Incontinence
Markus Campbell-Savours Excerpts(1 week ago)
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Markus Campbell-Savours (Penrith and Solway) (Lab)
I thank my hon. Friend the Member for Dudley (Sonia Kumar) for bringing this issue to the House for debate. Unlike her, I am not an experienced health professional, so I will narrow my contribution to the issue of public toilets, their availability and their importance to those with incontinence.
There are people who did not go out last week and who may not go out today or next week. They are those whose trips are always challenged by the lack of, or uncertainty about the availability of, public toilets—not just those who are incontinent, but those who experience any sort of urgency: those with irritable bowel syndrome, Crohn’s disease or ulcerative colitis; those who need to use the toilet more frequently because of age or pregnancy or because they are menstruating, have had prostate cancer, have stomas or other disabilities; and those who are caring for those with disabilities. Very few of us will not be affected by these vulnerabilities at some point during our lives, and we want our country to be one in which we are able to ensure dignity and the ability for those visiting public spaces to have access to public toilets.
Local authorities have powers to provide public toilets but no statutory duty to do so, and this lack of compulsion has contributed to the decline in the number of public conveniences. As a former local councillor, I know how stretched local authority budgets are, decimated through a long decade of austerity and the political decision to centralise funding. In my constituency, which encompasses the Lake District national park, we are very aware of the importance of good-quality public toilets to support tourism, and yet even there, at prime visitor sites such as the start of the Keswick to Threlkeld railway path—a fantastic facility for those with disabilities to enjoy the Lake district—there is insufficient money to provide public toilets.
Just two years ago, this House considered appointing a commissioner for public conveniences and making it a statutory duty for local authorities to have public convenience plans. I am not sure why something so simple would require the creation of a commissioner, but like so many plans under the last Government, it never came to pass. I ask the new Government to look again at establishing a statutory requirement on local authorities. In the meantime, I invite hon. Members across the House to lobby their own local authorities to ensure that they create, review and scrutinise public convenience plans, and make public spaces accessible to those for whom quality public toilets are the difference between inclusion and exclusion.
A recent survey by the Association for Public Service Excellence found that over a third of local authorities had reduced their provision of public toilets over the past decade. We know that provision had been declining even before then, but it is not all bad news. Half of the councils that responded in the 2024 survey did provide Changing Places toilets. I congratulate the campaigning organisation Changing Places, which has lobbied so long and so hard to seek provision for the quarter of a million people in the UK, and their families and carers, who have for so long been condemned to loneliness at home by the lack of accessible public toilet facilities.
The latest count of Changing Places toilets in the UK is 2,607. The campaign will have been instrumental in the 2021 building regulations requiring all new public buildings to put in large and well-equipped toilet facilities. Many local authorities have ensured provision in creative and economical ways, through community toilet schemes and payments or rates reductions for businesses that open their toilet facilities to the public. Local authorities can make planning permission, leases and premises licences subject to the provision of public toilets, and they can hand facilities over to community operators. These are not always suitable or appropriate substitutes for standard public toilets provided and maintained by the local authority, but as part of a portfolio of provision they help to increase access and often help to circumnavigate some of the issues of graffiti and inappropriate use that present problems for some communities.
I urge all hon. Members to engage with our local authorities and impress upon them how important it is for the public to be adequately provided with high-quality, well-maintained facilities. I look to Members participating in today’s debate to join me in calling upon this Government to draw up statutory measures. Providing public toilets that support the most vulnerable people in our communities should be a duty, not an option.
Oral Answers to Questions
Markus Campbell-Savours Excerpts(1 week, 2 days ago)
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Wes Streeting
I am really proud of the contribution that overseas workers make to health and social care services across our country. If they all left tomorrow, the services would simply collapse. But I think there is an overreliance on overseas staff in health and care services, and that is contributing to levels of net migration that are simply unsustainable. I have a responsibility to help the Home Secretary bring those numbers down and to give opportunities, through better pay and career progression, to home-grown talent, and that is what we will do.
Markus Campbell-Savours (Penrith and Solway) (Lab)
Mental Health Bill [Lords]
Markus Campbell-Savours ExcerptsMonday 19th May 2025
(1 month, 1 week ago)
Commons ChamberRead Full debate Mental Health Bill [HL] 2024-26 View all Mental Health Bill [HL] 2024-26 Debates Read Hansard Text Watch Debate Read Debate Ministerial Extracts Amendment Paper: HL Bill 93 Running list of amendments – 14 April 2025 - (14 Apr 2025)
Josh MacAlister (Whitehaven and Workington) (Lab)
It is humbling to contribute to a debate with contributions like that from the hon. Member for St Neots and Mid Cambridgeshire (Ian Sollom). I pay tribute to him for sharing Declan’s story in this place, and to my hon. Friend the Member for Thurrock (Jen Craft) for her very personal contribution.
