NHS Long-term Plan

James Morris Excerpts

Monday 7th January 2019 Commons Chamber

[Matt Hancock]

I know that the hon. Gentleman takes a close interest in that, as chair of the all-party group. Obviously we need more nurses. The vacancies are, in many cases, filled by temporary staff, but that is not the best way to manage things. We need more nurses and more doctors. I am glad that we have a record number of GPs in training. In the plan, we have made provision for a 50% increase in the number of clinical placements. We have a whole programme, including the Harding review, to take this forward and ensure that it happens, because the NHS is, at its heart, delivered by its people.

[James Morris (Halesowen and Rowley Regis) (Con)]

I welcome the Secretary of State’s statement and in particular the continued commitment to increase funding for mental health and build on the work already done through the five year forward view. Does he agree that one of the challenges in implementing those changes is ensuring that funding gets to the frontline through commissioning decisions? That has been one of the obstacles to generating real change on the ground and achieving the goal of parity of esteem between mental and physical health.

[Matt Hancock]

My hon. Friend is absolutely right. We need not only more funding for mental health, which is in the plan, but more joined-up delivery of mental health services. Since the birth of the NHS, mental health services have been separate from physical health services, but treatment needs to be for the whole person—their physical, mental and social health. We need not only the money but the join-up, and my hon. Friend the Member for Thurrock (Jackie Doyle-Price), the Mental Health, Inequalities and Suicide Prevention Minister, is working closely on that.

Budget Resolutions

James Morris Excerpts

Tuesday 30th October 2018 Commons Chamber

[The Secretary of State for Health and Social Care (Matt Hancock)]

Yesterday’s Budget proved the time-honoured truth that careful stewardship of the economy, taking difficult decisions, creating the environment for enterprise and generating growth will lead to better days, not just for those with the dignity of employment, now in record numbers, who did not have it in the past, but for the provision of the public services on which we all depend. This Budget reported record jobs, unemployment lower than in a generation, more full-time jobs, the lowest proportion of low-paid jobs for two decades and rising real pay, with the fastest rises in real pay among the lowest paid in our society, thanks to our national living wage.

We have just seen the big difference between the two Front Benches. While we are delivering more jobs, more opportunity and more prosperity, those on the Opposition Front Bench promise more borrowing, more taxes and more debt. We have just heard it again from the shadow Chancellor: no ideas for the future; just talking Britain down. There is a big difference in this Parliament between a party that believes in the future and an Opposition Front Bench that would only take us back. Wherever it has been tried in the world, the programme that the right hon. Member for Hayes and Harlington (John McDonnell) proposes has led to bankruptcy and misery for millions, and we cannot fund public services on that. Without a strong economy, we cannot fund an NHS that everyone can turn to in their hour of need, whether that involves a life-threatening condition or falling over some fly-tipping. We are able to put record funding into our NHS only because there are millions more people in work who are earning more and paying their taxes.

[James Morris (Halesowen and Rowley Regis) (Con)]

On that point, may I thank the Secretary of State for his work on securing the public capital for the Midland Metropolitan Hospital in Sandwell, which had some difficulties following the collapse of Carillion? His work with the chief executive and the board of the trust has secured the future of that hospital, which is now on track to be built. It will be a vital resource for my local area of Rowley Regis.

[Matt Hancock]

I pay tribute to my hon. Friend, who has worked so hard to get that hospital back on track. It is now being built because we have put in the capital—it is in the NHS budget. We had to rescue it from the failed private finance initiative that was invented by the Labour party. It is only because we have a strong economy that we can give the NHS the longest and largest cash injection ever in its history—

Phenylketonuria: Treatment and Support

James Morris Excerpts

Tuesday 26th June 2018 Westminster Hall

[Liz Twist]

My hon. Friend is absolutely right, and of course there are many others working hard in the NSPKU.

PKU is a rare inherited disorder, affecting about one in 10,000 babies. Most people are familiar with the pinprick test that newborn babies are given; that is how the condition is picked up. It is one of a series of tests given. People with PKU are unable to break down the amino acid phenylalanine, which is found in proteins. They must have a diet very restricted in protein to prevent problems. If the condition is not properly controlled, it can lead to severe neurological and brain damage, as well as to behavioural problems. Untreated PKU causes profound, irreversible intellectual disability, seizures and behavioural problems. As the damage is not reversible, early diagnosis and early consistent treatment are vital.

