Mental Health Bill [Lords]

Chris Coghlan Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[Dr Chambers]

I totally agree, and I will come on to the care of people once they have been discharged after an acute mental health episode, because it is a hugely emotive and problematic situation.

We need a comprehensive mental health strategy that sees mental health not just as a clinical issue but, as the Secretary of State said, something that needs to run through housing, education, employment and justice. Good clinical services are vital, but we cannot medicate or refer our way out of a mental health crisis. Many mental health issues are often rooted in deeper challenges including poverty, housing, insecurity, loneliness, debt and trauma. These are not medical problems, but they put people at huge risk of developing mental health issues, and if we are serious about prevention we must tackle these root causes head-on.

The Bill focuses very much on the rights and treatment of people once they are admitted to mental health units, which is essential, but what is just as important—as my hon. Friend the Member for Harpenden and Berkhamsted (Victoria Collins) has just highlighted—is what happens when they are discharged and what support they get in the community to prevent a relapse. In Winchester, we have seen a brilliant initiative between local NHS mental health teams and Citizens Advice. Teams from Citizens Advice are in a mental health unit called Melbury Lodge, and they help mental health patients with all their life admin—the bills, the correspondence—so that they are not discharged back into the community only to come home to a load of outstanding credit card bills and demands to repay their personal independence payments, for example.

What is remarkable is that every pound spent on that initiative saves £14.08 in cost avoidance for the NHS through shorter in-patient stays, fewer readmissions, better engagement of services once they are discharged and a reduction in medication use. This is a win-win for staff, patients and the taxpayer, but it is a pilot project and there is no funding secured for it to continue, despite the proven cost-saving benefits. We urge the Government to look seriously at rolling out such initiatives nationwide.

My hon. Friend the Member for Dorking and Horley (Chris Coghlan) has been passionately campaigning since entering this House to ensure that families have a greater input into medical decisions when there are questions over the mental capacity of vulnerable patients, and I invite him to make an intervention now.

[Chris Coghlan (Dorking and Horley) (LD)]

I thank my hon. Friend. As he knows, in my maiden speech eight months ago I pledged that Fiona Laskaris would succeed in changing the law that had prevented her from saving her autistic son, Christopher, from murder. Fiona is here today. Despite pleading for years, she was never able to obtain a mental capacity assessment for her son. As we heard from the Secretary of State, the Government are now seriously looking at an amendment that would both honour Christopher’s legacy and save lives. Does my hon. Friend support that amendment?

[Dr Chambers]

I thank my hon. Friend for that moving intervention and offer my condolences to those in the Gallery. We appreciate that the Secretary of State is seriously considering an amendment that might help save lives.

Early intervention cannot just be a slogan; it has to be the foundation of a functional system. Last week, I sat around a campfire with the amazing team at the Winchester youth counselling services. That charity has a nature therapy programme in which 11 to 16-year-olds can go camping, have walk-and-talk therapies and do bushcraft and outdoor cooking. While we were toasting our marshmallows, the team were talking about the free, confidential mental health support that they offer, providing services such as one-to-one counselling and a weekly wellbeing walk-in session. By immersing young people in nature, this programme helps to reduce stress and anxiety and fosters emotional wellbeing and resilience. Crucially, the services are accessible without the need for a doctor’s referral or diagnosis. Young people can self-refer, ensuring that support is available promptly when it is needed most. This is why Liberal Democrats have been calling for mental health hubs for young people in every community. We support the Government’s campaign for a mental health professional in every primary and secondary school—not just an occasional visit or a pilot scheme, but a permanent funded presence.

--- Later in debate ---

[Chris Coghlan (Dorking and Horley) (LD)]

Eight months ago, in my maiden speech to Parliament, I said that Fiona Laskaris would succeed in changing the law that prevented her from saving her autistic son, Christopher, from murder. I am here today to honour that commitment. We are on the cusp of changing the law. We have got this far thanks to the National Autistic Society; MPs from across the Chamber working together to overcome injustice, including the right hon. Member for Godalming and Ash (Sir Jeremy Hunt), the hon. Member for Rotherham (Sarah Champion), the right hon. Member for Leeds South (Hilary Benn) and my right hon. Friend the Member for Kingston and Surbiton (Ed Davey); steadfast support from my party, the Liberal Democrats, and support from the Prime Minister and the Government, in a way that represents Parliament at its best; and Elisa Menendez and Romilly Weeks from ITV, who ran the story. Above all, we got this far because of the courage and determination of Fiona Laskaris to save others from the fate that befell her son, Christopher. Fiona and Cara, Christopher’s sister, are in the Gallery.

Christopher was not unlike many autistic children. He was a sensitive, intelligent, loving and compassionate boy, who once asked his mum to stop on the way to school to rescue a lamb that was stuck in a fence. I first met Fiona when I was eight. I stayed in my bedroom and ignored her, perhaps because I was angry that she was buying my home off my dad; my mum had died when I was a few months old, and I was a sensitive boy. Well, they moved in; Christopher grew up in my old bedroom, and he loved the house as much as I did, but as a young man living alone in Leeds, he struggled. Despite Fiona pleading for help for years, she was never able to attain for him the mental capacity assessment that he needed to determine his support requirements. Horrifically, he was exploited and murdered by a man who had just been released from jail. Christopher was 24. We are working with the Government on an amendment to the Bill to ensure that the views of family members are considered when determining an adult’s requirements for a mental capacity assessment.

