Oral Answers to Questions
Rosena Allin-Khan Excerpts(1 year, 3 months ago)
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Dr Rosena Allin-Khan (Tooting) (Lab)
In mental health we rely on staff, not shiny machinery, so why is the Secretary of State rehashing old announcements and scrapping plans? It is because the Government have run out of ideas. Labour has a plan. We will recruit 8,500 more mental health professionals, ensuring a million more patients get treated every year. We will double the number of medical school places. We will train 10,000 extra nurses and midwives every year, and we will focus on retaining the fantastic staff we already have. Where is the Government’s plan? We have had our plan for two years, but they are binning theirs.
Steve Barclay
It is slightly odd for the hon. Lady to talk about a plan when she does not agree with the plan of the shadow Health Secretary, the hon. Member for Ilford North (Wes Streeting). He plans to use the private sector, which he describes as “effective and popular,” whereas the hon. Lady said:
“In my own brief in mental health we have use of the private sector, which ultimately often lets patients down.”
First, the hon. Lady does not agree with the shadow Secretary of State. [Interruption.] The hon. Lady chunters, but she asked about a plan when she does not agree with her own Secretary of State.
Secondly, the hon. Lady talked about shiny new equipment. I am delighted that she allows me to draw the House’s attention to yesterday’s announcement of a fleet of 100 new mental health ambulances, which will relieve pressure on A&E. I am delighted that she gave me an open door to highlight that investment, which is part of our £2.3 billion investment in mental health.
Eye Health
Rosena Allin-Khan Excerpts(1 year, 4 months ago)
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Dr Rosena Allin-Khan (Tooting) (Lab)
It is a pleasure to serve under your chairmanship, Mr Sharma, and to respond on behalf of the shadow Health and Social Care team. I pay tribute to the hon. Member for Strangford (Jim Shannon) for securing this important debate and for his continued advocacy on this issue. I particularly liked his description of the experience of walking with a guide dog, and how that lived experience has helped him become a campaigner. The hon. Member is a voice for issues that often do not get enough time in this place.
More than 2 million people live with sight loss in the UK, and by 2050 the number will reach 4 million. Ophthalmology is the NHS’s busiest outpatient service, with 7.5 million hospital attendees last year. With demand for eye care services set to soar by 40% over the next 20 years, it is vital that we get this right. The Government must have a plan.
We have all been sharing our personal experiences with eye services, and I am no stranger to them, having something quite unusual called keratoconus—it is particularly bad in my right eye. I understand how worrying it can be when one discovers that they have eye pathology.
I pay tribute to the continued campaigning work of the Association of Optometrists, the Royal National Institute of Blind People and so many others for their work on eye health. I also pay tribute to my hon. Friend the Member for Battersea (Marsha De Cordova), who is a fantastic advocate on this issue. It is very welcome that NHS England has appointed the first ever national clinical director for eye care, a role that aims to put ophthalmology on a par with other major specialties and that will lead to the development of a national strategy.
As we have heard today, NHS eye services are not keeping pace with demand. Waiting lists for ophthalmology treatments have increased by more than 130% over the last 10 years. Over 650,000 patients are stuck on NHS ophthalmology waiting lists in England, with tens of thousands of patients waiting longer than a year. That is unacceptable. Those waiting lists have been longstanding; even pre-pandemic, the system was in trouble.
In 2018, the APPG on eye health and visual impairment found that the current system of eye care was failing patients on a “grand scale”. Waiting lists have increased every year since 2010. For years, there have been calls for the Government to act, but those calls have fallen on deaf ears. It is 12 years of Conservative Government failure that have caused waiting lists to grow and left ophthalmology services in the state they are in now. Patients simply deserve better.
Increased staffing pressures compound the issue. More than three quarters of units in the UK reported unfilled consultant posts, with over two thirds of hospital eye units using locum doctors to fill those vacancies. Many eye units rely, to a large extent, on non-medical clinical staff working in extended roles, or doing work traditionally performed by an ophthalmologist. I ask the Minister, what assessment has the Department made of the impact the current ophthalmologist workforce shortages are having on patient care? Will the upcoming workforce strategy include a commitment to fund the workforce that is identified as being needed to meet patient demand?
