Mental Health

Debate between Yvonne Fovargue and Jeremy Corbyn

Thursday 14th June 2012 Commons Chamber

[Jeremy Corbyn (Islington North) (Lab)]

I welcome this debate, and I will do my best to stick to the eight minutes that you have suggested, Mr Deputy Speaker, to ensure that everybody gets to make a contribution. It is valuable to have this debate and to raise the whole issue of the stigma surrounding mental health. I pay a huge tribute to my hon. Friend the Member for North Durham (Mr Jones) and the hon. Member for Broxbourne (Mr Walker) for speaking out, because it is necessary to do so. The public need to understand that everyone knows somebody who has suffered from degrees of depression or many other conditions. I am sure that all of us, even if we do not believe that we have suffered from this ourselves in our own lives and in our own families, know people who have. Public attitudes have come a long way since the late Tom Eagleton was driven out of the US vice-presidential nomination in 1972 because he had had treatment for severe depression. He, to his credit, later went on to become a senator, elected with 60% of the vote, so the timidity of the political establishment in the US in 1972 was overturned by a much more generous political atmosphere some years later. We should remember people like him, who, in many respects, paved the way for it.

We have to understand that about 4,000 people a year in this country commit suicide. The figure varies a bit from year to year, but it is about 4,000. That is a very large figure indeed, which is why I intervened on the Minister on the question of deaths when people are in care or in custody, and I am looking forward to his response. As a society, we have to think a bit more carefully about the terror that some people live their lives in, which ends in a lonely suicide. These are people who were unable to seek help or support from anybody else, and were probably reading in the papers, hearing jokes on television and being the butt of comedians’ jokes about “sad nutters”, “desperate people” and so on. As a society and as a community, we need to reach out to people who are going through their own tensions and their own crises. If we cannot do that, the number of suicides will not fall and is likely to increase.

In my community, we have a good mental health service. We have a trust that operates in Camden and Islington, which is quite a small geographical area for it to operate across. It is certainly much smaller than many others in other parts of the country, and my right hon. Friend the Member for Holborn and St Pancras (Frank Dobson) and I fought very hard to ensure that it was operated on a relatively small basis because we felt that that would provide for a better service that was more in touch with the local community. I hope that it will be able to continue in that way, but I am saddened to have to report that this year the trust plans to deliver what it describes as

“£75.1m savings across the acute sector; £46.7m from acute productivity and £28.4m through changes in care setting and other demand management initiatives.”

That is quite a big cut in desperately needed services in an area that suffers from a very high level of need for mental health care and treatment.

My own local Islington borough council, to its credit, instituted the fairness commission after the 2010 elections. The council has said:

“The work of the Islington Fairness Commission highlighted the wide-ranging impacts of challenges to mental health and wellbeing for people, communities and services in Islington, particularly during a period of economic uncertainty and financial hardship.”

A number of recommendations are then made, with the council going on to state:

“Levels of need are exceptionally high in Islington. There were 3,152 patients on serious mental illness primary care registers in Islington in 2010/11, representing 1 in every 65 patients. There are an estimated 31,000 adults and 3,000 children and young people…experiencing mental health problems…There are an estimated 3,500…drug users, and 10,000 problem alcohol users, with 46,000 adults in total drinking at hazardous or harmful levels. Underlying rates of mental health and substance misuse problems in prison reach in excess of 90%.”

My borough contains two prisons. We have to examine those issues seriously as a House and as a society.

The other point I wanted to make was that the economic issues associated with stress are very serious indeed. Obviously, one such issue is unemployment, but others are housing and overcrowding and, often, the domestic violence that results. My hon. Friend the Member for Hackney North and Stoke Newington (Ms Abbott) and I share the Finsbury Park Homeless Families Project unit, which is based in her constituency but does wonderful work to support families in both our constituencies. The unit’s staff point out that the severe problems of the people who come to see them are usually related to serious overcrowding, housing uncertainty and lack of secure tenancy. Various levels of stress and mental health issues pertain to that. In solving these issues, we must consider the economic factors.

