Mental Health Bill [Lords]

Richard Baker Excerpts

Report stage
Tuesday 14th October 2025 Commons Chamber

[John Glen (Salisbury) (Con)]

I rise to support new clauses 29, 28 and 39. First, I pay tribute to the hon. Member for Isle of Wight West (Mr Quigley), who mentioned my constituents and the tragic case of the loss of their daughter, Ruth. My experience of listening to her story has made me support the new clauses.

I want to finish my remarks with what Kate asked me to say in this House. Kate Szymankiewicz is a GP in Salisbury and her husband is a surgeon. Their daughter, Ruth, took her own life aged 14. She was unlawfully killed while in a child mental health facility—that is what actually happened. That is what was exposed in the court case this summer. What happened to Ruth was a tragedy. The system did not work as it was supposed to work. I am anxious today that the Minister should not rely on the advice and understandings of officials, or on the guidance that is in place. I ask that he is really assured in his own mind that the legislation he is going to take forward will mean that this will not happen again.

I will not go into the whole story but, essentially, Ruth was placed in a facility that was a two-hour drive from her home. She was not technically placed out of area, but the family would spend more time driving to see her than they would be allowed to actually spend with her. These are wonderful, loving parents who did everything they could—everything in their power—to support their daughter through a condition that she could and should have recovered from. But because she was sectioned under the Mental Health Act to allow her to be force fed, her parents technically lost many of their rights to involvement in their daughter’s care. They had a wonderful, loving relationship with their daughter. She was a happy child who was determined to get better, and her family were keen to see that that happened. She was sectioned only to allow her to be fed, but the knock-on consequence was that the dynamic between the parents and their daughter, who was a patient, changed as adult protocols were put in place.

When Kate visited Parliament yesterday, I asked her, “What would you like me to say on your behalf?” And she said this:

“If your child is unwell and must go into hospital, whether that is because of a physical illness such as cancer, or a mental health illness like an eating disorder, they need to know that their mum, or dad, or caregiver, can be there with them, whenever they need, to help them through a scary and vulnerable time.

Children cannot be treated in isolation. They need the support of those who love and know them best—their family. Families need to be at the heart of our health system in order for children to heal and for their families to heal with them.

When the next child is in crisis, which is right now, I ask you all not to turn away, but to grasp this opportunity to make the Mental Health Act a champion for their wellbeing. Please include all these…amendments to safeguard this generation of young people”.

[Richard Baker (Glenrothes and Mid Fife) (Lab)]

The Bill addresses fundamental flaws in our current mental health legislation in relation to the rights of people with learning disabilities and autistic people. I will focus my comments on new clauses 32 and 33, which I have tabled. They are also about vital rights within our mental health legislation and relate closely to the powerful comments made by the right hon. Member for Salisbury (John Glen) and by my hon. Friend the Member for Isle of Wight West (Mr Quigley).

New clause 32 would provide for mandatory independent care, education and treatment reviews for patients detained in long-term segregation. In her report, “My heart breaks”, Baroness Hollins highlighted the harms and sufferings that are so often associated with long-term segregation, and assessed how introducing care, education and treatment reviews can reduce the incidence and use of segregation. I very much welcome the provisions on reviews of care and treatment that Ministers have already included in the Bill, but it has now been demonstrated that independently-chaired reviews are making a real difference and lead to inappropriate long-term segregation being challenged and addressed. The human impacts are substantial. New clause 32 would make such reviews a requirement when someone has been placed in segregation for 72 hours.

New clause 33 seeks to introduce a new level of scrutiny in cases where patients with autism or learning disability have been detained for more than five years. I believe there is a very strong case for an additional check and balance when people have been under detention and compulsory measures for so many years. I understand that the latest data for England shows that 350 people with a learning disability or autism who are currently in in-patient units have been detained there for more than 10 years.

In a previous role, I provided advocacy for the family of a young man, Kyle, who has a learning disability. He is a patient in the State hospital in Carstairs in Scotland, but his family live in the north-east of Scotland. His mother and grandmother have to make a round trip of nearly seven hours to see Kyle for visits which have in the past been restricted to a single hour. Kyle was convicted of no crime when he was admitted to Carstairs in 2009. He has been there for 16 years. The toll that this has taken on his family has been horrendous. The situation is devastating for them, and there is no end in sight. Although it is a case for the Scottish mental health system, it has provided me with an insight into what many people with learning disabilities and their families will be experiencing in England today, and the limitations of mental health tribunals in dealing with these issues.