I am pleased that the debate as also focused on the devolved nations. In Northern Ireland, at the Western Health and Social Care Trust, the average wait for routine cataract surgery is more than six years. These are grandparents who cannot see their grandchildren properly; these are people who have to give up work because they cannot see. Patients are suffering. The stress and anxiety that long waits such as those have on patients cannot and should not be ignored. There is a huge personal cost. Here is yet another example of Government decisions costing people a full and healthy life.
Along with tackling the workforce challenges, enabling the effective integration of primary and secondary eye care services is key to the plan for eye health. The Labour-run Welsh Government are leading the way in ophthalmology data and referrals and in reform of the general ophthalmic services contract. Wales is ensuring that there is more detailed data on ophthalmology waiting lists. It is also developing a comprehensive, interoperable electronic patient record system, as recommended by the Royal College of Ophthalmologists. When will the Government be serious about eye health and do the same?
The next Labour Government will take eye health seriously. We will pull every available lever to get ophthalmology patients treated sooner. Sticking plasters are not enough. We need a Government that will grasp the root causes of the staffing crisis in the NHS. That is why Labour will end tax breaks for non-doms and use the money raised to expand our NHS workforce. The next Labour Government will train a new generation of doctors, nurses and midwives to treat patients on time again. We will double the number of medical school places to ensure we have the workforce that we need across different specialties, including ophthalmology.
Labour has a plan. I would be grateful if the Minister set out the Government’s position and explained to patients why they continue to wait so long for treatment. They cannot afford to wait any longer.
Oral Answers to Questions
Rosena Allin-Khan Excerpts(1 year, 4 months ago)
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Will Quince
First, let me thank the hon. Lady for her question. I am very sorry to hear about the case she highlights. I understand she has written to the Secretary of State on this issue.
Ambulance waiting times are not where we want them to be. We have increased ambulance staff by 40% since 2010. We have invested, with just under 5,000 more staff in NHS 111; 2,500 more staff in call centres; an extra £450 million last year into A&E departments; the creation of the £500 million discharge fund, which will improve flow through hospitals; and 7,000 extra beds this winter. We understand the system is under considerable pressure. I would be very happy to meet the hon. Lady to discuss the challenges in her own trust.
Dr Rosena Allin-Khan (Tooting) (Lab)
The current state of mental health treatment sees increasing numbers of people languishing on waiting lists becoming more and more unwell, 1.1 million adults denied treatment, and children stuck in emergency departments for days waiting for mental health beds. Are the Government proud that a systemic cutting of a quarter of NHS mental health beds over the last 12 years has led to more patients receiving treatment in private settings? Does the Secretary of State know how much money is given to private mental health providers? Do the Government honestly think they are getting good value for money?
Will Quince
This is not my direct area of responsibility, but of course mental health does present challenges for A&Es and for hospitals more generally. We are investing an extra £2.3 billion every year in mental health, we have 16% more staff and we have an additional bursary to attract more nurses into mental health. But we do recognise the challenges, and the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Lewes (Maria Caulfield) is working hard to address them.
Oral Answers to Questions
Rosena Allin-Khan Excerpts(1 year, 6 months ago)
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Maria Caulfield
The Government actually started working on the plans around delayed discharges this summer, because of course they affect mental health services. They also affect a range of acute beds. With the winter coming, we know that there will be additional pressure on those beds, and that is why we are working with local government social care services and integrated care boards which have responsibility for that in their local areas.
Dr Rosena Allin-Khan (Tooting) (Lab)
In the last four weeks, there have been three investigations on abuse in in-patient mental health settings. The Government should be on top of the situation, not relying on undercover reports from Sky, The Independent, or “Panorama” that show patients languishing in seclusion, excessive use of restraints, bullying and dehumanisation, and falsification of medical records. Patients and their families rightly expect to be safe. Tory chaos has meant that the Government have not engaged with abuse allegations. For weeks there has been no functioning mental health Minister. Will the Minister conduct a rapid review of mental health services, respond to our concerns about in-patient services and apologise to patients and their families now?