I say that the condition can be treated by diet; that sounds easy, but it is not. Imagine, as a child or young person, trying to cope without all the foods that most children and adults take for granted. When we think of food that is high in protein, we probably think of meat, but that is the straightforward bit. All meats are on the red list, and so is fish. Everyday bread is too high in protein, so people with PKU must have special bread without protein, much of which must be baked at home using a specially prescribed flour.

[James Morris (Halesowen and Rowley Regis) (Con)]

Having learned about the disease and issues connected with it, I think that the hon. Lady is right to argue for better treatment, but I am struck by the peculiar and intense pressures that PKU puts on parents and carers. Does she agree that we should explore ways to support them in coping with those pressures?

[Liz Twist]

I agree. There is incredible strain on parents—and of course on people with the disease, but we must not forget about the parents.

Oral Answers to Questions

James Morris Excerpts

Tuesday 8th May 2018 Commons Chamber

[Steve Brine]

As I said, NHS England has a legal duty to commission dental services and primary care dental services for the hon. Lady’s constituents. If she wants to bring a specific example from her constituency to me, I will be happy to look at it.

[James Morris (Halesowen and Rowley Regis) (Con)]

16. What steps he is taking to protect children’s mental wellbeing from the harmful effects of social media.

[The Secretary of State for Health and Social Care (Mr Jeremy Hunt)]

We are worried about the effects of social media on children and young people, which is why we have asked the chief medical officer to undertake a systematic review of all the international literature, to help us understand what further steps to take.

[James Morris]

I recently met a group of headteachers in Halesowen, who expressed real concern about the effects of social media on the health of their pupils. Does the Secretary of State agree that peer-to-peer support among young people in the classroom and in our communities is a vital way of benefiting young people through the positive aspects of social media and combating the negative effects on their mental health?

Social Care

James Morris Excerpts

Wednesday 25th October 2017 Commons Chamber

[James Morris (Halesowen and Rowley Regis) (Con)]

It is a pleasure to follow the hon. Member for Leigh (Jo Platt).

I think that there is a consensus in the House that social care is one of the biggest policy challenges we face and that we need to get it right not just for current elderly people, but, as pointed out by hon. Members on both sides of the House, for working-age adults with disabilities. In that respect, it is important to see social care in relation to the mental health of people with learning disabilities. Funding is clearly crucial in this discussion, too, as the Government recognised in this year’s Budget, which increased funding for social care and gave local authorities freedom over the council tax precept. I have seen in the Borough of Dudley, part of which I represent, how that has had a positive impact on the frontline of adult social care.

I want to make two points about the future strategy for adult social care. The first is about structures, and the second about people. Despite positive efforts made—let us not forget it was this Government and the previous coalition Government who introduced the better care fund to begin the process of health and social care integration—the picture is still a fragmented one. People have talked about delayed transfers of care. In reality, there is huge variation across the country in relation to delayed transfers of care, as a result, broadly, of the fact that the process of integration between health and social care has only just begun. We need to move further and faster. I agree with the Chair of the Health Committee, my hon. Friend the Member for Totnes (Dr Wollaston), that we need to see this system as one system—a health and social care system. We will make progress only if we see it in that light.

It is also important to think about the devolved nature of adult social care. In Greater Manchester, funding for social care and health is devolved. It is probably too early to say whether this has been a success, but there are strong arguments to say that if we are properly to reform the system of health and social care, we should not be trying to do it nationally, as the Opposition are arguing; we should chunk it into smaller bits at a regional level and perhaps give responsibility for adult social care to bodies such as the West Midlands Combined Authority and devolved Mayors. We need a fully integrated system of sufficient scale, however, and I think the regions are the best place to locate that.

The second point I want to make is about people. Others have mentioned the crucial role of people working in the care sector and of informal carers. People are clearly a massive constraint on adult social care, so we need to think carefully about how we develop the carers workforce as we move forward. Others have said that it needs high levels of professional recognition and better career structures and incentives. The objective should be to have people working in the care sector who feel on an equal standing to those in nursing and other professions. Currently, we see the health and social care workforces in two separate places, but we should be perceiving them as a single seamless workforce who need to be developed, with the right incentives, to cater for the needs of our health and social care system. We also need to consider the arguments about statutory rights for informal carers, who do not have any rights at the moment, and we need to think about incentives, because clearly informal carers benefit the economy and reduce costs to the Exchequer.

