Mental Health Bill [Lords]

Debate between Victoria Collins and Danny Chambers

2nd reading
Monday 19th May 2025 Commons Chamber

[Victoria Collins (Harpenden and Berkhamsted) (LD)]

I absolutely support the idea that we need to invest in prevention—I am 100% behind that—but I have also spoken to many constituents who have issues with emergency health care. One of my constituents, Ed, sadly took his own life. He went into A&E undergoing a psychotic episode and was left simply with a phone number and no assessment. Hours later, he was lost. We need to ensure that those who need emergency treatment get it on the spot, as well as investing in prevention. Does my hon. Friend agree with that principle?

[Dr Chambers]

I totally agree, and I will come on to the care of people once they have been discharged after an acute mental health episode, because it is a hugely emotive and problematic situation.

We need a comprehensive mental health strategy that sees mental health not just as a clinical issue but, as the Secretary of State said, something that needs to run through housing, education, employment and justice. Good clinical services are vital, but we cannot medicate or refer our way out of a mental health crisis. Many mental health issues are often rooted in deeper challenges including poverty, housing, insecurity, loneliness, debt and trauma. These are not medical problems, but they put people at huge risk of developing mental health issues, and if we are serious about prevention we must tackle these root causes head-on.

The Bill focuses very much on the rights and treatment of people once they are admitted to mental health units, which is essential, but what is just as important—as my hon. Friend the Member for Harpenden and Berkhamsted (Victoria Collins) has just highlighted—is what happens when they are discharged and what support they get in the community to prevent a relapse. In Winchester, we have seen a brilliant initiative between local NHS mental health teams and Citizens Advice. Teams from Citizens Advice are in a mental health unit called Melbury Lodge, and they help mental health patients with all their life admin—the bills, the correspondence—so that they are not discharged back into the community only to come home to a load of outstanding credit card bills and demands to repay their personal independence payments, for example.

What is remarkable is that every pound spent on that initiative saves £14.08 in cost avoidance for the NHS through shorter in-patient stays, fewer readmissions, better engagement of services once they are discharged and a reduction in medication use. This is a win-win for staff, patients and the taxpayer, but it is a pilot project and there is no funding secured for it to continue, despite the proven cost-saving benefits. We urge the Government to look seriously at rolling out such initiatives nationwide.

My hon. Friend the Member for Dorking and Horley (Chris Coghlan) has been passionately campaigning since entering this House to ensure that families have a greater input into medical decisions when there are questions over the mental capacity of vulnerable patients, and I invite him to make an intervention now.

Fuel Poverty

Debate between Victoria Collins and Danny Chambers

Wednesday 6th November 2024 Westminster Hall

[Victoria Collins (Harpenden and Berkhamsted) (LD)]

In Harpenden and Berkhamsted and, I am sure, across the country, local charities and even local district and county authorities are looking at how they can support those who are falling off a cliff edge after the winter fuel payment was scrapped. Does my hon. Friend agree that the impact he mentioned is not confined to the NHS? Charities and councils are picking up the slack created by fuel poverty’s not being dealt with properly.

[Dr Chambers]

That is a good point. Citizens Advice Winchester told me that it spends a huge proportion of its time dealing with people who have issues with energy bills, particularly at the moment. A variety of organisations are being drawn into this.

The hon. Member for Shipley (Anna Dixon) mentioned housing quality. It is worth noting that the UK has the oldest housing stock in Europe: 38% of houses in the UK were built before the 1940s, compared with about 11% in Spain. Those houses were obviously not designed with particularly high energy standards. One thing the Liberal Democrats were calling for during the general election was an emergency home energy upgrade programme for people who are living in poverty, people in social housing and people who cannot afford their bills. Retrofitting insulation is good not only for people who are struggling and the NHS, but for the environment. We urge the Government to double down on retrofitting and improving the quality of our old housing.

Directly linked to that issue are buildings’ energy efficiency standards, which were reduced under the last Government. New builds should be net zero; they should be hugely energy-efficient. There is no excuse for any new house to have occupants who live in fuel poverty, and we should do everything we can to ensure that that does not happen.

I grew up on a farm in the middle of nowhere, and I represent a large area of the Meon valley, which is very rural. As my right hon. Friend the Member for Orkney and Shetland pointed out, many rural villages, farms and houses rely on solid fuel heating—they are not on the gas grid—and have to have electrical storage heaters. That is hugely expensive. Rural areas also have a slightly higher proportion of elderly people. I have had a huge amount of correspondence from people living in rural areas and elderly people who are particularly worried about the coming winter. I heard from someone called Julia, who has osteoarthritis and osteopenia and has to walk with crutches. She is on a waiting list to be transferred to more affordable accommodation. She often has to skip meals to make ends meet and she dreads turning on the heating because of the cost. With poor circulation, she frequently loses feeling in her feet from the cold.

I acknowledge what the hon. Member for Shipley said: not all elderly people rely on the winter fuel allowance to heat their homes—we know that—but because the removal has been brought in so quickly, right before winter, a lot of elderly people were not expecting it and will be plunged into crisis. Julia emailed me with a clear ask for the Minister: if the Government are removing the winter fuel payment, will they consider expanding qualifying benefits to include housing benefit, council tax support, disability benefits and attendance allowance? That would be a lifeline for her and many others who face similar hardship.