I warmly welcome the fact that the Government are giving this issue the prioritisation that it richly deserves. The reforms will give patients greater choice and enhanced rights, and ensure that everybody is treated with dignity and respect throughout treatment. I will make three broad points about mental health services in England and how they relate to the passage of this Bill. The first is about Cumbria’s hidden crisis.
Cumbria’s suicide rate is 50% higher than that in the rest of the country. Over five people die from suicide every month in Cumbria—more than double the number of road deaths. Each one of these lives lost is a tragedy. They leave behind families, friends, co-workers, neighbours and emergency workers—a web of people in the community who try to make sense of the grief, loss and shock. Some fantastic local organisations in my constituency are working to bring that number down, including Every Life Matters, Andy’s Man Club and the West Cumbria Mental Health Partnership, but they are fighting a growing problem of depleted resources. It is in this context that we need excellent mental health services, so it was particularly welcome that, weeks after the general election last year, the Government funded a new initiative called Hope Haven, an open-access mental health hub with some accommodation attached to it. This new service is being built by brilliant local partners in my constituency as we speak, and I have high hopes for the contribution that it can make.
However, the new service has come at the same time that Cumbria, Northumberland, Tyne and Wear NHS foundation trust has made the regrettable decision to close Yewdale ward, an in-patient mental health ward in Whitehaven that is the only in-patient service in the area. If it does close, patients will need to travel for over an hour to reach the nearest in-patient service, and the community has very poor public transport options. I have called for the ICB to investigate the process that has been followed to reach the decision, so that we can pause the closure. If we are to improve mental health services across our country, the reforms need to work for rural, isolated and coastal areas too.
My second broad point is about the needs of people with experience of growing up in the care system and the link to mental health services. Care-experienced adults are hugely over-represented in our systems of mental health detention, assessment and treatment, so the much-needed reforms will be a particularly welcome change for this group.
Markus Campbell-Savours (Penrith and Solway) (Lab)
On the important issue of suicide and the extremely high rate in Cumbria, does my hon. Friend and constituency neighbour agree that it is extremely important that coroners work with, and provide information to, local authorities and local health services to ensure that we can deliver meaningful policies on anti-suicide strategies in areas like Cumbria?
Josh MacAlister
I thank my constituency neighbour for suggesting the types of solutions that we should look at. Some areas of the country have much higher rates of suicide than others, and we know far too little about why those areas have those trends.
Around half of children in care are expected to have some sort of mental health disorder, and they are estimated to be four to five times more likely than the rest of the child population to have a mental health need. Despite that, children in care are disproportionately rejected for support from CAMHS services, and this builds up unmet mental health needs for which we as a country are paying the price in social and economic costs further down the line.
Just one example of that is the surge in deprivation of liberty orders that we have seen in recent years. In 2017-18, there were 103 applications; in 2024, the figure was 1,280. Deprivation of liberty order applications often leave judges in our family courts with impossible choices over the secure accommodation option for children. Young people who grow up in the care system should receive the very best that our country has to offer, with help being speedy and tailored. Although wider changes are needed to make that a reality, humanising our mental health legislation in the ways set out in this Bill will make a difference.
Oral Answers to Questions
Markus Campbell-Savours Excerpts(1 month, 2 weeks ago)
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Stephen Kinnock
I give the hon. Member that assurance. We have been clear that every ICB has a target, and that was transparently published, and we will be monitoring it. I am holding regular meetings with officials to check that every single ICB is on track to hit those targets. If ICBs are not on track to hit those targets, we will want to know why.
Markus Campbell-Savours (Penrith and Solway) (Lab)
Earlier this year, I met the Cockermouth and Maryport primary care network, which told me about the increasing challenge of supporting my constituents with their mental health. Has the Secretary of State considered relaxing the additional roles reimbursement scheme funding rules to allow mental health nurses to be employed wholly by a PCN, and not need to be under the employment of a local mental health trust? That flexibility could help GP practices to intervene earlier and reduce referrals to secondary care quickly.
Stephen Kinnock
We have, in fact, relaxed the rules on ARRS so that a mental health worker can be employed by the PCN. My hon. Friend is absolutely right that that is an important part of stepping from hospital to community, but there is more we can do on that. We continue to do whatever we can to ensure that mental health and GP surgeries are actively integrating.
Oral Answers to Questions
Markus Campbell-Savours Excerpts(3 months ago)
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Stephen Kinnock
The hon. Member raises an important issue. We are investing in 8,500 more mental health specialists, as well as specialists in every school, and in Young Futures hubs across the country, to ensure that we do whatever we can to prevent these tragedies.
Markus Campbell-Savours (Penrith and Solway) (Lab)
An early day motion from 2007 noted that women were typically waiting eight years to be diagnosed with endometriosis. Shockingly, nearly 20 years later, that wait has increased to nine years. The Government are right to tackle the appalling waiting lists for surgery, but the one in 10 women who suffer with endometriosis often struggle with years of pain before surgery is even suggested. What plans does the Department have to deal with these delays, and how we can ensure that those working in primary care recognise this debilitating condition earlier?