We need to think about the future of an integrated social and healthcare system. It will require extra funding, but funding will be effective only if we achieve that fundamental reform of a seamless health and social care system capable of responding to the needs of people in the health system and social care. We will achieve that only if we take a radically different view of what we mean by a carer workforce, how we treat that workforce and how we treat informal care. If we get that right, we will make a lot of progress.

NHS Pay

James Morris Excerpts

Wednesday 13th September 2017 Commons Chamber

[James Morris (Halesowen and Rowley Regis) (Con)]

I join other Members in congratulating the hon. Member for Portsmouth South (Stephen Morgan) on his maiden speech. I am sure that he will make many fine contributions to this House, and I look forward to debating with him in the months to come.

I think we agree across the House that doctors, nurses and all NHS staff are fundamental to the foundation of the NHS, which the Secretary of State referred to as a world-class health system. It is, on a number of measures, such a system. Since 2010, the Government have been determined, despite the pressures we have faced, to maintain and increase funding for the NHS. We made a commitment in 2010—we could have made a different choice, given all the difficult choices we had to make—to continue funding our NHS, and we pledged in the 2015 election campaign to increase NHS funding further.

I know the vital work that frontline staff do in the hospitals that serve my constituency, such as Russells Hall hospital, Sandwell general hospital and Rowley Regis hospital, where the staff work extraordinary hours and do exceptional work for my constituents. Of course, pay is an important part of incentivising a high-performance workforce, and I welcome the Treasury’s announcement on public sector pay, which indicates that we will look at giving Departments more flexibility. I think that that is important.

I want to highlight one aspect of the workforce challenge that the NHS faces. I have campaigned on mental health for the last decade or more. Over the summer, Government announced their ambition to increase the workforce for mental health by 20,000 by 2020. There are particular challenges around the recruitment and retention of those who work in mental health in the NHS. If the Government are to have any chance of delivering on their aspirations and objectives as outlined in the five year forward view, which they have committed to implementing, they have to get the workforce challenge right. Not enough people want to go into psychiatry or mental health nursing, and we need to find ways of incentivising people to fill those positions. The stretch ambition to get 20,000 additional people working in mental health is a considerable challenge.

I welcome the announcement about flexibility, because I think it will open up opportunities to address the particular skill challenge that we face in mental health. We must try to find innovative ways to incentivise people to come into the NHS to work in mental health, whether it is in psychiatry or psychological therapies, to fill that skills gap. Unless we address those issues, there is no way that we will be able to build the kind of mental health services that we desperately need in our NHS. We have made a lot of progress, but this particular workforce challenge lends itself to innovative thinking about pay and incentives.

I hope that the flexibility that the Government have announced will allow the Department of Health to look at its workforce plan and think in even more detail about how it might develop the incentives necessary to create the mental health workforce that we desperately need. That might mean looking at pay and incentive structures as well as training and other ways of getting people into the profession. I very much welcome the Government’s decision to allow Departments more flexibility on public sector pay. It has been a long road, and the decisions that we had to make at the beginning of 2010 about public spending have meant sacrifices for public sector workers. Everybody agrees that we have particular challenges in the NHS workforce, and we need to find innovative and flexible ways to deliver that workforce, particularly in mental health.

Oral Answers to Questions

James Morris Excerpts

Tuesday 4th July 2017 Commons Chamber

[Jackie Doyle-Price]

The hon. Gentleman makes a good point. We have to balance the need to give CCGs the flexibility to dedicate funding and prioritise in their own way. We have been told by mental health professionals that the targets for physical health are more rigorous than those for mental health. We need to keep that under review, but we have imposed additional targets, which are being met.

[James Morris (Halesowen and Rowley Regis) (Con)]

I commend the Government for their work on mental health over the past few years, but when the Department of Health publishes its Green Paper, jointly with the Department for Education, may I urge the Minister to focus on the evidence of what works for young people and children, which is rigorous early intervention, often with enduring psychotherapeutic interventions? Can she reassure me that the Green Paper will look at evidence on what actually works for young people?