Maria Caulfield
Of course we apologise for the cases that we have seen; anyone who watched some of those programmes will have seen the distressing and unacceptable care. I am the Minister with responsibility not just for mental health but for patient safety, so I will be looking at the cases in “Panorama” and other programmes, and at cases across the board, because I want to ensure that in-patient mental health services are as safe as possible. We know that these are some of the most vulnerable patients who often cannot speak out when there are problems. We are looking at the staffing, training and reporting mechanisms. On the case that was highlighted in “Panorama”, the Government are working closely with NHS England, the Care Quality Commission and the individual trusts.
Edenfield Centre: Treatment of Patients
Rosena Allin-Khan Excerpts(1 year, 6 months ago)
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Dr Rosena Allin-Khan (Tooting) (Lab)
I thank my hon. Friend the Member for Bury South (Christian Wakeford) for his work with the families who have been affected.
I want to pick up on a point of clarification, if I may. The Minister mentioned in his response that the Government are putting an additional £2.3 billion into mental health. Over the last four years, 21 different Ministers have mentioned this same funding at that Dispatch Box on 67 different occasions as being spent in myriad different ways. I know that the Government are on the ropes, but this just shows that they are out of ideas and out of money.
Patients and their families rightly expect to be safe in in-patient settings. The footage of inappropriate use of restraint and seclusion, the bullying, dehumanisation and sexualisation of patients by staff, the verbal and physical abuse, mistakes over medication and falsification of records all made for extremely disturbing viewing. Each of these would be cause for significant concern, but together they point to a scandalous breach of patient safety. It should not have taken an undercover investigation to bring to light poor patient care. Why are the Government not across this?
Since “Panorama” aired, I too have received correspondence from families who have gone through similar experiences and from former staff at Edenfield who were bullied out of their jobs. What are the Government doing to tackle this toxic culture? The Government’s failure to learn from past failings, and to implement recommendations on reducing restraint, segregation and seclusion, is costing people their lives and traumatising too many patients, as evidenced in these reports. I sent a letter to the Secretary of State after “Panorama” aired. When will I receive a response? Is the Secretary of State even taking this seriously?
In 2019, the Government committed to reducing the need for restraint and restrictive intervention, yet the use of restraint has soared. Will the Government be conducting a rapid review into mental health in-patient services? What are the Government doing to tackle staff shortages, and what are they doing to ensure that patients’ complaints about their care are taken seriously? To have a “Dispatches” investigation into another trust less than two weeks after “Panorama” aired demonstrates that this is not a one-off. What are the Government doing? People are losing their lives.
Mr Speaker
Order. May I remind Front Benchers that we have set times? Please time your speech before you come to the Dispatch Box, otherwise it is not fair.
Oral Answers to Questions
Rosena Allin-Khan Excerpts(1 year, 9 months ago)
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Dr Rosena Allin-Khan (Tooting) (Lab)
Thank you, Mr Speaker. A&E waiting times are through the roof, and we have people waiting without a bed—not even a trolley. This is removing the dignity that every patient deserves, but, sadly, it is not a one-off; this is commonplace up and down the country. It is not the Health Secretary who is on the receiving end of it, but staff, who are running from patient to patient trying to ease pain, diagnose illness and save lives—most importantly, it is of course the most vulnerable themselves. When the Minister hears reports such as this, does she not feel ashamed of the decisions her Government have made over the past 12 years?
Maria Caulfield
I say gently to the hon. Lady, who does amazing work on the frontline in A&E, that I have worked in A&E under the last Labour Government—I am showing my age now—and there were trolley waits and ambulance queues then as well, just as there are in Wales, where Labour is running the NHS, and in Scotland and in Northern Ireland. This is unprecedented pressure, because we are trying to live with covid and deal with a backlog of procedures and rising cases. The shadow Secretary of State was not here yesterday, so he may have missed some of the support that we are putting in. We are putting £150 million of extra funding into the ambulance service, £50 million into 111 to increase capacity, and £30 million into an auxiliary ambulance service to increase support. We are supporting the service, but we must recognise that it is facing unprecedented pressures.
