Mental Health and Unemployment

Debate between Paul Burstow and Mark Tami

Tuesday 24th February 2015 Commons Chamber

[Paul Burstow]

The hon. Gentleman has underlined a point that I intend to make later, and I hope that others will do so as well. Good mental health is everyone’s business, and it is certainly part of the work of business to look after the mental health and well-being of staff. It is key to reducing sickness absence, and to improving productivity. It has so many benefits for the individual. So the hon. Gentleman is absolutely right. Leadership and culture are critical, whether in a business organisation or a public service or whatever.

The vast majority of people do want to work, and this is no small issue. Among the under-65s, nearly half of all illness is mental illness, and the cost to the UK economy exceeds £100 billion a year. The good news is that over the past five years public attitudes towards mental health have begun to change. Indeed, they have changed quite rapidly.

[Mark Tami (Alyn and Deeside) (Lab)]

I hope the right hon. Gentleman is right that there has been a change, but many Members still have people coming to see us who have admitted they have a mental health issue when they have applied for jobs and who are sure that is one of the reasons why they did not get to the next stage of the job interview.

[Paul Burstow]

That is undoubtedly true and indeed some people do not go through the recruitment process in the first instance because they believe they will be discriminated against or they are fearful of disclosure. Those are serious issues to do with lack of parity and lack of equality, and the discrimination people both impose upon themselves but that also exists within our society. It is why tackling the issue of stigma is so important and why we should celebrate the progress that has been made but also be challenging the Government to continue to support campaigns like Time To Change because they are clearly demonstrating progress.

The stigma has not gone, but it is going. Time To Change, the anti-stigma campaign set up by Mind and Rethink Mental Illness and funded as part of the Government’s mental health strategy, recorded the biggest annual improvement so far in public attitudes to mental health. It found a 7% rise in people’s willingness to work with someone with a mental health problem—from 69% to 76%. We still have to go further, but that is a mark of the progress that has been made, and I hope we can see more.

The Government have made parity of esteem between physical and mental health the clear goal of their mental health strategy, and progress is being made. However, when it comes to employment and the way people with mental health problems are supported, we still have a long way to go. Four different sets of data lead me to that conclusion. First, according to the OECD, unemployment rates for people with severe mental health problems in the UK are five times higher than for people without a mental health problem. Secondly, a clinical commissioning group outcome indicator on employment and severe mental illness was included in the 2014-15 indicator set. It published its first set of results last December, and it shows a worrying decline in the number of people in paid employment with a severe mental health diagnosis, from 43,000 to 35,000, a significant 20% drop. Thirdly, the CQC’s community mental health survey for 2014 showed that 34% of respondents on the care programme approach, and over half of respondents not on the approach, said they did not receive support from someone in NHS mental health services in getting help with finding or keeping work, but they would have liked that and would like to have been told how to access that support. Fourthly, of the 150,000 people with mental health problems on employment and support allowance who have been placed on the Work programme, just 6.7% have been helped into work. That is compared with a 25% success rate for those without a health condition.

For me, what this shows is that there is a huge amount still to do. It is worth saying that while the national average employment rate for people with severe mental health problems has dropped to 5.7%, a number of areas are achieving high levels of employment for people with severe mental illness, such as Wokingham, mid-Essex and Aylesbury, all of which are achieving employment rates of 20%.