Government Action on Suicide Prevention

Gillian Keegan Excerpts

Wednesday 8th June 2022 Westminster Hall

[The Minister for Care and Mental Health (Gillian Keegan)]

It is a pleasure to serve under your chairmanship, Mr Bone. I thank the hon. Member for Bristol East (Kerry McCarthy) for securing this debate on suicide prevention and for hosting the recent event, “Breaking the Silence”, during Mental Health Awareness Week. I have a feeling there will be many such meetings and conversations, to which I look forward. Awareness is something we often struggle with in Government, to ensure that people are aware of what we are trying to do and the consultations to hear their voices. That event was brilliant and put a spotlight on that. I also thank Bernard and Stephen, who came along. It was powerful to hear from them, as they marked the death of Joy Division singer Ian Curtis 42 years ago, as well as all the other personal experiences expressed there.

I very much agree with my shadow Minister that such personal experiences are so important. They are important in every aspect of my job, but none more so than in suicide prevention. I must admit that when I first saw that in my job title, it felt overwhelming. Every life lost to suicide is a tragedy. Everybody wishes they could go back and reverse time. It is so, so sad. We heard from the Speaker about his personal tragedies. Every single suicide is a tragedy, but every suicide is, on some level, preventable. That is what we are here for: to work towards preventing as many suicides as possible.

Sadly, like many here today, I know the pain of losing a family member—we lost my cousin Sallie, who I babysat for from a very young age. When someone takes their own life, it affects everybody. I thank Mr Pirie and Mr and Mrs Ritchie, who I have met before, for sharing their stories of Tom and Jack, and for coming up with constructive suggestions on how we can work to help other people who are in those situations, to improve our systems and to learn from those experiences. We know that the right support at the right time can provide hope and prevent a crisis, and can prevent a crisis from becoming a tragic loss of life. We look forward to continuing to work with Mr Pirie and Mr and Mrs Ritchie, and many others.

[Ronnie Cowan (Inverclyde) (SNP)]

I wonder whether the Minister will address gambling-related harm. This is a complex issue—we all get that—and it will require cross-departmental co-operation to find some sort of solution. There is an imminent opportunity coming along—there is a White Paper on gambling reform due, I am told, within weeks. Will the Minister engage with the Department for Digital, Culture, Media and Sport and help it to understand the issue, so that it can strongly regulate gambling, which would help to alleviate the number of gambling-related suicides?

[Gillian Keegan]

The hon. Gentleman has my assurance that I will definitely work cross-Government, with the Under-Secretary of State for Digital, Culture, Media and Sport, my hon. Friend the Member for Mid Worcestershire (Nigel Huddleston) who actually sits in the office next door to me—he finds it very difficult to escape. I think that answers the questions from the hon. Member for Bristol East about whether there are ongoing conversations, which will also continue into the future.

I am happy to visit Paul’s Place. As the hon. Member for Liverpool, Walton (Dan Carden) knows, I am often back in Liverpool, visiting my parents and friends. The first visit I made in this role was actually to James’ Place, also in Liverpool, which was set up by a constituent of mine, Clare Milford Haven, who set up the charity after the tragic death of her son, James. We met in Liverpool, but she was a constituent of mine down in Chichester. Every time I go to one of these places, I learn—every time. There are so many families trying to help the next family avoid the tragedy of losing a loved one.

I also met Tim, Mike and Andy—the 3 Dads Walking. They have done a fantastic job, walking round the whole country. They came to tell me the stories of their three daughters, Sophie, Beth and Emily, who all tragically died by suicide. They told me about the number of people who came out to take part as they walked around the country. There is that saying, “Walk a mile in someone’s shoes.” They were walking a mile together, talking about their experiences. They said that many people had never spoken about their experiences before, because they still felt there was some stigma attached to it. One of the fantastic things about having these conversations is the de-stigmatisation of not only suicide, but mental health conditions in general.

One of the things I have learned as Minister for Mental Health is that anybody can have a mental health issue at any point in their lives. One, two or three things happen that they were not expecting, and anybody can be in that situation, but everybody can recover and manage their mental health. If I can achieve one thing in my role it would be for everybody to really understand that and for us to put the services in place to address it—that is what I hope to do.

