Mental Health: Parity of Esteem

Debate between Chris Bloore and Liz Twist

Wednesday 17th June 2026 Westminster Hall

[Liz Twist]

I agree with my hon. Friend on the importance of the mental health investment standard as one of the measures for securing good mental health support and for making mental health equal with physical health.

As I was saying, parity of esteem means tackling mental health with the same respect, funding and clinical focus as physical conditions. We are here today to debate that principle, which has been discussed in this place for over a decade, yet it remains unfulfilled. We have made great strides in mental health: the Mental Health Act 2025, investment in mental health support teams for schools, which were rolled out this week, and additional mental health workers. Now it is time to deliver on our manifesto commitment to

“give mental health the same attention and focus as physical health.”

We need to look at the current waiting lists for mental health support, but before I look at the figures, I remind Members that every patient waiting to access mental health support is in urgent need of support, just as those on physical health waiting lists are. Sadly, and all too often, people see their condition worsen as they wait, which can lead to extreme consequences. Furthermore, physical illnesses frequently cause profound psychological distress, yet our services treat the physical and the mental in isolation. From my experiences of working with people who have rare conditions, I know the impact that that can have.

The most recent figures show that almost 1.87 million adults and over 576,000 children and young people currently hold open referrals for mental health services. If these were patients waiting for hip replacements or cardiac care, that would dominate the national discourse. NHS England has developed waiting list targets for mental health patients after referral—the longest being four weeks after referral for access to community-based services for non-urgent mental health care—but those developed standards have never been adopted. Research shows that 12 times more patients with mental health conditions are waiting longer than 18 months for treatment, compared to those with physical conditions. The Government have rightly instructed the NHS to drive down waiting times for elective physical health care, but so far mental health services have been excluded from that ambition.

The situation for our children and young people is particularly concerning. Barnardo’s says that one in five children now has a probable mental health disorder, which is double the rate in 2017. Demand has increased hugely, yet around 28% of referred children are still waiting for help, with nearly 40,000 facing unthinkable waits of over two years for treatment. We see the human cost of those delays in the lives of people like Amy, a young woman diagnosed with complex post-traumatic stress disorder. She has spent over a decade isolated at home, yet she has seen a psychiatrist only once in those 10 years. We also see it in the harrowing accounts collected by Rethink Mental Illness. One patient told Rethink that their psychosis was full-on and that an attempted suicide was the only thing that got them help. That is an unacceptable threshold for care.

I have heard of more experiences from the suicide prevention charity Body and Soul, with which I have worked. One young person it supported spent almost a year on an NHS waiting list for cognitive behavioural therapy. Just as they neared the top of the list, their health deteriorated into a severe crisis, and they attended A&E, battling suicidal thoughts. Instead of receiving urgent intervention, they were informed that their crisis made them “too severe” for the therapy they had waited so long to access. They were removed from the waiting list entirely and, with nowhere else to turn, they attempted to end their own life. As Body and Soul rightly highlights, no patient with a life-threatening physical condition would be told they are too ill to qualify for treatment, unlike in this case.

Mental health charity Mind is calling for the development of open-access mental health support pathways, ensuring that people can seek help early and directly, without facing unnecessary referral barriers or rigid clinical thresholds. When we fail to provide accessible care, the results can be fatal. People living with severe mental illness face a premature mortality gap of 15 to 20 years, compared to the rest of the population. Closing that gap by treating mental health with the same urgency as physical health must be the baseline of our approach. Rethink Mental Illness recently found that 83% of people said their mental health deteriorated while waiting for support, and nearly a third of those whose health worsened attempted suicide. Families are making impossible choices, with some parents reporting that they are skipping meals to pay for private therapy for their children because they cannot get the help they need.

This crisis in mental health impacts on our Government’s core mission to kick-start economic growth. We are seeing a rise in economic inactivity driven by long-term sickness, and poor mental health is a primary factor. The Mental Health Foundation estimates that the economic and social costs of mental health problems reach £118 billion a year. Those figures have not arisen overnight; the previous Conservative Government have much to answer for in this crisis.

We need to make sure that we maintain the emphasis on mental health. Last year, the Department of Health and Social Care reported that the proportion of NHS funding spent on mental health is expected to decline over the next two years. We need to look at that again.

[Chris Bloore (Redditch) (Lab)]

My hon. Friend was a champion for mental health long before I came to this House, and I congratulate her on securing the debate. She makes a point about spending, and I read this morning that despite 28% of cases in the NHS being related to mental health, it receives only 13% of the funding. That is at the same time that parity of esteem has been a legal requirement for over a decade. If we are serious about parity of esteem between physical and mental health, the spending must follow the rhetoric.

[Liz Twist]

My hon. Friend is quite right to point to those figures and to say that we need much more input into tackling that difference in funding.

As I said, the proportion of NHS funding spent on mental health is expected to decline, and we need to look again at that. That is exactly why the mental health investment standard was introduced, and why we need the planned 10-year mental health strategy, when it is published, to set out the actions we need to take to ensure that mental health has parity of esteem with physical health. It is vital that the MHIS continues to protect mental health spending until a suitable long-term funding measure is firmly in place to ensure that funding matches need.

Three weeks ago, the interim Milburn review highlighted the unique combination of pressures faced by young people entering adulthood today, including a mental health system that cannot respond to the current level and severity of demand, a pandemic that affected their social development and an ongoing loneliness crisis.

Mental Health Support: Educational Settings

Debate between Chris Bloore and Liz Twist

Thursday 13th March 2025 Commons Chamber

[Liz Twist (Blaydon and Consett) (Lab)]

My hon. Friend will know that suicide is the main cause of death for young people under the age of 35 in the UK. For those under 18, school is where they spend the majority of their life, and somewhere we have an opportunity to make change. Will my hon. Friend join me in paying tribute to the 3 Dads Walking, who have played a significant role in ensuring that this issue stays on the agenda and in tackling the assumption that talking about suicide makes it more likely to happen?

[Chris Bloore]

I thank my hon. Friend for that important contribution to this debate and I pay tribute to the group she mentioned. It is such a critical issue to the future of our young people. I congratulate anyone who comes into this space and makes a positive difference to the outcomes.

Despite the best efforts of many teachers, education settings are yet to have much of that dedicated support. The experience of some young people and their families shows that the support on offer in some schools is not sufficient. The Mental Health Foundation works with whole families to support them in developing their mental health together. Ahead of this debate, it asked two of the participants in one of its programmes in London, Bemi and her daughter Ayo, to share their own experiences. Bemi said that the Government

“say are going to invest in children’s mental health, but this isn’t happening. There is a lot of pressure on children”

these days. She said that

“it is having a toll on children’s mental health, and as a parent, I am also feeling this strain of seeing the constant breakdowns”

and the failure to access support. Her 13-year-old daughter Ayo suggested that schools needed to be much more proactive in asking about children’s mental health:

“Nobody is asking how we feel and never attempting to get to the root cause of things; they only pick up on when you are behaving irrationally but never try to figure out why you feel this way.”

School staff are often the first point of contact when a pupil struggles with their mental health, so they need to feel confident to support their pupils and be able to spot the signs of difficulties. Education Support, a charity supporting the mental health and wellbeing of teaching and education staff, found that 74% of staff often help pupils with personal matters beyond their academic work. Educators are filling in where there are gaps, further highlighting the need for joined-up and embedded services.