Mental Health Bill [Lords]

David Burton-Sampson Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[David Burton-Sampson (Southend West and Leigh) (Lab)]

I thank all Members who have spoken so far to share their professional experience, leaving me feeling very under-qualified to speak on this matter, and those who shared their deeply personal contributions. We all know the shocking statistics associated with mental health. Indeed, the cost of poor mental health is calculated at £300 billion a year in England, and the life expectancy of people with a severe mental illness is around 15 years shorter than for those without one.

I wish to draw Members’ attention to men’s mental health, which is an often neglected and overlooked area. Men’s mental ill health frequently goes unrecognised or untreated, leading to severe consequences. Men face unique challenges and are often less likely to seek help. About 12.5% of men in England have a mental health disorder. Only 36% of NHS referrals for psychological therapies are for men, and many men fear judgment for discussing mental health. Men can feel pressured to appear strong, leading to shame, fear of judgment and a reluctance to take time off work for mental health reasons.

To add to that list of mental health disparities, we must add racial inequalities, as has been pointed out by many hon. Members. Black people in Britain are nearly four times more likely to be sectioned than their white counterparts, and the NHS’s race watchdog has warned that discrimination is playing a part in those high figures. Racial discrimination can prevent black and minority ethnic communities from accessing the care they need. We know that black African and Caribbean communities face particular barriers to accessing specific mental health services. They are less likely to self-refer to psychological talking therapies and less likely to be referred to such services by their GPs.

In addition, the racism, racial violence and hate crimes that threaten many such communities have an additional impact on the mental health of community members, often leading to more severe mental illness, compounded by social injustices, discrimination and disadvantage. I recently visited Rochford hospital, a community and mental health unit that serves my constituency, where I saw for myself the disparity; there were a significant number of young black people on the ward—a mix that certainly does not match the make-up of our local area.

We know the terrible toll that poor mental health can have, which can wreak havoc on people’s lives. My constituency of Southend West and Leigh lies within Essex, a county that is unfortunately the unwelcome focus of England’s first public inquiry into mental health deaths. The Lampard inquiry is investigating 2,000 mental health deaths in Essex between 2000 and 2023, which is yet another shocking statistic. It aims to examine the failures in care in Essex and hopefully ensure that they are not repeated elsewhere.

The inquiry has reported that the alleged failings are on a deeply shocking scale and the Essex partnership university NHS foundation trust has had to apologise for the harm caused to those affected. The director of the charity Inquest, Deborah Coles, which provides support on state-related deaths, told the inquiry that

“many NHS trusts were more concerned about their reputation”

than about the care that they provided for their patients. She pointed to an “overuse in restraint”, segregation and seclusion, once again especially with black patients.

As we have heard, the Government are committed to driving down poor mental health, and the Bill is among the steps they are taking. I welcome the measures outlined in the Bill, particularly the involvement of patients in decision making throughout their care and the strengthening of their voice. For too long, patients have been ignored. Given some of the emerging themes from the Lampard inquiry, I also welcome the measures on increasing the scrutiny of detention to ensure that it is used only where necessary and only for as long as necessary, and on the importance of having a nominated person in place. The Secretary of State talked about prevention, and I welcome the other measures that the Government are bringing in, such as the first men’s health strategy, which will also focus on mental health.

The most tragic figures are on the terrible toll of people who take their own lives as a result of poor mental health. Men are disproportionately affected by suicide—the statistics are horrifying. Of the 6,069 registered deaths caused by suicide in 2023, 75% were men. Suicide remains the leading cause of death for men under 54. These are not just statistics: real lives are being lost. Sadly, I have had personal experience of the trauma caused by male suicide and the devastating impact that it has on the family and friends who are left behind.

