Mental Health Bill [Lords]

Lewis Atkinson Excerpts

Report stage
Tuesday 14th October 2025 Commons Chamber

[Zöe Franklin]

I am honoured to open today’s debate on Report and to have served in Committee, where it was clear that Members on both sides of the House shared a commitment to high-quality mental health care for those in crisis. I thank my colleagues who also served in Committee; it was an informative and moving discussion. It is that commitment to high-quality mental health care that underpins new clause 2. It addresses a critical issue: the inconsistency and inadequacy of care in mental health units across England.

I am sure we have all heard distressing accounts of vulnerable individuals being placed in units that are understaffed, unsafe and ill equipped for recovery. Families entrust the system with their loved ones during moments of crisis, only to find that trust undermined—not by a lack of compassion, but by a lack of national direction. New clause 2 seeks to change that by establishing a national strategy and annual reporting to ensure that every mental health unit is safe, well-staffed and fit for purpose.

In my Guildford constituency, a family recently shared with me their experience of a loved one’s stay in a mental health facility. The unit was understaffed from the outset and wards were mixed in age and illness, with little therapeutic structure. There was no clear advocate or caseworker, and the family did not know whom to contact. They described a system that, in their words,

“dishes out drugs without improving mental health or wellbeing.”

The setting was so short-staffed that their loved one was able to self-harm—an unacceptable failure in any care setting. New clause 2 aims to prevent such failures from recurring.

The Care Quality Commission has repeatedly raised concerns about the safety of mental health wards, citing staff shortages, poor infrastructure and environments that are unfit for therapeutic care. In 2023, the King’s Fund reported that 40% of NHS mental health providers were rated “requires improvement” or “inadequate” on safety—figures that would be intolerable elsewhere in the health system. The Health Services Safety Investigations Body has identified systematic risks in in-patient mental health care, including delayed responses to distress, inappropriate use of restraint and a lack of therapeutic staffing models. Perhaps most starkly, the British Medical Journal reported over 17,000 serious incidents in mental health services between April 2022 and March 2023. Each one was a moment when care went seriously wrong. These are not just statistics; they represent real people who deserve better.

New clause 2 would require the Secretary of State to publish a national strategy within 12 months to ensure that all mental health units meet or exceed “good” safety standards under the CQC framework, and to report annually to Parliament. It focuses on three key areas: recruitment, retention and training of staff; safe staffing levels and patient-to-staff ratios, especially during nights and peak times; and ongoing accountability through public reporting. The new clause would make patient safety a national obligation, not a postcode lottery. It is about responsibility and transparency.

Although the Bill modernises detention criteria and patients’ rights, it does not explicitly require the Secretary of State to guarantee basic safety and staffing standards, and new clause 2 would fill that gap. Some may worry that it would be too prescriptive or add bureaucracy, but it would not replace local management; it would support it. It would build on the CQC’s role by ensuring that action is taken when failings persist, and it would turn inspection findings into a driver of national improvement.

On cost, unsafe care is already expensive. It leads to readmissions, litigation, staff burnout and the loss of public trust. A national strategy would allow for smarter investment, preventing failures rather than paying for them later. We have had decades of guidance and reviews, but what we have not had is statutory accountability. My new clause would deliver that.

New clause 2 is focused, deliverable and urgently needed. It complements the Bill by ensuring that the rights it enshrines are backed by safe, well-staffed and properly regulated environments. Without it, we risk legislating for rights in theory while leaving patients unsafe in practice. By supporting it, we affirm that mental health care deserves the same national standards as any other branch of healthcare. I urge Members to support new clause 2 and make safety, dignity and accountability a permanent part of our mental health law, and I look forward to the debate in this House today.

[Lewis Atkinson (Sunderland Central) (Lab)]

Many Sunderland families, including mine, share stories of Cherry Knowle, the Sunderland borough asylum in my constituency, which opened in 1895. Severe mental illness has always been a feature of society. Thankfully, the legislative framework and services have developed somewhat since 1895, but arguably they have not developed fast enough, particularly over the 42 years since the Mental Health Act 1983 was passed. At the start of my NHS career, I spent time shadowing staff on the wards of the then Cherry Knowle, which in 2014 was replaced by a much better facility in Hopewood Park in Ryhope in my constituency. To this day, 2,825 adults are detained under the Mental Health Act in Sunderland Central as a result of that facility.

--- Later in debate ---

[Sojan Joseph (Ashford) (Lab)]

Similarly, a community service called Mental Health Together has been introduced in my area. Does my hon. Friend agree that the whole mental health system is so complex, with different practices in different parts of the country, and that not having continuity and a standard across the country is a big issue for mental health?

[Lewis Atkinson]

My hon. Friend is absolutely right and I thank him for his intervention. Part of the issue around poorly reported waiting times is that it is less easy to see that differential access than it would perhaps be in physical health services. Indeed, over the years when specialist teams have been set up—for example the early intervention and psychosis teams and assertive outreach teams, which I know my hon. Friend knows well given his professional background—they have been introduced with very good intentions and to target specific needs, but they sometimes make it more difficult for patients to get overall care rather than very specialist care for individual conditions.

I will not take any more time, Madam Deputy Speaker, but I will just say that the mantra of investment and reform applies to mental health services, as it should apply to all our health services. For us to make further progress in pursuing parity of esteem between mental health and physical health, we not only need to consider these amendments today and pass the Bill to modernise the legislation, but ensure the Government have sufficient political priority on producing and improving mental health services.

[Several hon. Members rose—]