[Jackie Doyle-Price]

I can give my hon. Friend that assurance. Indeed, the Care Quality Commission is undertaking a thematic review to see what works. He is right to identify early intervention as key but, as the hon. Member for Plymouth, Sutton and Devonport (Luke Pollard) highlighted, there is a need to consider the transition as well.

Defending Public Services

James Morris Excerpts

Monday 23rd May 2016 Commons Chamber

[Mr Hunt]

It is a pleasure to sit on the Treasury Bench with my hon. Friend the Minister for Culture and the Digital Economy for the first time in several years. I will leave him to respond to that point, but I will make a broader point in response to the question from my hon. Friend the Member for Enfield, Southgate (Mr Burrowes) which is that the change we need to make in the NHS is to prevention rather than cure. If we can stop people becoming addicted in the first place, whether to drugs, alcohol or gambling, we will reduce costs for the NHS in the long term. That is the purpose of many of our plans.

Thirdly, a seven-day NHS requires a big improvement in access to 24/7 mental health crisis care, so that whenever a problem arises we are there promptly for some of our most vulnerable people. We will deliver that alongside our broader plans to enable 1 million more people with mental health problems to access support each year by 2020.

[James Morris (Halesowen and Rowley Regis) (Con)]

May I commend the Government for accepting the majority of the recommendations from the independent mental health taskforce and allocating £1 billion to implement them? The Secretary of State has been talking about system change within the NHS. To deliver on the taskforce’s recommendations, we need system change to make sure that we have the sort of mental health services that the people of this country deserve.

[Mr Hunt]

My hon. Friend speaks with great knowledge and as chairman of the all-party group on mental health. He is absolutely right to say that we need system change. The system change we need is to stop putting mental health in a silo, but instead to understand that it needs to be part of the whole picture of treatment when a person is in hospital or with their GP; it needs to be integrated with people’s physical health needs. We need to look at the whole person. We will not get all the way there in this Parliament, but I think the taskforce gives us a good and healthy ambition for this Parliament and I am confident we will realise it.

Mental Health Taskforce Report

James Morris Excerpts

Wednesday 13th April 2016 Westminster Hall

[James Morris (Halesowen and Rowley Regis) (Con)]

I beg to move,

That this House has considered the report from the independent mental health taskforce to the NHS in England.

It is a pleasure to serve under your chairmanship, Mr Wilson. This is a very important debate on the “Five Year Forward View for Mental Health” report, published in February. I pay tribute to the chair of the taskforce, Paul Farmer, who is the chief executive of the mental health charity Mind, and the vice-chair, Jacqui Dyer, for all their work. I also thank all the other members of the taskforce and the people throughout the country who contributed to its work. It is an excellent study that contains more than 50 concrete recommendations about how we need to go about improving mental healthcare in our country.

The report represents an historic opportunity. There are three reasons why I believe it is pivotal to the whole history of our approach to mental healthcare in Britain. First, both the public debate in Britain about mental health and our social attitudes towards it have been transformed over the past 10 years. The quality of the debate in Parliament, the media and the public square is at a completely different level from where it was for many years. We are addressing issues of stigma and are open to discussing mental health problems in society.

Secondly, there is a general recognition in the Government and across parties that for too long, mental health care has been underfunded in the national health service. There is now a mature debate about how we should fund mental health services over the next decade.

Thirdly, I strongly believe that, as a result of the work of many people from all political parties over a long period of time, mental health is now at the top of the list of public policy priorities. We now have the political will, which is manifested in the Minister himself, who is absolutely committed to delivering on the plan formulated by the independent taskforce. Those are the reasons why I believe the report represents an historic opportunity.

The report provides a route map for change so that we can give hope to those throughout the country who are currently suffering from mental health problems and who may not be getting, or feel that they are getting, the level of service that they should from the NHS. I shall concentrate on the implementation issues highlighted in the report. There have been many reports over the past 20 years, and many strategies have been determined by Governments of both main political parties. I think we would all agree that over that period we have not made sufficient or fast enough progress, given that mental health issues are becoming more visible in society and given the prevalence of the mental health issues we are seeing across the age range and across the social and economic landscape of the country. There is a real urgency that we get this right, and now.

