Mental Health and Wellbeing Plan

Daniel Kawczynski Excerpts

Wednesday 15th March 2023 Westminster Hall

[Mr Jones]

As the hon. Gentleman knows, eating disorders can affect people of any age, but there is a huge cohort that are young. I am coming on to my concerns about particular emphasis on young people’s mental health, which needs to be addressed.

[Daniel Kawczynski (Shrewsbury and Atcham) (Con)]

Will the right hon. Gentleman give way?

[Mr Jones]

Give me two minutes to make some progress. There are two issues that I want to highlight, which will fall through the cracks without dedicated attention. That is tackling disparities, and the mental health of children and young people, just raised by the hon. Member for Strangford (Jim Shannon). In the original plan for the 10-year strategy, the Government spoke about tackling enhanced disparities. They said:

“Addressing disparities will be a key aim across the whole of the mental health plan—from prevention through to early intervention and treatment.”

[Daniel Kawczynski]

The right hon. Gentleman is talking about young people. We would all concur that additional support for young people with mental health issues is extremely important. Does he agree that emotional intelligence support for young people is related to this? Does he agree that more emotional intelligence should be taught in schools, to help people through with their mental wellbeing?

[Mr Jones]

Personally, I would not call it emotional intelligence; I would call it emotional robustness and I will come on to say more about that. However, the hon. Gentleman is right about the importance of trying to make sure that young people are as robust as possible in dealing with the situations that face them now in modern life.

The discussion paper for the 10-year plan mentioned no fewer than 18 disparity factors relating to mental health, including financial insecurity, discrimination, the criminal justice system, poor quality of work or employment, living standards—the list goes on. It is important to acknowledge those factors, because the Government themselves said that they needed to be addressed in mental health and wellbeing plan. Colleagues will know that I have often been on the record saying that the way to tackle mental health and wellbeing is to make sure that we hardwire into Government policy consideration of mental health and resilience across Departments. That is why I welcomed the approach in the plan.

However, building consideration of mental health into a major conditions strategy means that only one disparity factor is likely to be taken into consideration, which is physical health. Many other disparity factors, which are often complex, obviously relate to people’s wellbeing, but I fear they will be sidelined in the strategy.

Let us just take one of those other disparity factors, which is financial insecurity. According to the Office for National Statistics last autumn, around one in six adults experienced moderate or severe depressive symptoms. That increased to one in four for those who find it difficult to pay energy bills, or rent or mortgage payments. And according to a YouGov poll for Barnardo’s, almost a third of parents said that children’s mental health has worsened during the cost of living crisis.

We know that the effect of wellbeing on health includes its effect on mental health, which is substantial. This was such a key priority for the Government that they outlined its importance in their levelling-up agenda. The levelling up White Paper said that

“wellbeing has a bearing on all four of the UK Government’s objectives for levelling up”.

The 10-year plan discussion paper specifically said that

“a new plan for mental health is needed to deliver the Government’s levelling up mission to narrow the gap in healthy life expectancy between local areas”.

However, we now have no mental health 10-year plan, so where does that leave those good words that were in the levelling up White Paper?

We also need early intervention and prevention, which are so important. We know for a fact that around 50% of mental health conditions are established by the time that a child reaches the age of 14 and 75% of them are established by the time someone is 24. However, it is estimated that 60% of children and young people who have diagnosable mental health conditions currently do not receive NHS care. I share the very valid concerns raised by mental health charities and others that scrapping the 10-year plan and merging mental health into the major conditions strategy means that the people who will be at most risk will be children and young people, who are less likely to have chronic physical health conditions, but are most likely to benefit from early intervention, for example counselling or psychotherapy.

I have spoken before about the importance of making sure that we get children and young people’s mental health right. Rates of probable mental health disorders in children aged between six and 16 have risen from 11.6% in 2017 to 18% in 2022. That equates to one in six children aged between six and 16 having a probable mental health condition. And as has already been mentioned, 700,000 children have accessed mental health services in the last 12 months.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

It is a pleasure to serve under your chairmanship, Mr Twigg. I thank the right hon. Member for North Durham (Mr Jones) for bringing forward the debate and for all his work in this space. He is absolutely right that mental health affects us all, and for those who have a poor experience with mental health the impacts can be life-changing. He is also right that debates in this place have broken taboos and challenged stigmas around mental health, and have helped with the national conversation about mental health and why it is so important. In one sense, I violently agree with all that he said. The difference is about how we get to that place where we are looking at mental health, rather than just mental illness, and treating people sooner when they need help and support.

I believe that in the last 10 years we have seen a seismic shift in the way that we look at mental health—a shift to parity with physical health, and towards early intervention and community support, rather than waiting for someone to reach a crisis and then intervening. It has been a shift to look at mental health as well as mental illness; the two are very different, but support each other. If we get mental health right, we are much more likely to deal better with mental illness. Parity between mental health and physical health is why the major conditions strategy has mental health in it.

Huge progress is being made. We have committed to funding increases each year, from almost £11 billion in 2015 to £15 billion in the current financial year. Such a level of funding has not been seen in mental health services before, and it is making a difference. The additional £2.3 billion a year to transform mental health services in England has the aim of getting in as early as possible when people need help, and moving to community mental health services as the first port of call for people who need support.

I have seen in practice the difference that the funding and change of emphasis are making. I recently visited Hammersmith and Fulham Mental Health Unit, where community and in-patient mental health teams are working together. If someone is struggling in the community they get input from the in-patient setting, and, when someone is an in-patient, the community team are making sure they are getting the help and support they need for discharge. It is working extremely well.

I have met with police chiefs and talked about the Humberside model, which means that patients are not being taken to A&E or police cells as a first point of refuge, but are instead seen by community support teams. That frees up police time, and is a better experience for patients to quickly receive more appropriate care. That would not have been possible 10 years ago. Of course, there is work to be done, and we get huge numbers of patients who need services and want referrals, but a huge amount of progress has been made.

We recently announced £150 million to support crisis centres in local communities up and down England, so that someone who is not well has easier access to teams and support. Up to 90 mental health ambulances are being rolled out, which means that if someone is going into crisis, it is a mental health support team that responds to them, and not necessarily a paramedic, who would normally be the first responder. That is making a difference, keeping people out of hospital and making sure they are getting the right support as quickly as possible.

[Daniel Kawczynski]

The Minister will recall a conversation we had some time ago, when I was very keen for her to meet a constituent of mine from Shrewsbury who has a daughter experiencing mental health problems. They are not happy with the level of service we receive in Shropshire. I hope the Minister will commit to meet my constituent.