In November, my close friend Sam, a bubbly, charismatic, well-liked and much-loved guy, with a whole future ahead of him, unexpectedly took his own life, two days before his 34th birthday. His loss is still felt by many, and there are so many unanswered questions. We must fix this system. I speak today in Sam’s memory, and in memory of everyone else who has been let down by the level of mental health support available. I never again want to receive a call to say that someone close to me has been lost in this way. We must do better, and I am hopeful that we are starting to head in the right direction.

World AIDS Day

David Burton-Sampson Excerpts

Wednesday 27th November 2024 Westminster Hall

[Danny Beales]

I definitely pay tribute to Martyn Butler and to everyone like him who has tirelessly campaigned for change. It is the perfect example of progress being made through the sheer determination of those affected by HIV and of their loved ones—those who unfortunately they left behind. My hon. Friend and I have had the pleasure of meeting many tireless campaigners and fantastic organisations such as THT.

Before entering Parliament, I worked for the National AIDS Trust, another fantastic organisation in the sector, campaigning to end new transmissions of HIV and improve the lives of those who are already living with HIV. That included working on a campaign for equal fertility rights for people living with HIV. I was delighted that just last month the law was finally changed to allow equal access to fertility treatment. That life-changing development means that people I met during that campaign can now have a family. It is not often that we can say that children will be born because of a statutory instrument, but in this case it is true. I thank the Minister for his swift leadership and action on the issue and every single person who campaigned to make that possible—thank you.

The first project that I worked on at the National AIDS Trust was a collaboration with the Elton John AIDS Foundation and the Terrence Higgins Trust: the independent HIV Commission. It heard from experts and from those with lived experience and toured the country to look at good practice. Its recommendations laid out a framework for turning into a reality the goal of ending new HIV cases in England by 2030. One of the independent commissioners was a little-known, shy and retiring Back-Bench Labour MP who is now my right hon. Friend the Member for Ilford North (Wes Streeting). He went on to somewhat bigger and better things in the world of healthcare.

A lot has changed since 2021 when the report was launched. Unfortunately, when it comes to progress on ending transmissions, a lot has not. To their credit, the last Government should be proud of the investment that they made in piloting opt-out HIV and hepatitis testing in emergency departments in London, Manchester and Brighton—the one key action in the last HIV action plan that was delivered on. That investment has changed many, many lives. In my constituency, opt-out testing at Hillingdon hospital has picked up 15 new cases of HIV, 28 of hepatitis C and 140 of hepatitis B. Those are people whose lives have been changed and who now have access to vital treatment. The story is the same across all the hospitals delivering that amazing programme.

The programme is working, but it is facing a funding cliff edge. I welcome the commitment to expand the programme further to other towns and cities, but I hope that the Government will commit to continuing the pilot where it is already in place and working.

We now know for certain that opt-out testing works. We cannot find everyone with undiagnosed HIV if we rely only on a system of people thinking that they may be at risk and then actively seeking out a test, navigating the complex system and overcoming the stigma of HIV to ask for a test. Instead, we must test, test, test. We need an opt-out testing programme that goes right across the health service and into primary care.

Unfortunately, the reality is that despite the success of the testing programme, overall progress towards ending HIV transmissions has been far too slow. Recent figures suggest that this year we are potentially moving backwards. Recent data showed an increase in cases; we have seen poor outcomes around late diagnosis; and the disproportionate outcomes for women and people from black and Asian backgrounds continue. The gap has not closed.

[David Burton-Sampson (Southend West and Leigh) (Lab)]

My hon. Friend is quite right: a disproportionate number of black, Asian and minority ethnic individuals are becoming infected with HIV. Does my hon. Friend think that it is right to raise awareness of things like PrEP in communities that may be disproportionately affected, so that we can put them in the same position as the majority of the country, whose infection rates are declining?

[Danny Beales]

I thank my hon. Friend for that vital point. HIV is a condition that knows no boundaries. It does not affect any one type of person: there is no one community that is alone affected by HIV. It knows no boundaries; it affects everyone.

