Tuesday 13th April 2021

(3 years, 8 months ago)

Westminster Hall
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Charles Walker Portrait Sir Charles Walker (in the Chair)
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I remind hon. Members that there have been some changes to normal practice in order to support the new hybrid arrangements. Timings of debates have been amended to allow technical arrangements to be made for the next debate. There will also be suspensions between each debate. I remind Members participating physically and virtually that they must arrive for the start of debates in Westminster Hall. Members are expected to remain for the entire debate.

I also remind Members participating virtually that they are visible at all times both to each other and to us in the Boothroyd Room. If Members attending virtually have any technical problems, they should email the Westminster Hall Clerks’ email address. Members attending physically should clean their spaces before they use them and as they leave the room. I would also like to remind Members that Mr Speaker has stated that masks should be worn in Westminster Hall. One Member has notified me that he has to leave for another very important debate in the main Chamber, and I have made provision for that.

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Nickie Aiken Portrait Nickie Aiken
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The hon. Gentleman is absolutely right. I do not know a charity involved in rough sleeping and homelessness that does not agree that the Vagrancy Act should be repealed.

If we get this right, it will end the revolving door that too many rough sleepers currently experience, whereby they accept outreach help and are placed in accommodation, but too often find themselves back on the street because their underlying mental health issues or addictions have not been tackled. Even on the coldest day of the year and during adverse weather conditions brought on by the likes of the “beast from the east”, a considerable number of people chose to ignore the no-questions-asked help of a hot meal and a roof over their head, whether from a local authority, a church, a community centre or a mosque. They are so fearful, mistrusting or mentally unwell that they prefer to remain outside in below-zero temperatures, where they feel safest.

There are more than 400 beds available on any given night in Westminster alone for rough sleepers. However, we must not just offer a bed. The accommodation available rarely comes with the vital health services required to help turn a person’s life around and address often years—sometimes decades—of abuse, poor mental health and addiction. But there is a clear solution: replace the Vagrancy Act with a new approach that places the preservation of life at its core through assertive outreach, alongside social care and specialist medical support, all attached to the safety of a bed. We need addiction counsellors, psychiatric help and medical support for those who have suffered years of sleeping rough.

The Government’s Everyone In strategy, in response to the covid-19 pandemic, saw an incredible 90% of rough sleepers accept accommodation, demonstrating that when central and local government work together, we can achieve impressive results, but what about the other 10%? Throughout the first lockdown, about 100 people in Westminster refused all help and remained on the street. I saw many of them myself. They were clearly very ill, with serious addiction and mental health problems.

Having witnessed what I have, and having spoken to former rough sleepers, outreach workers and other experts, I know that it is clear that if we are to end rough sleeping for good, a fundamental shake-up of mental health services is required. Charities including The Passage, Crisis and St Mungo’s have highlighted that outreach workers today find it near impossible to secure mental health assessments for rough sleepers. Even when one has been secured, often the vital missing piece of the jigsaw is a specialist bed for that person.

People on the street with the most complex needs often lack the mental health capacity to make decisions for their own wellbeing or accept help from others. At present, a rough sleeper’s mental state has to become so acute that he or she is self-harming or at risk of doing so for the police to take emergency action, and only then might they have a mental health assessment. By that stage, it is far too late, which is why we need an assertive outreach approach. We need outreach workers working in partnership with specialist homelessness mental health teams that can undertake mental health assessments under the Mental Health Act 1983, as well as other types of assessments on the street, with rapid access to specialist bed spaces. We then need the health services required attached to the bed that the rough sleeper is referred to. I would welcome it if the Minister can address that point and consider reintroducing street-based mental health services.

Of course, none of that can happen without the backing of long-term sustainable funding. I again ask the Government to give due consideration to extending the time period of funding allocations for such service to at least three years, preferably five, rather than the current annual basis.

As we slowly and carefully begin our journey out of the pandemic, much is in flux. However, we now have a golden opportunity to build upon Everyone In, to learn from that initiative and to reshape our response, so that we have the services we need to achieve our shared goal of ending rough sleeping. The Government, I believe, are willing and able to end rough sleeping. Repealing and replacing the Vagrancy Act, longer-term funding attached to mental health services and accommodation and re-establishing street-based mental health services will do just that. I look forward to the contributions of other Members and to the Minister’s response.

Charles Walker Portrait Sir Charles Walker (in the Chair)
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Back-Bench colleagues have around nine minutes each.