Mental Health in Prisons

Norman Lamb Excerpts

Wednesday 10th January 2018 Westminster Hall

[Norman Lamb (North Norfolk) (LD)]

It is a pleasure to serve under your chairmanship, Mr Howarth. I congratulate the hon. Member for St Helens South and Whiston (Ms Rimmer) on securing this important debate. A lot has been said about the prevalence of mental health issues within our prisons, which is even higher among women than among men. Shockingly, we imprison a large number of people essentially because of their mental ill health—people whose offending is linked in some way to mental ill health or distress. It seems to me an enormous failure of public policy over many years, for which no single Government are responsible, that so many people with significant mental ill health, learning disabilities or autism end up in our prisons inappropriately. I want to address what we should be doing instead.

First, we incarcerate far too many people in our country. We put far more people in prison than most other civilised European countries. Compare this country with Finland or Germany: Finland incarcerates people at about half the rate we do, but no one suggests that it is an uncivilised country in which lawlessness prevails. It manages its issues in a different way from us—I would suggest a much more civilised way.

[Gavin Robinson (Belfast East) (DUP)]

The right hon. Gentleman mentions incarceration rate. I visited Pentonville jail at the weekend, where the cells are 13 feet by 7 feet. Victorians were not known for their generosity, but their cells were built for one prisoner each. Cells of exactly the same size now regularly hold two or four prisoners.

[Norman Lamb]

I totally agree with the hon. Gentleman’s point. The hon. Member for St Helens South and Whiston mentioned that prisoners are often put in cells for 22 hours a day. Just imagine what that does to their mental distress, particularly if they are sharing a cell. It is intolerable and uncivilised.

Some good things have happened. The liaison and diversion service that is being rolled out nationally, which began under the coalition Government and was based on Lord Bradley’s recommendations, is a very good thing. The idea is that, as soon as someone with mental ill health appears in the criminal justice system, either in court or in a police station, they can be identified and referred for diagnosis and treatment. The problem is that if we do not have sufficient mental health services to deal with those referrals, we will not achieve nearly as much as we could with a properly functioning mental health system.

Mental health treatment requirements can be used as an alternative to prison. Addressing the underlying cause of offending behaviour seems to me so much more sensible, yet the Royal College of Psychiatrists notes a 48% reduction over the past 10 years in the use of such mental health treatment requirements—only 1.2% of offenders with mental health issues receive them. Much more use could be made of that option. I met the Minister a few months ago to discuss it in relation to the west midlands, where I chaired a commission on mental health. A couple of local magistrates courts are seeking to make much greater use of mental health treatment requirements—a really interesting initiative that is worth watching.

Our commission also focused on what happens when people leave prison. Too often, there is no link between the support or lack of it that people receive in prison, and what happens when they leave. They are abandoned in the community, often at enormous risk to themselves and sometimes to others. Professor Richard Byng leads the Engager project to enhance the through-the-gate approach and ensure that it is informed by mental health, so that people who work in the through-the-gate system and help the transition from prison back into the community are supported in their mental health needs and linked up to the services they need.

I will end by mentioning a case that is enormously shocking and that I do not think has yet been properly addressed. In March 2013, Phillip Simelane brutally murdered a young girl on a bus in Birmingham. He had not long been released from prison. He was known to have psychosis and a long history of serious mental health problems. His mother, a nurse, had been trying for years to get the authorities to engage with her and provide proper support for her son. She was massively let down by the system, as were Phillip Simelane and the victim who lost her life. Four years on, an independent review considered the lessons to be learned from the case. Its findings, and particularly the comments of its chair Kiran Bhogal, are really shocking:

“it is disheartening and worrying that our review, as with many reviews and investigations before ours, has found that many of the underlying challenges and problems remain despite the commendable effort made by all organisations involved to change practice and procedure…The fact that there remains a risk that these vulnerable prisoners continue to be released from prison without adequate support and supervision leaving them and the general public at risk is of extreme concern.”

I raised this issue in Prime Minister’s questions last year and I raise it again now with the Minister. I would very much like the Minister to meet me and key people from the west midlands to discuss it, because it is vital that we learn lessons to stop similar tragedies from happening in future.

[Several hon. Members rose—]