Dr Allin-Khan
With respect, I will take no lectures from the Minister about working in A&E under a Labour Government and a Conservative Government. I have worked in the NHS under a Labour Government, when NHS waiting times hit record lows, and I have worked under a Tory Government, when NHS waiting lists hit record highs.
The Minister can use the pandemic, the heatwave, or even winter as justification. I have seen that emergencies do increase demand for services, but there is no excuse for not hitting the four-hour A&E waiting target for seven years. There is no defence for stroke and heart-attack victims waiting almost an hour for an ambulance. Undoubtedly, lives will be lost that could have been saved. Will the Minister apologise for those failings?
Maria Caulfield
The hon. Lady says there is no excuse for missing those waiting times, but perhaps she can explain why the Labour Government in Wales are also missing those times.
Ambulance Pressures
Rosena Allin-Khan Excerpts(1 year, 9 months ago)
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Dr Rosena Allin-Khan (Tooting) (Lab)
I thank the Secretary of State for advance sight of the statement and welcome him to his new role. It would have been helpful if, ahead of the current temperatures, he had responded to our urgent question last week, but I am glad that he is here now.
The Secretary of State claims that everything is in hand, but I know from my own experience and that of colleagues across the country that that is far from the truth. We have already seen ambulance wait times soar and pressure on staff spiral, all while the NHS struggles to find the essential staff needed to deliver patient care. I am sure that everyone across the House will agree that our frontline workers are truly amazing. But if nurses and doctors are so overworked and do not have the time and resources to take care of themselves in this heat, the care that they can give patients will be impacted. The Government must step up and show the urgency that this crisis demands.
The Secretary of State talks of creating additional space for new patients in hospitals. How will that happen—with what money, what resources and what staff? Will the Government try to call those new hospitals, too? Is not the reality that creating capacity elsewhere in hospital really means patients being left in corridors on trolleys or in car parks? Can he assure us today that that will not be the case?
Under the Conservatives, the NHS is simply struggling to cope. A record 6.6 million people are waiting for NHS treatment—and they are waiting longer than ever before, often in pain and discomfort. The people in our thoughts this afternoon are those waiting in queues outside hospitals in ambulances, with soaring temperatures and no air conditioning. If it were dogs or cattle, it would be against the law, but these are people in tropical heat unable to enter hospitals. People with conditions triggered by excessive heat are unable to get an ambulance, because ambulances are logjammed outside A&E. Will the Secretary of State apologise to them and their families?
This situation is impacting mental health, too. People attending A&E experiencing a mental health crisis cannot get a bed in a psychiatric hospital, so they wait in A&E, some of them for more than three days. Why? Because the Government have spent the past decade cutting a quarter of mental health beds.
I worked in A&E over this weekend and saw the amazing work being done by staff to prepare for the record heat. The heatwave and surge in covid cases are putting additional pressures on the NHS. I am glad that the Secretary of State recognised that in his statement. Without doubt, 12 years of Conservative mismanagement and underfunding have left our health service unable to cope, which not only has an impact on patients but hurts staff. Staff morale is at rock bottom. Is it any wonder that 5.7 million days were lost to mental ill health in the NHS last year?
Last week, the Minister of State claimed that the Government had procured a £30 million contract for an auxiliary ambulance service, but, moments later, it was revealed that it was yet to be awarded. Can the Health Secretary confirm whether the Minister of State has issued a correction yet?
On Wednesday, ambulance trusts were placed on their highest possible alert level. A national emergency was declared on Friday and, over the weekend, hospitals were scrambling to increase capacity. Why then has it taken until today for the Health Secretary to step up and show leadership? Can he tell us who he met over the weekend? I do not mean at Chequers; I mean from the NHS. Can he also tell us why the Prime Minister did not think it necessary to chair Cobra today? Just when we thought irony had reached a peak, the Prime Minister spent the weekend partying when he should have been dealing with a health emergency. Has the Secretary of State spoken to the Prime Minister today? The Health Secretary has been too slow. The Prime Minister has not even bothered to turn up and the Government have gone AWOL.