I recognise that the last two years have been exceptionally difficult. They have impacted on the mental health and wellbeing of many people, and many will have experienced harmful or suicidal thoughts. The shadow Minister for Mental Health, the hon. Member for Tooting (Dr Allin-Khan), raised the concern that too many people are having to resort to A&E in a crisis. That is why mental health service providers worked across the country at pace during the pandemic to establish a 24/7 urgent mental health helplines for anybody of any age in crisis. Those services are now operational in every area of England, handling 230,000 to 250,000 calls each month. That service was not there before the pandemic; we have tried to respond and to respond quickly.

The long-term plan also committed to increasing the forms of provision for those in crisis, including safe havens and crisis cafés, providing a more suitable alternative to A&E. We know we need to do that. There are some excellent examples throughout the country, including the Evening Sanctuary at the Mosaic club in Lambeth.

[Kerry McCarthy]

In the case of my friend Ric, we learned at the inquest last week that he had phoned a mental health crisis helpline. In that conversation, he revealed that he was in the middle of a psychotic episode. When he later went to A&E at the suggestion of the helpline and spoke to a mental health nurse, he did not reveal that. In the prevention of future deaths report, the inquest recorded that there should have been real-time updating of his medical records, because the people at the hospital would not have let him leave A&E that night if they had realised that part of the problem was psychosis. I talked about taking note of what is said at inquests, and I hope that we can pick up the recommendation on real-time updating.

[Gillian Keegan]

Absolutely. I read all the prevention of future deaths reports, which come to me, and I take them very seriously. There is always so much to learn from them, and I agree with the hon. Lady. Sharing data between services sounds easy and trips off the tongue, but it is actually quite difficult to ensure that data is there in real time. That does not mean that we do not have the desire to achieve that; we absolutely do.

Talking therapies were mentioned by the hon. Member for Blaydon (Liz Twist), and we are improving access to those. I remind people that they can self-refer, rather than going through a GP. I am sure that many people are not aware of that. We are building up mental health support teams in schools. They will really help by providing our young people with first-level support in school, but we realise that we have to invest more in mental health. That is why we have £2.3 billion more to invest in mental health services in 2023-24. We need to build up the workforce, which is a challenge, because it takes a long time to train people for many of these roles. In fact, I had another meeting on this issue earlier this morning.

I want to address the use of risk assessment tools. I am running out of time, but I am happy to respond on the situation; it is important, and I definitely want to take the time to do so, particularly as Mr Pirie is in the Public Gallery. The guidelines published by the National Institute for Health and Care Excellence in 2011 make it clear that risk assessment tools should not be used to predict future suicide or repetition of self-harm, or to determine who should or should not be offered treatment, as the hon. Member for Bristol East said. We would expect health professionals to have regard to that, but it is clear that further work is needed, and discussions are under way right now to find out what further actions are necessary to achieve this.

I acknowledge the valuable role of the voluntary sector in complementing all the things we do. We have given more money—£5.4 million—to voluntary and community organisations. That money has supported 113 organisations, which do a fantastic job at helping people who are struggling. They are in lots of areas, and have often been set up by families who have lived experience. We have also provided funding to support the Hub of Hope, which was set up by a charity in Liverpool, and which is crucial in signposting people to services locally. For people who are at risk, we now have a fantastic opportunity with the call for evidence on mental health and the updated suicide prevention plan.

We have learned a lot more, and we know that there are a lot of things that we need to fix. We have mentioned debt, drugs and alcohol, and men’s sheds—I have visited those, and they are fantastic. Our LGBT expert advisory group is meeting tomorrow to discuss suicide prevention, and to see what more we need to do. I know that Members present are genuinely committed to working with me on situations that it is difficult to prevent, and we are absolutely convinced that we can do a lot better. We will work with colleagues across the Department for Education—we have mentioned the SEND review—and DCMS. It is vital that we work cross-sector, cross-Department and cross-party, because everybody has a role to play in suicide prevention. It is not just my job—if it was, it would be overwhelming. We all have a role to play.

There have been a lot of significant steps since the national suicide prevention strategy was published in 2012. Professor Louis Appleby is mentioned a lot in these circles and has put a lot of work and effort into this endeavour. Real-time surveillance is on the agenda, and the National Suicide Prevention Strategy Advisory Group will continue to work towards making things better. We have made a lot of progress, but everybody accepts that there is more to come. We have recently launched a call for evidence, and we have had about 2,500 people respond so far, but I would like a lot more to do so—particularly those from marginalised groups, or groups that find it harder to talk about these subjects. We need to hear their perspectives and get hon. Members’ help in making sure that everybody responds to the call for evidence, which is an opportunity. I am serious about this, as is the Secretary of State. I thank everybody for their contributions.