Mental Health Support: Frontline Staff

Rosena Allin-Khan Excerpts

Thursday 8th October 2020 Westminster Hall

[Dr Rosena Allin-Khan (Tooting) (Lab)]

It is indeed a pleasure to speak for the Opposition with you in the Chair, Ms McDonagh. I thank the hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) for securing this extremely important debate and other hon. Members for their thoughtful contributions. I pay tribute to all staff on the frontline, far too many of whom have made the ultimate sacrifice while trying to keep us safe and well. Their unwavering courage in standing up to the virus, knowing full well the risks to themselves and their families, has been inspirational and truly deserving of the gratitude of Members across the House.

From the very beginning of the pandemic, health and care staff have made immense sacrifices. When we were asked to stay home to avoid the virus, they were going to work and facing it head-on anyway. They were sadly left unprepared, with PPE problems and no access to testing that lasted for months. Ahead of World Mental Health Day on Saturday, this is a fitting time to acknowledge that frontline staff have a unique need. Everyone across the country has had their life disrupted, but our frontline health and care staff have had to deal with patients, colleagues and friends dying on their watch. As the hon. Member for East Kilbride, Strathaven and Lesmahagow said, nothing prepares you for losing a colleague, particularly when you think it could have been avoided. Frontline staff are trained to deal with high-pressure scenarios, but even then, they were not trained to tell people that their loved ones had died via phone calls. Covid-19 has stripped the humanity out of grieving.

The additional pressure has undoubtedly had a significant impact on the emotional wellbeing of frontline health and care staff. They have had no break, no support and no relief from the Government. Fatigue and burn-out are setting in on an already exhausted workforce, who are in desperate need of respite. We need only look at the latest NHS staff absence figures to grasp the true magnitude of the hidden crisis. Over half a million sick days were taken by NHS staff in England because of mental ill health in May alone—one month. Half a million days in just one month.

For context, those absences account for almost a third of all NHS absences for the month of May. In comparison, 200,000 fewer sick days were taken for covid-related illness during the same time period. Let us remember that it was around that time that the virus was causing the most damage to our country, when hospital admissions were still high and transmission was rampant. Even then, for NHS staff, mental ill health still accounted for more time away from the frontline than any other reason. A survey conducted by NHS Providers of its membership at the tail end of June showed that 92% of NHS trusts were concerned about staff wellbeing, stress and burn-out following the pandemic.

The evidence is clear. If we are to expect NHS and care staff to deal effectively with an impending second spike in addition to the care backlog while approaching winter flu season, they must receive mental health support. They need it tailored for them. All health and care staff have given their all. Many have been redeployed, have been working in fear without adequate PPE, have lost colleagues or members of their own family, and have never been trained for something like this. The Government need to act. They cannot simply cherry-pick who they are going to support.

Just as Ministers have an obligation to protect the physical wellbeing of frontline staff by providing them with PPE and ensuring that their work environments are as safe as possible, they also have an obligation to protect the mental wellbeing of frontline staff, guaranteeing them access to psychological therapy if and when they need it, and need it they certainly do. It should be a moral imperative for this Government to ensure health and care staff have the practical and emotional support they need to do their jobs. Based on what little support they have been offered so far, it does not seem like it is.

It is not as if the Government have not had ample opportunities to address the growing need. Labour recognise it and we have put forward our own plans to support the mental health of the entire health and care workforce. Our care for carers package, which we launched in June, would have guaranteed access to counselling and psychotherapy to all 3.1 million health and social care workers. It would be offered nationally and completely confidentially. Currently, that is not available to the majority of the workforce. The package was designed in consultation with those on the ground—nurses, paramedics and porters—who are leading the fight against coronavirus. The Labour party has said that not a single frontline worker in our NHS or care workforce will be left behind. Everybody is equally valuable.

I want to share a couple of testimonies. During our consultation, an ambulance worker and member of the GMB trade union said:

“My team of ambulance staff have lost a close colleague to Covid, as many have in the nursing and care sectors. Every death is tragic. The stress on the team, the issues of grief and loss, the fact that it could have been them, for some survivors guilt, it has had a big mental health impact…I worry about my colleagues and future patient care.”

Care home workers were just as fraught. One told me:

“It has been really emotionally hard supporting residents when they are dying without their loved ones close by. Then we have had to support and reassure their family members and provide information about their last moments. There’s a lot of questioning going on—could I have done more, could anyone have done more, were the residents’ lives valued in the way we would want them to be?”

She continues:

“I am a really strong positive person and I have been a carer for over 15 years. But at the moment I really don’t think I could mentally carry on if there is another wave of Covid, I just don’t think I would have the strength to go through it again. There is definitely going to be a mental health crisis in the care sector.”

Those types of testimonies are sadly far too common. Staff are desperate for help, yet nothing has been forthcoming from this Government. Care for carers would have given the workforce the support they need, yet in June, when I requested a meeting to discuss the proposal, the Health Secretary and the Minister responding today refused to meet me. Given the sheer scale of the problem, I ask the Minister whether she will meet me to discuss the care for carers package, so that together, with a cross-party, conciliatory approach, we can give our frontline care and NHS workers the mental health support that they need. I hope she will reconsider the offer.

Ahead of winter and a second spike, the Government must learn the lessons of the spring. We must fight for the mental health of those who have supported us so courageously during this crisis. Just last week, the Centre for Mental Health predicted that 10 million people across the UK will need mental health support as a consequence of covid—8.5 million adults and 1.5 million children. If we are ever going to be in a position to match that need, we need to first protect the mental wellbeing of our healthcare workers. Only then, if we do that thoroughly and fairly, can we expect them to protect the physical and mental health of the nation. I hope the Minister agrees that without the proper resources being made available to our frontline staff, we risk further damaging the health of our country.