If the Government will not step up now, then Labour will. As temperatures reach a record high, all we are getting from the Government is more hot air. This is a crisis. The country has one message for Ministers: stop squabbling and plotting, do your jobs and get a grip.
Steve Barclay
Let me start with the area on which the hon. Lady was correct, which is that I recognise the increased pressure on ambulances and hospitals. That is why we put in place the long-established contingency plans. Since the heatwave in Paris in 2003, it is the case that each year in May, we put in place our heatwave plans. That is what has been activated. Those plans were refreshed as recently as two months ago and sit alongside the work that has been done on urgent and emergency care, including the 10-point action plan that was set out last September.
The hon. Lady is right: the House as a whole will recognise the significant pressure on the system, which is why we are taking the steps from our contingency plans. It is also why we have put in specific funding, such as: the additional £150 million of support targeted at the ambulance service; an additional £50 million for 111 calls to build capacity; and as she said, an additional £30 million for auxiliary ambulances, which is what the Minister of State, my hon. Friend the Member for Lewes (Maria Caulfield), was referring to in the House last week.
The Met Office and the UK Health Security Agency went to level 4 on Friday. As you will know, Madam Deputy Speaker, I updated the House on the first available sitting day after that. The irony will not be lost on the House that this issue is seen as so important that the shadow Secretary of State for Health and Social Care has failed to turn up to this statement in the middle of a heatwave. [Interruption.] Well, he is not here, which speaks for itself.
The hon. Lady also suggested that these challenges, which are being faced across Europe as a whole, were in some way due to the overall investment in the NHS. I remind the House that, to take the resource departmental expenditure limit alone, RDEL in 2010 was just under £99 billion and last year it was £150 billion. That is a good indication of the significant funding. We could also come on to capital investment, not least with the 40 hospitals programme, part of a £22 billion package to 2030, which underscores this Government’s commitment to investing in our NHS—an investment that, most recently, the Labour party voted against when we brought it to the House.
The hon. Lady asks about an apology for operational levels of performance. I do not know whether she is asking for that apology from the Welsh Government or just from the English Government. She may want to clarify that, given the performance of the Welsh ambulance service under the Welsh Government.
On the hon. Lady’s point about auxiliary, the Minister of State, Department for Health and Social Care, my hon. Friend the Member for Lewes, said in her statement that we had seen improvements in May. I referred to that as context, but on auxiliary in particular I can clarify for the House that a contract is being procured for auxiliary ambulance services and is expected to be concluded shortly.
Finally, the hon. Lady asked what meetings I have held over the less than two weeks that I have been in post. I am happy to share with the House that I have been on visits to four different hospitals, in Whipps Cross, Hillingdon, King’s Lynn and Bedford; I have been out on two different ambulance shifts, been to three different ambulance centres, been out to see GPs to look at boosting access to their services and been to look at life sciences. I have been engaging, and that sits alongside, for example, the meeting with chief execs of ambulance trusts on Saturday, Cobra on Saturday and other such meetings that I have had in the course of my duties.
Finally, the hon. Lady asked about the Prime Minister’s engagement. Just as the Chancellor of the Duchy of Lancaster set out that he was engaging with the Prime Minister in his role chairing Cobra as Minister for the Cabinet Office, I am happy to confirm to the House that I also engaged with the Prime Minister over the weekend, updating him on the health plans we have put in place. He has been closely engaged on the contingency we have put in place.
Bereavement Charities
Rosena Allin-Khan Excerpts(1 year, 10 months ago)
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Dr Rosena Allin-Khan (Tooting) (Lab)
It was approximately six years ago that you sat next to me when I made my maiden speech, Mr Davies, and today is the first time I have had the pleasure of serving under your chairmanship. I thank the hon. Member for North Devon (Selaine Saxby) for securing this important debate, and all hon. Members for their thoughtful contributions.
