(9 years, 10 months ago)
Commons ChamberMy hon. Friend is right. The most important thing we can do is to eliminate this disease at source, and that is why we can be extremely proud of the efforts of DFID and my right hon. Friend the Secretary of State. As I have said, we are the country that is doing the second most in the entire world to combat the disease in west Africa. There is no better example of the link between proper development policy abroad and security at home.
May I thank the Secretary of State for his statement, affording as it does an opportunity for the House to pay tribute not only to Nurse Cafferkey and all the other NHS volunteers, but the staff of the Royal Free hospital in my constituency who day in, day out demonstrate all that is best in our NHS? When the Secretary of State meets the World Health Organisation tomorrow, will he highlight a most recent report that states that, although it is possible there has been a diminution in urban areas in west Africa, rural areas in west Africa are still giving great cause for concern? There seems to be no overarching co-ordinated work in those particularly difficult areas. Will he also, as the United Kingdom was the first off the blocks to offer services to sufferers of Ebola, act as some kind of needle to the other countries in the international community that are still failing to help in the fight against this potential catastrophe?
The hon. Lady is absolutely right that we need all countries to play their part. We have been very involved in international efforts to try to ensure that other countries, particularly in Europe, play their part as we in the UK have been doing. I commend her constituents who work at the Royal Free for their remarkable work, which really is world beating and incredibly impressive. It is also very challenging. The situation that Pauline is in is very difficult for them to cope with, but they are doing so with the highest levels of professionalism. On rural areas, DFID has been focused from the start on how to ramp up community care in rural areas. She is right to say that that is a very important priority.
(9 years, 11 months ago)
Commons ChamberThe hon. Gentleman is absolutely right. It is totally unacceptable for someone with severe mental health problems to be placed in a police cell. We are making very good progress in reducing the use of police cells for that purpose, with the active support of the care services Minister, my right hon. Friend the Member for North Norfolk (Norman Lamb). In the specific case to which the hon. Gentleman has referred, a bed was available but there was poor communication on the ground, which is why we were not able to solve the problem as quickly as we would have liked. As soon as NHS England was informed of the problem, it was able to find a bed within, I think, about three hours. However, as he says, this is a problem that we must eliminate.
If that amount of new money is indeed going into the NHS, will the Secretary of State tell us how much of it will be dedicated to—perhaps even exclusively used for—better delivery of mental health services, not least services for child and adolescent mental health patients?
Let me point out to the Secretary of State that this is not the first occasion on which the House has raised with the Government the total failure to provide adequate services for people with mental health issues. The matter was most recently highlighted at the weekend, but it has been highlighted in the Chamber more than once in the recent past. What the Secretary of State has said today certainly does not calm my fear that if my constituents need a mental health bed, they will not find one in London, and heaven only knows how many hundreds of miles they may have to travel before they do find that security.
(10 years, 11 months ago)
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My hon. Friend speaks wisely. The most senior A and E doctor in the country, Professor Keith Willett, said that he thought that between 15% and 30% of the people attending A and E could be looked after in the community. This is a root cause of pressure. I am afraid that the Labour party needs to show some humility before it starts whipping up public concern about problems that it had a very big part in making. I am in the process of discussions with the BMA, and I hope my hon. Friend will not have to wait too long for some good news.
Will the Keogh review genuinely examine the lack of parity in respect of those who are physically ill and those who are mentally ill? We are already suffering from a crisis in emergency mental health beds in London and we are seeing an increasing use of A and E departments for those who are mentally ill. Surely we should be looking at an increase in walk-in centres for the mentally ill, which have proven to be remarkably effective in helping those on the brink of a serious fall.
The hon. Lady is absolutely right that the urgent emergency care we offer to people with mental health problems is not up to scratch and needs to be a great deal better. Different solutions will be appropriate in different parts of the country, but often going to a normal A and E is not the right approach. We need to consider whether, when people have such conditions, there can be better access to people who know them, their medical history and their condition and who are in a position to advise them in a way that means they do not end up doing what I have seen happening time and again in A and Es, where people end up as frequent fliers, going again and again to an A and E just because there is nowhere else to go. That is one thing that we are trying to sort out tomorrow.