People with learning disabilities have been losing their liberty for years because of their disability; this is a human rights emergency. It is clear that we have to do far more to prevent these situations from happening. The Bill will help to do that with its welcome measures on prevention, but where these cases are happening now, I believe there should be an additional level of scrutiny—an extra check and balance so that after so long, someone with the right level of authority and expertise can challenge providers to do better and to ask the question, “How can it be that someone has lost their liberty and their right to a family life, because we cannot make their care and treatment work in a community setting?” Although I very much welcome the introduction of the care, education and treatment reviews, I believe we should go further in these circumstances. That is why new clause 33 would make provision for notification to the Care Quality Commission when someone has been detained for more than five years.

This is an excellent Bill. It will do so much for the rights of people with learning disabilities and autism, but there are several areas where I hope the Minister can outline what further ambitions the Government have to ensure that our mental health system is fit for purpose and based on human rights.

[Madam Deputy Speaker (Ms Nusrat Ghani)]

To squeeze in a few more Back Benchers, the speaking limit is now three minutes.

NHS 10-Year Plan

Richard Baker Excerpts

Thursday 3rd July 2025 Commons Chamber

[Mr Deputy Speaker (Sir Roger Gale)]

Finally, and with thanks for his patience, I call Richard Baker.

[Richard Baker (Glenrothes and Mid Fife) (Lab)]

Thank you very much, Mr Deputy Speaker—persistence pays off.

Will my right hon. Friend assure me that he will report regularly to this House on progress against this excellent plan? I hope that will help us to evidence the case for investment in community health facilities in Scotland, which have long been promised but not been delivered by the SNP, including the much-needed new health centre in Lochgelly in my constituency.

[Wes Streeting]

I can absolutely give my hon. Friend that assurance. I just feel so sorry for him, because he comes here to stand up for his constituents, knowing full well that while they have a Labour Government who are delivering the biggest increase in investment to the devolved Administrations since devolution began, the SNP, which has been in government for almost two decades, is squandering the money and the opportunity. People will not get change in his constituency, or across the rest of Scotland, if they face more of the same from the SNP. Scotland needs an alternative, and Scotland’s NHS needs an alternative. That alternative is Scottish Labour and the leadership of Anas Sarwar and Jackie Baillie, and it cannot come soon enough.

Dementia Care

Richard Baker Excerpts

Tuesday 3rd June 2025 Commons Chamber

[Mr Jonathan Brash (Hartlepool) (Lab)]

My dad was a GP in Hartlepool for 33 years. When I was young, I was never more impressed than when he would talk to me about his medical knowledge. The depth of his knowledge was extraordinary, and one of the tricks he used to be able to do at any given moment was take any two numbers I gave him and divide them or multiply them and get the answer right when I checked on the calculator. It was a rare skill, and his impact over those 33 years meant that when I went into politics the most common thing I heard on the doorstep was, “Are you the doctor’s son?” He did tell me recently that someone had asked him whether he was the MP’s dad, and I take that as a small victory.

In Hartlepool, there are 1,299 people living with dementia, and my dad is one of them. He was diagnosed with Alzheimer’s five years after he retired. Speaking to my mum, who obviously is his carer, too, we both agree that it feels like we have already gone through a form of bereavement, because the person who brought me up is not quite there any more. He is happy, and he enjoys his grandchildren, but it is different. I want to see that changed for other people, because early diagnosis is critical. My dad did not get the early diagnosis that he should have received, and we have paid the consequences as we have gone forward.

In Hartlepool, we are pioneering a new dementia strategy. I am so proud of Hartlepool borough council, because as part of that strategy, the council has committed to ensuring that 100% of its social care staff have dementia training, so that this evil disease—I do mean evil—can be caught and better treated at an earlier stage. As we have already heard from the hon. Member for South Devon (Caroline Voaden), only 29% of social care staff in this country have any form of dementia training. I impress on the Minister that that must change.

