Mental Health Treatment and Support

Olivia Blake Excerpts

Wednesday 7th June 2023 Commons Chamber

[Olivia Blake (Sheffield, Hallam) (Lab)]

As an officer of the all-party parliamentary group on eating disorders—an issue that I will raise in my speech—I thank the right hon. Member for Chelmsford (Vicky Ford) for her bravery in sharing her experience.

The statistics on the crisis in the NHS, as raised by my hon. Friend the Member for Tooting (Dr Allin-Khan) and others, speak for themselves. The 5.4 million hours that people with mental health problems are waiting in A&E is a scandal. We know that the longer patients wait for treatment, the worse and more dangerous their conditions can become. While I would love to make this speech about the importance of prevention, unfortunately we see a crisis in the NHS, so I will focus on the issues of acuity mentioned by the hon. Member for St Albans (Daisy Cooper). Many of those who cannot access the mental health care that they need are children. A quarter of 17 to 19-year-olds have a probable mental illness. Nearly one in 10 seven to 16-year-olds and a third of 17 to 24-year-olds have tried to self-harm. My own NHS South Yorkshire integrated care board has a waiting list of 10,015 children.

If those figures were not horrific enough, I want to talk about one further horrifying effect: that of people with eating disorders—often children or young people—having to wait to be given a tier 4 bed in a specialist ward owing to the acuity of their condition and because of the lack of preventive care available. Last year, a parent wrote to tell me that they were struggling to secure a mental health bed for their child, who had been diagnosed with anorexia. They would have gone anywhere in the country to get their child seen given the care they received while they were waiting. They needed urgent in-patient mental healthcare, but no tier 4 beds were available, so they had to be admitted to a general ward instead.

When the parents first contacted me, their child was being restrained most days to be fed. They were worried that, without specialist support, repetitive restraint was only making things worse. I have since spoken to numerous eating disorder specialists, researchers and medical staff who have all told me about the rising number of children with eating disorders being restrained—often unnecessarily —by staff in general medical wards without training, recording or following guidance. I have heard more first-hand stories. I warn hon. Members that these are not nice experiences to relay, but they should be shouted from the rooftops because they are the human consequences of a system that is understaffed, under-resourced and under strain.

One person told me that, as a 17-year-old, they were restrained for feeding via a nasogastric tube three or four times a day by five people; that went on for about 10 months. Another person told me that they were restrained for daily NG feeds by five to six staff at a time for six months. Sometimes, they were held for an hour after the feed and would come out with bruises, despite their screams during the restraint. I have heard stories of 15-year-olds being restrained at 11 o’clock at night for NG feeding. To be clear, it is not just the people I have described who are suffering because they must wait for access to the care they need; it is also causing tension between psychiatric staff and medical staff on wards because these people are getting inappropriate care.

It is shameful that in such settings the use of restraint does not need to be recorded. Its use is heavily regulated in mental health settings for a reason. The use of restraint and restrictive practice is really consequential to the conditions that people go on to develop and their ability to recover. I am disappointed that in a letter and in response to me following a debate, the Minister refused to act and close the loophole. I ask her to think again about closing that loophole so that, no matter where a person is in the system, they have the same rights around restraint and that it gets recorded.