Mental Health: Pharmacists

Jackie Doyle-Price Excerpts

Wednesday 25th October 2017 Commons Chamber

[The Parliamentary Under-Secretary of State for Health (Jackie Doyle-Price)]

I thank the hon. Member for North Durham (Mr Jones) for bringing this debate before the House tonight. I am especially gratified to see so many hon. Members in attendance. This illustrates the very real concern that we have for suicide as an issue, and I welcome their participation here. I know that the hon. Gentleman has been deeply concerned by this incident, and my thoughts also go out to Alison’s family, friends and colleagues. This must be an extremely difficult episode for them. He has described a young woman of great talent and potential, and with timely support she could still have been with us today. I am truly sorry that we have had to hold this debate at all, but in doing so we must learn the appropriate lessons from this case.

Every death by suicide is a tragedy. As the Minister responsible for mental health, I hear from families bereaved by suicide about the devastating impact it has on them. That is why I am determined to drive forward the action we are taking at national level and within local communities to reduce suicides. I am encouraged that suicide numbers have fallen in recent years but they still remain too high. I am aware that the north-east of England has the highest suicide rate in England, and that Durham has one of the highest suicide rates in the region. Really, however, this debate is about Alison Stamps. I am aware that she was a pharmacist, and the hon. Gentleman has raised the issue of suicide risk among pharmacists. He has also put on record his concerns about Boots as an employer. Alison clearly had support in the workplace, but her colleagues did not know how best to help her, and that is not satisfactory.

The hon. Gentleman might be aware that the Office for National Statistics has published research on the suicide risk in occupational groups. While the research did not find a high risk in pharmacists specifically, there is a heightened risk of suicide among health professionals generally. I understand that Alison’s family raised concerns with the coroner about the awareness of mental health issues in the workplace and the ability of employers to support people who experience problems. This is an important concern and one that the Government are addressing.

First, we are looking at the issue of mental health first aid. In Alison’s case, this could have helped. Although general awareness has been raised, we recognise that there is further to go. That is why we have recently announced that we are investing £15 million to deliver an ambitious national mental health campaign to ensure that at least 1 million people receive mental health awareness training. That will be starting next year. Through innovative national programmes to engage the public and continuing to raise the importance of mental health in the same way that we do with physical health, we will increase awareness and knowledge, as well as challenging stigma.

The real concern that the hon. Gentleman has raised about the support—or rather, lack of it—provided to Alison by her employer is firmly at the top of the list in terms of what the Government are doing to address this issue. We recently commissioned Lord Dennis Stevenson and Paul Farmer to conduct a review of how people are supported in the workplace in relation to their mental health and wellbeing. I can advise the House that the outcome will be published shortly, and we will expect employers to step up to the plate as a result of what is in the review.

Pharmacists carry out important and precise work in dispensing medication, and the hon. Gentleman is right to point out that they are exposed to the very tools that can be used to take their own lives if they are minded to do so. I am aware that organisations such as the Pharmacist Support charity, which was set up by the Royal Pharmaceutical Society, do a tremendous amount to support pharmacists on a wide range of issues. That organisation also publishes information and resources about mental health support.

The hon. Gentleman has asked what more can be done, but from the Government’s perspective, the buck stops with the employers. It is they who must ensure that there is sufficient mental health support for their workers. There is much happening in this space, but change will not happen overnight. I am acutely aware that this has come too late for Alison Stamps and her family and is of little consolation, but I hope that improving mental health awareness and creating more mentally friendly and healthy workplaces will increase the likelihood that people will feel able to talk about their mental health problems at work and be assured they will get the understanding and support they need.

I am pleased to say that the profile of suicide prevention has never been so high, which is testament to the progress we are collectively making in tackling the stigma surrounding suicide and mental health problems more widely. I pay tribute to the hon. Gentleman for that. He has done much to raise awareness in this place of the impact of mental ill health. The Prime Minister has spoken about her commitment to tackling the burning injustices of people who experience mental ill health, and many well-known figures have helped to bring this vital issue into the national conversation. I am grateful to the hon. Member for Blaydon (Liz Twist) for mentioning the fantastic work of the Samaritans—what would we do without them? I am pleased to say that I met Ruth Sutherland just this week. The Samaritans is a key partner as we tackle the whole issue of suicide prevention.