After 14 difficult years for the health service, we are not on track to reach the 2030 goal. At every single stage of the HIV treatment process, we are missing critical opportunities to get people on PrEP, test for HIV and ensure that everyone living with HIV has the support that they need.

Pre-exposure prophylaxis—we can see why it is called PrEP for short—is an incredible advance in HIV prevention. It is a simple daily pill, now in generic form and therefore incredibly cheap, that prevents HIV completely if taken correctly. I have spoken before about how life-changing a drug it is in removing the fear and stigma of HIV. As a gay man who grew up in the 90s and noughties, the legacy of HIV has always weighed on me and, I am sure, on many others like me. Our sense of self, our sexuality and our relationships were always intertwined with the stigma and presence of HIV. Being able to take PrEP is game-changing, and not just for the individual and their wellbeing: it has a massive public health benefit. It has driven the significant falls in new transmissions, particularly among gay men, who have largely been the people who have accessed the drug to date.

It is unacceptable that the drug is not being accessed by everyone who could benefit. The average wait list for this preventive medicine is 12 weeks. We know from research that people have acquired HIV while waiting to access the drug. That is a significant failure that I hope the new HIV action plan will address, as well as turbocharging access outside sexual health services—the only place where it can currently be accessed. It is entirely wrong that NHS silos are holding back access to PrEP in primary care, including in pharmacy and other settings.

It is also unacceptable that people cannot get a postal test for HIV and sexually transmitted infections in 30% of rural England. It makes no sense that my borough of Hillingdon—not so rural, but on the edge of London—has a completely different postal testing system from the 30 other London boroughs that have their own system. Far too often, the patient is left to navigate complex systems. What test they get will vary depending on where they live. In vast swathes of the country, there is no option to test at home, although sexual health services are often inaccessible and chronically overwhelmed. Far too often, the individual has to fight for an appointment, and only those with the sharpest elbows, or persistence, get access to the sexual health services that they need.

Income Tax (Charge)

David Burton-Sampson Excerpts

Tuesday 5th November 2024 Commons Chamber

[David Burton-Sampson (Southend West and Leigh) (Lab)]

This Budget starts to deliver the change our country voted for, the change our country needs. It is a tough Budget that makes the right choices to start repairing the foundations of our economy, while investing in our public services where investment is most needed. After 14 years of the last Government, it is now clear that the adults are back in charge. Looking at the attendance, or lack thereof, on the Opposition Benches, it is very clear that the Tory party called a general election, handed back the keys and ran away from any responsibility. However, this Government will fix our NHS and invest in our hospitals—something that is badly needed in my constituency of Southend West and Leigh.

Things are so bad in my local hospital that just recently, hospital staff have been banned from ordering new uniform as part of new cost-cutting measures. Excluding cancer pathways, Southend University hospital has average waiting times of 29 weeks for out-patient appointments and 26 weeks for general surgery. They are sometimes much longer. That is simply unacceptable, as people wait suffering in pain. This Budget will start to fix that.

There are huge gaps in local mental health provision. I am sure Members agree that we need parity of care, with as much emphasis on mental health as physical health. For young people in need of mental health services in my constituency, the aim is for assessments within 12 weeks and treatment within 18 weeks, but the reality is that waiting lists can be as long as 18 to 24 months. Practitioners, such as The Lighthouse in my constituency, are working very hard to bring those numbers down, so it is really pleasing to see included in the Budget, on top of the money committed, the £26 million for new mental health crisis centres.

Families waiting for assessments for special educational needs are being let down, so I am delighted to see the £1 billion uplift in SEN provision. New funding for the NHS, mental health services and SEN provision will provide much needed help to my constituents. Without our health, our nation will struggle to rebuild our economy, so the long-term plan for the NHS will develop as a result of the current consultation and through our 10-year plan for national renewal.

The days of sticking heads in the sand are over—hope is not a plan. I thank the Chancellor and her team for putting in place a credible plan to fix our NHS.