People, including us in this place, are growing more comfortable about sharing their own experiences of loss and grief. I thank the hon. Member for Strangford (Jim Shannon) for kindly mentioning my professional experience with those needing bereavement support. Last year I had the very painful personal experience of losing my father after a long, protracted, difficult and painful battle with dementia, which came on when he was very young. No one can prepare someone for how they will cope with the loss, and everyone will react incredibly differently. The only sure thing we know is that everyone will go through it at some point.
It is important to remember that everyone deals with loss differently. I threw myself into exercise and relied on a support network of my friends and family. Together, we mourned for the life lost and the experiences we were never able to have. Others require professional help.
I will take this opportunity to thank the palliative, neurological and bereavement support charity Sue Ryder, for the assistance it provides to so many families, and Lottie Tomlinson, who has done so much to break down the stigma that still exists around bereavement. Lottie speaks from the heart about navigating the loss of both her mother and her sister, and the different experiences she had in getting informal support from her family and professional support after the loss of her sister.
There is no one-size-fits-all approach to bereavement. Indeed, it is different for everyone, depending on whether they have lost a child or even, in the case of the hon. Member for North Devon, a grandmother—I am so sorry to hear about the hon. Lady’s loss. No amount of comments such as “She had a good innings” can take away from the pain and loss that she feels, because the family had her in their lives for 98 years and that really counts for something. All our love and support go to the hon. Lady’s family at this time.
The pandemic robbed so many families of the opportunity to say a final goodbye. That has had a profound impact on people’s ability to grieve. The mental health impact of that is enormous. Around one in 10 people bereaved will suffer from prolonged grief disorder, resulting in severe mental health conditions, such as post-traumatic stress disorder.
In the report released by Sue Ryder last week, 70% of respondents reported that they could not access the type of support they would have liked after a close bereavement. The most common barriers to accessing support were that it was not culturally specific, or not provided in the recipient’s language. That has to change. There is a postcode lottery on bereavement support, and that should not be the case. Some local authorities do a fantastic job with limited resources, but it should not have to be that way. So much for levelling up if some areas cannot even afford dignity in death.
Bereavement charities and local authorities should not be living hand to mouth when it comes to bereavement support. The Government must have a clear strategy that tackles the social isolation and loneliness that people often experience after a death. It must ensure that all family members are provided with information about bereavement support services in all appropriate languages.
In A&E, where I work, when a patient dies, there is all too often little joined-up working. I know local bereavement organisations and am able to signpost loved ones to them, but not everyone is able to do that. That is where the development of a specific bereavement pathway would be incredibly useful for frontline workers. It could ensure that relatives are given the information that they need at a time of crisis by hospitals, GPs and charity services. That would help healthcare professionals to find the right support for anyone who has experienced a bereavement, and should be supported by a public health campaign to promote awareness of the different services available.
I would again like to thank everyone who has shared their experiences in order to help to tackle the pernicious stigma still associated with bereavement. It is clear that there is a long way to go to ensure that bereavement services get the support they need to support all of our communities at their darkest hour. I urge the Minister to take the comments made today into account. I know that the UK Commission on Bereavement is currently working to analyse and understand all the evidence that it has received, and I look forward to its report this year.
Experiencing the death of a loved one is one of the hardest things a person will go through. Unfortunately, the last couple of years have made that an all too stark reality for too many people. The humanity was stripped out of grieving; it is high time that it was put back.
Draft Mental Health Bill
Rosena Allin-Khan Excerpts(1 year, 10 months ago)
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Dr Rosena Allin-Khan (Tooting) (Lab)
I thank the Secretary of State for an advance copy of the statement, and for sharing his family’s experiences over the weekend. I am so sorry to hear about the circumstances surrounding his brother’s tragic death.