What do we need to do to drive the change that we all want to see in the quality and availability of mental health care in Britain today? The report focuses on four areas that are critical to implementation—commissioning; the importance of research and data; the incentives, levers and payments for services in today’s NHS; and leadership in the NHS and across Government. The truth is that, to achieve our goal of transforming mental health services in Britain, we need urgent action in all four areas.

The report is clear about the challenge we currently face on commissioning. It states:

“The quality of local mental health commissioning is variable. We found a twofold difference in apparent per-capita spend by CCGs, a more than threefold difference in excess premature mortality in people with mental health problems in England and a fourfold variation in mortality across local authorities.”

The reality is that we need better and more effective commissioning at a local level.

The report discusses the model of commissioning set out by the “Future in mind” taskforce, which looked into child and adolescent mental health services and came up with recommendations for improving commissioning. Those recommendations, which are picked up in the “Five Year Forward View” report, speak to the need to improve commissioning across mental health services and across the age range.

[Rehman Chishti (Gillingham and Rainham) (Con)]

I pay tribute to my hon. Friend for securing this debate and for all he has done for mental health in his time in Parliament. He has been an absolute champion of it. Does he share my concern, which is shared by the Royal College of Psychiatrists, that there is currently no proper accountability for local clinical commissioning groups? The Bill on accountability in commissioning that I presented to Parliament last year would have required every CCG in the country to report back to the Secretary of State every year on the resources and spend in the local area. That way we would know exactly what was going on and could ensure parity of esteem in resources and allocation.

[James Morris]

My hon. Friend makes a very important point. He is right, and I will come to the need for greater accountability later in my speech.

On commissioning, the “Five Year Forward View” report states:

“The transformation we envisage will take a number of years and without clear information about what the best care pathways look like and good data on current levels of spending, access, quality and outcomes, it will be hard to assess the impact of organisational change and ensure mental health services are not disadvantaged.”

Its very first recommendation is:

“NHS England should continue to work with Health Education England…Public Health England…Government and other key partners to resource and implement Future in Mind, building on the 2015/16 Local Transformation Plans”—

which I know are in the process of being implemented—

“and going further to drive system-wide transformation of the local offer to children and young people so that we secure measurable improvements in their mental health within the next four years.”

I dwell on those recommendations because—this speaks to my hon. Friend’s point—we need more transparency on what clinical commissioning groups are spending and where. The report is clear that there is currently simply too much variability across the country. I have long been an advocate of the importance of local, decentralised decision making. It is important that clinical commissioning groups have the freedom to commission services that they think are appropriate to their local population. The report is clear that we need a more consistent approach on mental health services that focuses on collaboration and more integrated commissioning across the spectrum.

[Dr Daniel Poulter (Central Suffolk and North Ipswich) (Con)]

Will my hon. Friend reflect, in the context of the devolved settlement for services, on the importance of substance misuse services and on the impact that the fragmentation of those services away from other mental health services may have had on patient care?

[James Morris]

My hon. Friend makes a powerful point. We need to deal with some of the issues to do with fragmentation in the system—he refers to substance misuse. The thrust of the recommendations in the report is about making sure we have a more integrated approach to commissioning mental health services across the piece.

The second important facet of the implementation challenges that the report throws up is research into mental health services. It mentions the need to have a proper, coherent 10-year plan for research into mental health to fill what are, as many of us would agree, big gaps in the evidence base.

[Norman Lamb (North Norfolk) (LD)]

I congratulate the hon. Gentleman on securing the debate. Does he share my horror at the fact that the Medical Research Council spent 3% of its budget on mental health research in 2014-15? That bears no relation to the degree of disease burden in our country, yet it chose to spend just that much on research.

[James Morris]

I thank the right hon. Gentleman for that intervention and pay tribute to him for all the work that he has done, particularly when he was Minister with responsibility for this area. I agree that we need to spend much more on mental health research, and we need to know what we want to research. For example, there is much talk about the power of peer support in mental health. There is an assumption that it is a good thing and that it works, but we do not have a particularly rich evidence base about whether it does.

On the efficacy of certain psychotherapies, the evidence base shows that cognitive behavioural therapy can be effective for people with mild depression and anxiety, but we do not really know about the effectiveness of other psychotherapies that we may want to promote and develop in the national health service. We clearly do not know very much about a lot of emerging areas that have an impact on mental health. For example, using technology and mobile phone and other apps to help people with mental health problems is a big emerging area, but we do not know much about its effectiveness. We certainly do not know in any coherent sense about the implications of genomic medicine on mental health care. A coherent strategy on mental health research is required over the next decade so that we can extend and expand the evidence base, because the truth is that we are often flying blind.