Turning to Government action and the suicide prevention strategy, we are making a big step forward and responding to the calls of stakeholders. We need to ensure that locally managed suicide prevention plans are targeted, and we will provide support where plans are insufficient. We have done that because a previous suicide attempt is the strongest indicator of future risk of suicide, so local areas need to keep that intelligence and act upon it. We welcomed last year’s Health Committee inquiry into suicide prevention, which made a wide range of recommendations to reduce suicides. The Government published their response in July to set out how we are progressing many of those recommendations. We also welcomed the recommendation in the five year forward view for mental health to reduce suicides by 10% by 2020-21. The commitment is supported by an additional £25 million between 2018-19 and 2020-21, and we are working with NHS England and other stakeholders to identify the priorities for this funding in local areas.

Local areas are where real change will be delivered, and I am pleased to report that 98% of local areas have a suicide prevention plan in place or in development. I am also pleased that Durham County Council, which serves the constituency of the hon. Member for North Durham, is part of that 98%. Our aim is to reach 100% by the end of the year, but we need a qualitative assessment of the quality of the plans. We do not want this to be a box-ticking exercise, so we will work with local areas to ensure that their plans are high quality and to identify areas for improvement.

We remain committed to delivering the five year forward view for mental health and the Prime Minister’s mental health reforms. That work is supported by an additional £1 billion of funding up to 2020-21 to ensure that an additional 1 million people can access mental health services. We certainly do not want people like Alison Stamps to feel that they have nowhere to go. Much of that investment will directly impact suicide prevention, such as the £400 million we have invested in developing mental health crisis services in the community and the £250 million to implement liaison mental health teams in emergency departments to support people who present at general hospitals with mental health problems.

[Lady Hermon (North Down) (Ind)]

I am grateful to the Minister for giving way. In Northern Ireland, where health is devolved, we have not had an Assembly for 10 months and we do not have a Health Minister. May I urge the Minister to ensure that there is a suicide prevention strategy? She says that there is a national strategy. I love the word “national” because Northern Ireland is part of the United Kingdom, so will the Minister ensure that the permanent secretary for the Health Department in Northern Ireland is aware of the progress being made in the rest of the United Kingdom? I am encouraged by what she has said this evening.

[Jackie Doyle-Price]

The hon. Lady makes a fair point, and I will ensure that that is taken up with officials in Northern Ireland, because it is important that the situation is tackled locally.

Members may also be aware that we launched the “Beyond Places of Safety” programme this month to provide £15 million of support for local community-based projects to ensure that there are more appropriate places of safety for people experiencing a mental health crisis and to avoid police custody or unnecessary hospital admissions. That builds on the £15 million we invested in the first phase of the programme.

The forthcoming children and young people Green Paper will set out a range of measures to improve access to services and support for young people. We will provide mental health first aid training to all state secondary schools by 2019, and we will expand that training to state primary schools. I hope hon. Members will agree that the Government’s continued investment and drive to improve mental health services will bring real change for people.

The death of Alison Stamps has been particularly tragic. Her case is a clear lesson that employers need to be alive to the mental health needs of their staff, and I make it clear that that is what we expect. There is political consensus that we must address issues such as suicide prevention, so now is the time for us all to take action to make change a reality for people and communities. We must be ambassadors in ensuring that employers step up to the plate.

As I have set out, this Government are committed to tackling the burning injustices experienced by people with mental health problems so that more people will feel able to speak out about their problems and feel confident that they will get support from those around them, including their employer. I was struck when the hon. Member for North Durham said that people are scared to speak out in case they end up being taken down a disciplinary process or losing their job. That is not acceptable, and employers need to ensure that employees realise that support will be forthcoming.

We have made huge strides on delivering parity of esteem between mental health and physical health, and on ensuring that more people have timely access to services when they need them, but there is still much more to do. We must not be complacent in pursuing those goals. We will be tireless in that pursuit, and I can tell from their interest that other hon. Members will be tireless, too. We must ensure that other families do not have to experience the grief and pain that Alison’s family are feeling now.

Question put and agreed to.