Government. My right hon. Friend the Deputy Prime Minister has a long record of calling for the reform of mental health policy.

For negative attitudes and behaviour towards people with mental health issues to decrease, we need to improve public understanding of those issues and gain more sympathetic treatment of them in our mainstream media. Again, I refer to the excellent work that my hon. Friend the Member for Broxbourne did in June, has done since and will do in future.

I also pay tribute to my predecessor, my hon. Friend the Member for Forest of Dean (Mr Harper), for the work that he has done. He has spoken passionately and often on these proposals, and he said in an interview with politics.co.uk in June 2009:

“Mental ill-health is still very much a taboo subject in Parliament as well as the work place and this must change. Mental ill-health affects as many as one in four of the working age population and it is crucial that Parliament leads the way in promoting a better understanding of mental health.”

That is still pertinent today, notwithstanding the steps that we are taking to ensure that the mental health taboo is well and truly broken. Momentum has been building behind the measures in the Bill for some time, as many hon. Members have shown in their comments today and their actions over time both inside and outside the House.

Charles Walker Portrait Mr Charles Walker
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It is not for me to interfere in matters for the Government and Public Bill Committees, but may I make a plea that when the Bill goes into Committee, my hon. Friend the Member for Loughborough (Nicky Morgan) is the Whip in charge? She has been a stalwart of the all-party mental health group, and we are sad to lose her to the Whips Office. I know that she will go on to do great things there and elsewhere, but we would like to see her again on occasion.

Chloe Smith Portrait Miss Smith
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My hon. Friend’s attitude to the Whips Office is well documented and understood in the House. I pay tribute to him for his independence of spirit and his tenacity in pursuing not only mental health issues but a range of others, and for turning his face against the establishment whenever possible. If I may be so cheeky, I endorse his request for that particular member of the Whips Office to be on the Committee. It may be well without my powers to do so—I am sure that you, Mr Deputy Speaker, or powers greater than any of us, will advise me about that shortly. My hon. Friend the Member for Loughborough (Nicky Morgan) has campaigned tirelessly on the matter and deserves recognition for doing so.