[Oliver Colvile (Plymouth, Sutton and Devonport) (Con)]

I congratulate my hon. Friend on securing the debate. It is a pleasure to serve under your chairmanship, Mr Wilson.

Does my hon. Friend recognise that one of the key issues in constituencies such as mine, which is a low-wage, low-skill economy, is tackling depression? That is helping us get everybody into work. If we want growth, it is important that we deal with people who suffer from depression, which is, of course, another mental health problem.

[James Morris]

My hon. Friend is absolutely right. We need to support people with depression back into work. The report makes a number of recommendations, which he may be aware of, on the use of strategies such as individual placement and support to get people with mental health problems back into work.

The report also talks a lot about data, which underpin our decisions about where we should focus our efforts on mental health. It refers to a “black hole” of data and calls for a “transparency revolution” in mental health. As I said earlier, for a long time—probably 20 years or more—we have not been collecting sufficiently robust data about what is actually going on in mental health services. We need better data on what is going on to have a firm basis on which to understand what is working, what is not working and what is going on at local and national level. Recommendation 50 in the report—this pertains to what my hon. Friend the Member for Gillingham and Rainham (Rehman Chishti) said about accountability—is at the heart of the implementation challenges that we face. It states:

“The Department of Health and NHS England should require CCGs to publish data on levels of mental health spend in their Annual Report and Accounts, by condition and per capita, including for children and Adolescent Mental Health Services, from 2017/18 onwards. They should require CCGs to report on investment in mental health to demonstrate the commitment that commissioners must continue to increase investment in mental health services each year at a level which at least matches their overall allocation”

of funding. That goes to the heart of our data challenge.

For too long, mental health services have not been properly resourced because we do not have an effective data set on what is actually happening in the NHS or, as the report highlights, an effective model in the NHS for paying for mental health services. They tend to be commissioned on what is called a block contract basis, which often has the effect of focusing on the delivery of a low-cost service, rather than on quality outcomes. We certainly do not have a model of care that focuses on an individual care pathway or a cure for an individual patient.

We need a different model of payment for mental health services in the NHS that focuses on quality and outcomes and reflects our aspiration, which is written into the NHS’s operating mandate, for parity of esteem—the integration of physical and mental health. How can we express that aspiration? To give an example, if I suffer from diabetes and a serious mental health problem, my treatment in the national health service is effectively split in two: there is a physical health pathway, which is paid for in one way, and a mental health pathway, which is paid for in another way. I believe that we need to move towards a payment-by-activity model in the NHS that does not discriminate between physical and mental health. That will certainly not happen overnight, but the report goes some way towards arguing for it in recommendation 47, which states:

“NHS England and NHS Improvement should together lead on costing, developing and introducing a revised payment system by 2017/18 to drive the whole system to improve outcomes”.

[Heidi Allen (South Cambridgeshire) (Con)]

Does my hon. Friend think it is right that we have a separate payment model for mental health, or should physical and mental health be treated together? Separating them could cause the very division that we are trying to lose.

[James Morris]

That is precisely what I am arguing for. Over time, we need to move to a model that does not discriminate between mental and physical health, with integrated payment reflecting the fact that there are a lot of conditions and a lot of comorbidity. Getting the payment system right in the NHS is fundamental to everything about the aspiration for parity of esteem. “Parity of esteem” is an interesting set of words, which can be interpreted to mean that we want a culture change or a system change—all of which is right—but to achieve it we need to change the payment model for how services are commissioned and purchased in the NHS.

[Rehman Chishti]

I agree with the model that my hon. Friend is proposing. From my discussions with the Royal College of Psychiatrists, which has backed a Bill on accountability, I believe that such a model would achieve a more holistic approach for patients, which can only be a good thing for outcomes.

[James Morris]

Again, my hon. Friend is absolutely right. The model contained in recommendation 47 and discussed in the report should drive the achievement of parity by moving towards an integrated tariff or pricing model. A lot of detailed work needs to be done to achieve that—I am not saying it is something that the Minister will be able to implement in the next week—but it goes, fundamentally, to the transformation argument that is at the centre of the report.