Christopher’s story is not unique. King’s College London found that in 2022 alone, there were 95 preventable deaths of people with autism and learning disabilities in cases in which the Mental Capacity Act 2005 had not been correctly followed. It can be hard to grasp the scale of the special educational needs and disabilities crisis in this country, but tens of thousands of SEND children are out of school, including 1,800 in Surrey alone. We are losing autistic children, including my constituent Jennifer Chalkley, to avoidable suicide, and, at worst, we are abandoning autistic people in their 20s to murderers; we are failing a generation. How we answer their call for justice will serve as a measure of who we are, and I believe the answer is less a matter of money than of leadership. We know from Nobel laureate James Heckman that early intervention is exponentially more effective and economical in today’s brutalised system, which has cost the lives of Christopher, Jennifer and too many others.

Although this amendment is only a small part of the answer, it can save lives. If one grieving mother can change the law, perhaps we can change the other things, too. If we succeed, it will be above all because of the voices of broken but unbeaten parents, like Fiona, demanding change. Although Christopher had a difficult life, he had the most precious thing that any man can have: a loving and devoted mum. It is up to us to ensure that Fiona is a witness that in our country, it is possible for the vulnerable to be heard, for injustice to be overcome, and to find, beyond grief, hope.

[Madam Deputy Speaker (Ms Nusrat Ghani)]

That was a very moving speech.

Male Suicide in Rotherham

Chris Coghlan Excerpts

Monday 24th March 2025 Commons Chamber

[Jake Richards]

Absolutely, and my hon. Friend has done so much admirable work in this area, long before my time in the House, so I can only learn from her. One point about suicide and male suicide is that an array of policy issues feed into it. This should not be a policy concern for the Government in silo; it should be part of every policy area, and every Department should have those concerns about mental health and suicide protection at its heart.

I was talking about mobile phones and the effect they have had. Since 2010, the average time that teens spend with friends each day has fallen by 65%. I applaud recent Government announcements about reviewing those policy areas, but I urge them to grasp the nettle when it comes to technology, phones, young people and mental health. In a decade’s time I believe we will wonder why we did not do so far sooner.

[Chris Coghlan (Dorking and Horley) (LD)]

I thank the hon. Member for securing this debate. I am working closely with him on the Mental Health Bill. Does he agree that one issue for families who are worried about their loved one is that when they are over the age of 18, there can be barriers in law in terms of the presumption of capacity and the Mental Capacity Act 2005 when it comes to raising the alarm with public authorities?

[Jake Richards]

I am grateful to the hon. Member, who has a remarkable ability to bring that important issue into any debate or intervention he makes. He is the most vociferous campaigner on that cause. I support him in that, and I know the Minister will also be listening.

I want to finish with the action I will take as the local MP. First, I pledge to continue to support the brilliant services we already have. I remember attending my first Andy’s Man Club in Maltby during the general election campaign. I must admit I was slightly cynical. I had seen the marketing, but questioned how effective or useful that informal meeting would be. I was blown away. Over the course of a few hours, a group of blokes spoke about their weeks, and their problems, over a cup of tea. Some of the chat was mundane: they were finding their work more boring, or they had had a good weekend with the family. Others were dealing with the most impossible trauma that put all else—in particular my election campaign—into stark perspective. Afterwards, everyone walked away ready to face the week, however big the challenges ahead. I have since met so many men who use that service. One of the first things I did once elected was to bring Andy’s Man Club to Parliament. I promise to continue to champion its work, and the work of many others.

I also regularly meet local health practitioners in Rotherham to hear their strategies to bring down the rate of men ending their own lives locally. The work of Rotherham health and wellbeing board, and the South Yorkshire integrated care system is hugely commendable, not least the emphasis on improving data and evidence to ensure effective and timely interventions, and providing tailored, targeted support to priority groups and effective bereavement support to those affected by men taking their own lives. Those plans sit within strategies to tackle loneliness, health inequality and domestic abuse. I have committed to holding regular meetings with all GP practices in my constituency, and other support groups, to help tackle male suicide.

We will hear from the Minister shortly about the Government’s national efforts, and from conversations with him I have no doubt that he grasps the severity of this crisis and the urgency with which this Government must confront it. Rest assured, I will be challenging the Government every step of the way to be ambitious in this agenda, and to ensure that policies will work for every town and village in Rotherham. Locally, I will be setting up my Rotherham taskforce to hold authorities to account, working with men and women who are on the front line confronting this issue. We will lead the ongoing awareness campaign and ensure that professionals, and local and national Government, treat this issue with the seriousness it deserves. I am grateful for the opportunity to speak about this important issue, and I hope that by doing so we begin more conversations across our borough. Together, we can bring about meaningful change, and save lives.

Access to Primary Healthcare

Chris Coghlan Excerpts

Wednesday 16th October 2024 Commons Chamber

[Chris Coghlan (Dorking and Horley) (LD)]

The NHS dental contract is so flawed that it punishes dentists for overperforming, so they cannot meet patient demand even if they are ready and willing to do so.

During the election campaign in my constituency, I was struck by how many dentists contacted me to tell me that the system is broken. One dentist took me for a coffee in Dorking, and she told me that she had quit as an NHS dentist because the sums simply did not add up. It was costing her more to treat NHS patients than she was receiving under the NHS contract. That is why so many dentists are leaving the NHS contract. As we have heard from so many hon. Members, the consequences for children in particular are devastating, because they end up at A&E.

Just last week, a constituent contacted me to tell me that they had been unable to afford private dental care for broken teeth, so they had accessed a cheaper teledentistry company. The result was a botched job, with them having permanent ligament and bone damage. This crisis will end only when we reverse the previous Government’s cuts to dental care, because everyone should be able to access affordable high-quality dental care. The Liberal Democrats have a plan to fix our dental deserts, and I urge Members to support the motion.