Policing and Crime Bill

Debate between James Morris and Bob Stewart

Monday 7th March 2016 Commons Chamber

[James Morris]

The Minister makes an excellent point. We need greater integration between policing and health. It should not be part of policing for police officers to make crucial decisions about an individual’s psychiatric state.

[Bob Stewart]

Street triage sounds ideal and superb. Am I correct in assuming that the psychiatric nurse and the police officer both have negotiator training? My hon. Friend mentioned an incident in which someone was threatening to throw himself off a roof. Is negotiation part of the training of the street triage team?

[James Morris]

Such teams find themselves in extremely difficult and often dangerous situations, in which they have to deploy negotiation skills, as well as assessing the condition of an individual. That is vital work being done at street level.

I very much welcome the changes and the reduction in the time that somebody can be detained under the Mental Health Act but, as my hon. Friend the Member for Broxbourne and others said, we should aspire to reduce it further to less than 24 hours. We should seek an appropriate length of time for somebody to be assessed psychiatrically for the nature of their condition. The reforms in the Bill should be considered as part of a cross-government approach to dealing with people with mental health problems.

The changes that the Bill introduces should be seen not in isolation, but in the context of the availability of places of safety, which my hon. Friend talked about. The £12 million or £14 million identified by the Home Office in conjunction with the Department of Health is a start, but we need much more emphasis on further funding to provide acute psychiatric places, including the roll-out of liaison psychiatry in accident and emergency departments.

The crisis care concordat introduced by the previous Government has been an effective mechanism for bringing together various partners to improve crisis care. Much more work across government is needed to increase its effectiveness.

Although the number of deaths in custody has not been high, some of those have been of people detained under section 136 of the Mental Health Act. We should be mindful of the issues raised by the use of restraint by police officers in such cases. I highlight that to the Minister as an issue that needs to be considered. There is some evidence that in certain circumstances the police have used excessive restraining powers when dealing with people under sections 135 and 136 of the Act.

I welcome the broadening of the definition of a place of safety under section 135, which can mean somebody being kept in their own home, or in close proximity to where the crisis incident took place in order for them to be assessed appropriately.

These are changes which many people have called for over many years. I am very pleased that the Home Secretary and the Front-Bench team have listened to the representations made by police officers on the ground and by health care professionals. The way we treat people in a state of mental health crisis says much about the sort of society we want to build. These are significant steps in improving our approach to dealing with people in mental health crisis, but they are only one part of the story.

We need to do more work to achieve parity of esteem between mental and physical health, and we are some way along the route. The Government have made a series of welcome announcements on mental health in the past few weeks, particularly on crisis care and community care, but we must go further. People in mental health crisis should receive compassionate care. They should be taken to an appropriate place and dealt with with dignity and humanity, which is very important to the way that we treat mental health in Britain today.