Dementia is the defining health and social care challenge of our time. It impacts one in two of us—50% of the population—either through being diagnosed ourselves, or having someone in our life diagnosed with it. Despite this reality, too many people living with dementia and their families struggle to access necessary support. The lack of an integrated care pathway often leads to families being led into fragmented and complex systems, where they can easily fall through the cracks and reach crisis point. Shockingly, one in four hospital beds is occupied by a person living with dementia, and those people face hospital readmissions at rates 50% higher than the general population. We must improve specialist dementia support, both in hospitals and in our communities. That is not just a moral imperative; it is vital for building the health service that we want, one that is fit for the future. The forthcoming 10-year health plan presents a crucial opportunity to rectify those shortcomings.

[Richard Baker (Glenrothes and Mid Fife) (Lab)]

My hon. Friend is making a powerful speech. I have worked in this area of policy and services, and I am aware that some of the most powerful advocates for change in dementia care are people with dementia themselves and their families. Does he agree that, when formulating new strategies for dementia care, people with dementia must be fully included in making those plans, based on their own experience?

Mental Health Bill [Lords]

Richard Baker Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[Wes Streeting]

I am grateful to the hon. Member for that intervention and for raising the very serious issue—an issue of increasing prevalence—of the impact of parental mental ill health on children and young people. We are very happy to look at the Carers Trust proposal, and to take representations on that and other issues as the Bill progresses through its Commons stages. We want to ensure that we get not just the legal basis of mental health provision in the right place, but practical care. As we think about children and young people’s mental health and wellbeing, we also need to take into account their parents’ mental health and wellbeing through that lens, too.

Patients’ choices and needs will always be taken into account, thanks to the introduction of a new clinical checklist. It requires clinicians to involve patients and those close to them in decisions affecting their care, while retaining the power to treat individuals compulsorily where absolutely necessary.

[Richard Baker (Glenrothes and Mid Fife) (Lab)]

Does the Secretary of State agree that that should be a case of “only when absolutely necessary”? In my previous role, I provided advocacy for the family of a young man who has been in a state hospital in Scotland for 17 years under a compulsory treatment order. His family live several hours away in north-east Scotland. That is, in my view, a horrendous infringement of his and their human rights. Will he share any learnings from the action the Government are taking, which is so welcome, on how community treatment can be placed effectively for people who are going through such horrific restrictions on their rights to family life?

[Wes Streeting]

My hon. Friend’s question raises two key issues with the provision of mental health services. First, we must ensure that the bar is set in the right place for compulsory treatment. Secondly, we must ensure that both compulsory and voluntary treatment in a hospital setting is within a reasonable distance of family, friends and loved ones. My hon. Friend powerfully describes the impact of such cases, where there is not just a deprivation of liberty, but an impact on an entire family. We need to do much better on both sides of the border when it comes to the appropriate placement of people in mental health settings.

There will always be times when patients hit crisis points and lack the ability to express what they want. To ensure that their voice is not lost and that professionals are working with patients, the Bill introduces duties to encourage people to make an advance choice document while they are well. This document provides a record of their wishes for use by mental health professionals, should the patient later experience a crisis that renders them incapable of making their own decisions.

Oral Answers to Questions

Richard Baker Excerpts

Tuesday 19th November 2024 Commons Chamber

[Andrew Pakes (Peterborough) (Lab)]

7. What assessment his Department has made of the adequacy of access to NHS dentists.

[Richard Baker (Glenrothes and Mid Fife) (Lab)]

18. What assessment his Department has made of the adequacy of access to NHS dentists.

[Dan Aldridge (Weston-super-Mare) (Lab)]

23. What assessment his Department has made of the adequacy of access to NHS dentists.

--- Later in debate ---

[Stephen Kinnock]

I am very pleased to hear about what my hon. Friend’s ICB is doing. Working with the dental sector, we will deliver measures to improve access, targeting areas that need it most. Those measures include 700,000 additional urgent appointments and reform of the dental contract. The golden hello scheme, which incentivises dentists to work in underserved areas, is under way across the country, and dentists are also being offered a new patient premium to treat new patients.

[Richard Baker]

Does the Minister agree that it is unacceptable that more than 40,000 people in Fife are not registered with an NHS dentist? Will he share any learning from this Government’s action to increase access to dentistry with his colleagues in the Scottish Government, and urge them to fulfil their responsibilities so that people in my constituency can get the dental treatment that they need?