This overhaul of the Mental Health Act 1983 is long awaited. We welcome the draft Bill, and the fact that the Government have accepted the majority of the recommendations from Sir Simon Wessely’s independent review of the Act. It was interesting to hear, in the statement, of the Government’s focus on keeping people in crisis out of A&E, and of their plans to reduce the use of general ambulance call-outs for those experiencing a mental health crisis. In 2020, there were over 470,000 calls to 999 because someone was in a mental health crisis, which took up an estimated 66,000 hours of call time. In my email inbox, I have numerous examples from across the country of children being stuck in A&E for over 24 hours waiting for a mental health bed. One child waited over three days. When I work shifts in A&E, I see more and more people coming into hospital in crisis. The increased frequency is deeply concerning. Conditions are getting worse and illnesses are going untreated. We would not allow that in cancer treatment, so why is it allowed in mental health treatment?
Deprivation of liberty and the use of coercion can cause lasting trauma and distress. That is especially true for children and young people who find themselves in these most difficult situations and whose voices are often not heard when decisions are made. We are pleased that patients will have greater autonomy over their treatment in a mental health crisis, and we are glad that the Government have been working with organisations to listen to the experiences of those with learning disabilities or autism, but will the Secretary of State explain what safeguards will be put in place for people with learning disabilities or autism should the worst happen and they find themselves in prison? This is not a straightforward issue. Many people with learning disabilities or autism also live with serious mental illnesses, and we have to make sure that they have their rights protected and have dignity in their treatment.
In our communities, we witness the harsh reality of the health inequalities that so desperately need to be addressed. As the Secretary of State said, black people are over four times more likely to be detained under the Mental Health Act.
Mr Speaker
Order. The shadow Minister cannot give way; this is a statement.
Dr Allin-Khan
We need to advance the mental health equality framework and there must be culturally appropriate services and the freedom for local areas to look at their specific populations in order to have the most suitable approaches. Culturally appropriate community provision is vital for mental health services that are truly joined-up and effective and that, crucially, work well for patients. Will the Secretary of State also provide reassurances on the future of community care and on how they will work with local authorities across the country to deliver community provision that works?
Mental health staffing levels are absolutely crucial to ensuring that mental health services are fit for purpose. More than a year and a half ago, I asked the Secretary of State’s predecessor about the future of mental health staffing. The proposals that have been set out today go well beyond what has been committed to in the long-term plan. Labour has a plan: to recruit an extra 8,500 mental health staff to treat 1 million additional patients a year by the end of our first term in office. Will the Secretary of State outline when we will get the workforce settlement? What reassurance can he give on filling training places?
For too long, the Government have had their head in the sand when it comes to mental health. They have failed on eradicating dormitories from mental health facilities, failed on cracking down on the use of restraint, and failed on getting on top of waiting times. We cannot have this kicked into the long grass and, if it gets lost in the political quagmire of Conservative in-fighting, should the Government call an early general election, people will suffer. We cannot have the Government fail on mental health legislation any longer. This is a once-in-a-generation opportunity; we simply must get this right for everyone who depends on these vital services.
Sajid Javid
I thank the hon. Lady, particularly for her remarks at the start of her response about my personal experience.
I think the hon. Lady agrees with me, as does everyone in this House, that the 1983 Act is outdated. Society has learned since then, rightly, that people’s mental and emotional wellbeing is as important as their physical wellbeing. That was recognised in the Health and Care Act 2022, which came before Parliament recently, and this draft Bill does a lot to change the situation as well.
The hon. Lady talked, rightly, about the importance of mental health services. The NHS is putting record funding into NHS services. Some 1.25 million people were seen through the NHS talking therapies service, despite the pressures of the pandemic, and an additional £500 million of resources was put into mental health services because of the pandemic.
On the workforce, today in the NHS, we have around 129,000 health professionals focused on mental health. That is the highest number ever, and the number has gone up by some 20,000 since March 2016. As for the NHS’s strategic workforce plan—the 15-year plan on which it is currently working—having the correct provision for mental health will, of course, be a very important part of that.
Infant Mental Health Awareness Week
Rosena Allin-Khan Excerpts(1 year, 10 months ago)
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Dr Rosena Allin-Khan (Tooting) (Lab)
It is a pleasure to wind up for the Opposition with you in the Chair, Mrs Murray. I thank the right hon. Member for South Northamptonshire (Dame Andrea Leadsom) for securing this extremely important debate for Infant Mental Health Awareness Week, and all hon. Members for their thoughtful contributions this afternoon.
