Summer Adjournment

Dan Poulter Excerpts

Tuesday 19th July 2011 Commons Chamber

[Dr Daniel Poulter (Central Suffolk and North Ipswich) (Con)]

I rise to speak briefly in the time available to me about mental health services throughout the country. The Government are quite rightly focusing on mental health, as well as on provision in the acute sector. Their commitment to “No health without mental health” is absolutely right, and the £400 million being put into the early prevention of mental health conditions through talking therapies is an important commitment.

Before I go any further, however, it is worth highlighting how mental health services have historically been something of a Cinderella service in the context of the NHS budget. A good reason why we need reform to get rid of primary care trusts and put medical professionals in charge of service delivery is that mental health services have been particularly targeted for front-line cuts by PCTs over the past few months. For example, Leeds has seen £3.5 million cut from mental health budgets, with Oxford and Buckinghamshire withdrawing all police mental health liaison officers from their services. I am sure that the Minister would agree that mental health services are already under-invested locally throughout the country, and also that such cuts to front-line services are not desirable given the importance of early primary intervention in mental health. Indeed, that is exactly why we need reform to put professionals in charge of the NHS, so that they can deliver the community-focused services that we need.

It is also worth pointing out that nearly half of all adults suffer from depression at some point in their lives. We know that 60% of adults in hostels and the homeless have some form of mental health condition, while 90% of prisoners are estimated to have one too, so there is a big issue. We know that intervening and helping those individuals earlier in the disease process—through exactly the sort of commitments that the Government are making, with their £400 million commitment to talking therapies, and through commitments on a local level throughout the country—would make both a difference to health care economics, by driving down the cost of care for mental health patients later on, and a huge human difference to the patients themselves.

In the time available to me, I want briefly to call on the Minister to reconfirm the Government’s commitment to early intervention. We know that too many people are presenting with mental health conditions in the acute sector too late, when they are already in crisis, which is expensive for the NHS and bad for those people. The failure of mental health services has been to become a responsive service, rather than what we need, which is a service focused on patients and developing a properly community-sensitive approach, particularly in isolated rural areas and areas of high population churn, such as the inner-city areas over the river from this place.

I am not going to say much more; there is no time to develop a full argument. What I would like to hear from the Minister—I am sure that he will give us this—is a confirmation of the Government’s commitment to one of the key reasons for the NHS reforms that we are putting through, which is that we need much more of a community focus to mental health services, much less reactive mental health services and a much more proactive focus on helping people early on in their condition. Such a service would be good for them and good for the NHS, not only because it would reduce the cost to the taxpayer, but primarily because it would be good for the patient.