(2 months, 1 week ago)
Commons ChamberI am strongly of the view that we should consider all these things in the round. There is merit here—that is why we are proposing a reasoned amendment—but the risk of proceeding in a rushed fashion is that we come to regret it, as we have on many previous occasions.
I will make some progress and then I will give way.
In 1999, Baroness Jay, the then Leader of the House of Lords, said that a partly reformed Lords with only excepted hereditaries remaining would be
“more legitimate, because its members have earned their places”
and would have more authority. That was termed the Jay doctrine at the time. If the excepted peers go, what other conventions are at risk of change—the Salisbury convention, or the restraint against vetoing secondary legislation? The lack of consultation and scrutiny, and the Government’s piecemeal approach to reform, has meant such questions have the potential to be reopened.
I will give way first to the hon. Member for Telford (Shaun Davies) and then to the hon. Member for Stoke-on-Trent Central (Gareth Snell).
I gently say to the hon. Gentleman that the reforms were introduced in 1999. By my calculation, the Labour party was in power for another 11 years and did precisely nothing further. I will come to this point in a moment, but the reason the hereditaries remained in the House of Lords in 1999 was to ensure that all these things were considered at the same time. The Government are breaking a principle that they agreed to previously.
The right hon. Gentleman rightly talks about the Salisbury convention. Is that his way of telling us that, as the Bill was a manifesto commitment— as pointed out by the right hon. Member for Stone, Great Wyrley and Penkridge (Sir Gavin Williamson)—Conservative peers will be voting for it to comply with the convention that he has said is so important?
(7 years, 1 month ago)
Commons ChamberAgain, my hon. Friend makes an important and interesting intervention, which comes back to the wider question of how we achieve parity. Parity is about not just funding or treatment by GPs, but all these other forms of, for want of a better phrase, micro-discrimination.
I agree with the hon. Gentleman that parity is not necessarily achieved just through funding, but what does he think about the data collected by my hon. Friend the Member for Liverpool, Wavertree (Luciana Berger)? Through FOI requests, she was able to demonstrate that half of all clinical commissioning groups are looking to reduce the amount of money they spend on mental health provision in their communities, so that they can put more money into acute pressures, with which they are struggling due to other funding arrangements.
I thank the hon. Gentleman. That goes back to my earlier point that the funding is there. We are increasing funding for the NHS, and CCGs should not be seeking to cut mental health services in order to cross-subsidise acute services. That is certainly not the case with my local CCG.
Hon. Members on both sides of the House have made important points, and I hope that the mental health review that the Government announced in the Queen’s Speech will take all considerations into account. Mental health really encompasses every area of Government activity, and a holistic approach is important.
I am conscious that I have taken up a little too much time, so my final point is about co-ordination. When sufferers of mental health find themselves in contact with the police, it is often due to more severe mental health episodes, and there is sometimes a frustration about which agency will take responsibility. If the police recognise a mental health problem, they will often get in contact with mental health services in the NHS, which may then get in contact with mental health services at the local council, and the patient and their family can feel that they are being pushed from pillar to post with no individual seeking to take responsibility. Returning to the provisions in the Bill about the collection of data, it needs not only to be collected but shared effectively among institutions. I hope that the review, which will hopefully lead to fresh legislation, will look at how to provide some co-ordination, so that there is somebody who can be a champion for people with mental health conditions and bring together the experiences of all the different institutions. At a time when families and individuals feel under so much pressure, if they can see that there is one person to whom they can relate, instead of having to negotiate with different bodies, that could provide much better outcomes.
In conclusion, I again pay tribute to the hon. Member for Croydon North for bringing this important issue to the House. I hope that this private Member’s Bill will complete its stages and make its way on to the statute book, but I also hope that it will mark the beginning of a wider process that will feed into fresh legislation covering all the different areas where we need to ensure genuine parity between mental and physical health. I hope that all hon. Members agree that that is the ultimate goal.