I know I say this sometimes in Westminster Hall debates, but there really are some debates that unite us all. Infant mental health is one such issue. I am delighted to say that I have learned a lot and am filled with the powerful advocacy that has come out of every single wonderful contribution today. It is good to know that there are such powerful advocates in this room. I thank the right hon. Member for South Northamptonshire for all the work that she has done in this space.
We are all here today because we recognise that adverse childhood experiences are the key driver of mental illness in later life. We have many experts in the room today. The last two years have shone a light on the problem. The pandemic has hit the poorest and the most vulnerable children the hardest, highlighting the inequalities in our society that are very hard to escape—children with chaotic home lives; children in overcrowded, noisy housing; and children from black and ethnic minority communities who suffer disproportionately from worse outcomes and worse mental health provision than white communities.
In 2018 it was estimated that 50,000 children aged zero to five lived in homes where domestic violence, adult drug or alcohol dependency and adult mental illness were all present. Children and adults living in households in the lowest 20% income bracket are two to three times more likely to develop mental health problems than those in the highest.
There was already a crisis in child and adolescent mental health provision in this country, even before the pandemic, and the virus has undoubtedly made it worse. The latest report by the Children’s Commissioner shows that demand for child and adolescent mental health services increased, with one in six children suffering from a probable mental health condition, up from one in nine in just 2017—that is one in six. Yet only a third of children were able to actually access treatment, and 42% of child and adolescent mental health services in England do not accept referrals for children aged two and under.
Why should someone’s ability to access preventative services or treatment be determined by where they live? Poor mental health in childhood is carried into adulthood. As we have heard many times, what happens today will impact on demand for mental health services tomorrow. As the old saying goes, prevention is better than cure. That is why we have a range of public health measures in place for children—check-ups for eyesight, hearing and growth; vaccinations to protect against measles, mumps, and rubella. Yet we ignore the wisdom of the ages when it comes to children’s mental health.
Improving infant mental health is all about prevention. With early intervention in those critical 1,001 days, families and infants can be supported. As a doctor, I know that adverse childhood experiences are a key contributing factor to poor mental health in adulthood. In A&E, I see increasingly younger children coming in who have self-harmed or who are living with eating disorders. It is simply heartbreaking. For parents, it is absolutely agonizing.
It should be a badge of shame for the Government that three quarters of children were not seen within four weeks of being referred to children’s mental health services. Imagine being a mum or dad whose child is self-harming or presenting with symptoms of depression, anxiety or phobias, and being without special support for more than a month.
There has been a 77% rise in the number of children needing specialist treatment for a severe mental health crisis between April 2021 and October 2021 compared with the same period in 2019. According to the latest report from the Children’s Commissioner, waiting times depend on where someone lives. When they eventually are seen, services may be hundreds of miles away.
I invite the Minister to please tell the House what new measures the Government are taking in relation to infants and their parents—I am looking for new measures. What new money is being allocated to child and adolescent mental health services, and where is it going? How many new mental health staff will be recruited? Are there plans for specialised parent-infant relationship teams for the infants most at risk? How will they tackle mental health inequalities along the lines of place, race, class and income? With respect, in every mental health debate we hear about the £2.3 billion allocated to mental health, but it seems to get spent five to 10 times over. I would like specific answers to my specific questions.
The Labour Government are committed to improving infant and child mental health. We will guarantee mental health treatment within a month for all who need it, ensuring that patients start receiving appropriate treatment—not simply an initial assessment of needs—within a month of referral. We will recruit 8,500 new staff so that 1 million additional people can access treatment every year by the end of Labour’s first term in office, and we will provide specialist mental health support in every school and put an open-access mental health hub for children and young people in every single community, ensuring that every child has somewhere safe and secure to talk about their mental health.
As it stands, our children are being failed on prevention, on access to treatment and on funding, and we are failing to support their families. The system is stretched to breaking point. The staff are exhausted, the children are suffering, and parents do not know where to turn. I plead with the Minister today to take action before it is too late for another generation of children.