Perhaps most importantly, the report talks about the importance of, and absolute need for, strong leadership in the NHS and across Government to drive the change and to make things happen. This is not only about the NHS, but about the whole of Government; it is about putting mental health at the heart of our thinking in many different areas. We need a cross-Government approach, with a strong grip at the centre. I say that despite being someone who believes in devolution, because in mental health policy we have reached the stage of consensus, with much agreement about what needs to be done, but we need political will and a grip at the centre of Government to make things happen. The truth is that the existing system needs to be challenged. We need a culture of challenge—if we say that we are allocating money to mental health, why is it not being spent? Why is it not delivering the outcomes that we need?

As the report highlights, successful implementation is about not only co-ordinating our healthcare response but what we need to do on mental health in education, criminal justice and, as my hon. Friend the Member for Plymouth, Sutton and Devonport (Oliver Colvile) said, back to work programmes in the Home Office. Everything should be working together to achieve the goal of supporting the five-year transformation plan for mental health.

The last recommendation of the report, recommendation 58, might sound somewhat technical and bureaucratic, being a little obsessed with governance, but it is fundamental. It states:

“By no later than Summer 2016, NHS England, the Department of Health and the Cabinet Office should confirm what governance arrangements will be put in place to support the delivery of this strategy.”

That process of ensuring that the recommendations are followed through, that there is a performance and accountability framework, and that change is driven from the centre strikes me as fundamental.

The implementation challenges highlighted in the report are substantial and require action on multiple fronts. As I said earlier, the Minister has shown absolute commitment to addressing many of them. Will he give us an update on what progress has been made in the four areas that I have described today, namely commissioning, data and research, new payment mechanisms in the NHS and leadership in the NHS and across Government?

Getting this right is an historic opportunity. As I said at the beginning, to some degree the stars are aligned: we have a high-quality public debate; much more openness about mental health and its discussion; a mature debate on how we fund mental health; and political commitment at the highest level of Government, with the Prime Minister having made several speeches on and commitments about mental health in the past few months. We have the opportunity to drive forward what a 21st-century mental health care system should look like and make it deliver for all the people out there who need care and support. They are relying on the opportunity being realised and on us getting it right.

[Several hon. Members rose—]

--- Later in debate ---

[James Morris]

I thank all right hon. and hon. Members for taking part in this debate. We have got to the stage of knowing where the problem is and what the solutions are. We need the will in Government and across Parliament to make them happen. We owe that to all the people out there who are relying on us to get this right and I think the stars are aligned to make it happen. Let us get it right.

Question put and agreed to.

Resolved,

That this House has considered the report from the independent mental health taskforce ta the NHS in England.

Mental Health Taskforce

James Morris Excerpts

Tuesday 23rd February 2016 Commons Chamber

[Alistair Burt]

I thank the hon. Lady for her interest and her considerable knowledge of these issues, which she has raised a number of times.

There are two things to say. First, on expenditure on children and young people’s mental health services, £1.25 billion will be spent over the next five years to improve the baseline for child and adolescent mental health services, including early prevention. I would also mention the full roll-out of IAPT—improving access to psychological therapies—services for children by 2018. That is already in place for, I think, 70% of the country, and it will be completed by 2018. It is a way of ensuring that children have early access to the psychological therapies that they need. That is an important development, which I hope the hon. Lady welcomes.

[James Morris (Halesowen and Rowley Regis) (Con)]

As chairman of the all-party parliamentary group on mental health, I very much welcome the report, as Members in all parts of the House should. There is a high-quality public debate about mental health, in which we are addressing stigma, and the Prime Minister has made two speeches in the past three weeks about mental health, setting out the Government’s priorities. Does the Minister agree that there is a unique opportunity for him and the Government to drive forward real, quality change in mental health?

[Alistair Burt]

I pay tribute to my hon. Friend for the work that he has done as chair of the all-party group, and indeed to all colleagues in the House who have raised these issues over a period of time and, partly as a result of their personal experiences and their bravery in talking about them, have helped in the process in which we are engaged.

Yes, we have a great opportunity. The taskforce has set out a 10-year vision, and there is a commitment from the NHS. At the top level, in all parts of the House, there is a commitment to the issue, and I hope that we will have an opportunity to develop the services that people want and for which, in all honesty, they have waited too long.