We should also consider very seriously the levels of stress and depression among young people. Growing up as a young person in any community is not easy. They are faced with enormous pressures from a consumerist society to achieve and to have. Many cannot fulfil those ideals and will never be able to fulfil those ambitions. The levels of stress we are forcing on to young people result in some cases—although, thankfully, only a very small number—in serious illness or even suicide.

[Yvonne Fovargue (Makerfield) (Lab)]

To return to the social pressures, does my hon. Friend agree that debt is a considerable social pressure? I ran a scheme where debt advice was provided on prescription and paid for by the PCT. Independent analysis reckoned that at least three suicides had been prevented by early access to debt advice. Does my hon. Friend share my concern that that access might well now be restricted?

[Jeremy Corbyn]

I completely endorse what my hon. Friend has said and the great work she has done in supporting advice agencies and dealing with such issues. My borough recently opened a new citizen’s advice bureau—I congratulate the council on being able to fund and reopen it—and it has been inundated with people with serious debt issues. It offers serious debt advice and a great deal of help. We have also given a lot of support to a credit union that is working very well with a large and fast-growing membership. People are accessing a limited amount of credit and support, and it is far better that it comes from that source than from the high street loan sharks who are appearing all over the country and bleeding people dry with the excessive rates of interest that they charge.

There are some things we can do, but my point is that if a young person worked hard in school, did well, studied hard and got good grades but is still unemployed and after a while becomes almost unemployable, it becomes a source of enormous stress about the future.

I want to bring up two more issues before I conclude. In my part of London and, I suspect, many other parts of urban Britain, many victims of domestic violence, usually women, seek support and therapy. The voluntary sector is often best placed to provide that support and therapy and that was why I intervened on the hon. Member for Loughborough (Nicky Morgan) when she introduced the debate to make the point that when commissioning is done by the primary care trusts or the wider trusts that deal exclusively with mental health issues, it tends to be skewed in favour of the very large and financially burgeoned organisations rather than local charities and voluntary sector groups with a specific base, which are often much more effective and provide a very good service. I would be grateful if the Minister could give us some good news on that, or if he could write to me about how those issues could be brought out.

In my community, we have a number of very effective charities that work with victims of domestic violence and racist abuse, which, fortunately, is not an enormous issue but nevertheless exists. We also have a large number of people who have experienced torture and violence and are either asylum seekers or have achieved refugee status. I thank those charities for the work they do. Nafsiyat, an intercultural therapy centre based in Finsbury Park, has done good and groundbreaking work on cultural values and dealing with stress and the victims of violence. The Maya centre deals with women who have suffered similar problems. We also have the Women’s Therapy Centre, ICAP—Immigrant Counselling and Psychotherapy—which gives enormous support to other people, and the local Refugee Therapy Centre. They all do very good work, all have difficulty coping with the demands placed on them and all have financial issues. When the Government talk about increased money for mental health, they should think very carefully about how the contracts are negotiated, as they often force very low rates of pay on the voluntary sector to undertake the kind of work that is done. The Minister needs to think quite carefully about that.

The housing issue has been referred to and the number of homeless people in this country is rising, as is the number who are suffering from stress. Locally, we have a group called the Pilion Trust which has recently been given a donation—I am grateful to the Amy Winehouse Foundation for that—to help in its work in providing a night shelter, but a night shelter is not a solution to homelessness problems. A solution to homelessness problems is having a requirement regarding re-housing and a much more aggressive housing programme in this country.

I conclude by saying that too many people commit suicide and suffer from mental health issues and stress in their lives. We cannot change all that but we can change the approach to mental health issues. We can look at the good work that is done and support people in that work. We can say to those who have gone through depression and crises, “That is not the end.” Such people are contributing to our society and will succeed later in life. We should recognise the value of everyone and not consign people to a mark that indicates they have become unemployable and have no future. That is as bad as what the asylum system did in the past. We can do better than that and learn from others and the good experience they have had.

Welfare Reform Bill

Debate between Yvonne Fovargue and Jeremy Corbyn

Wednesday 15th June 2011 Commons Chamber

[Yvonne Fovargue]

I shall return to the issue of domestic violence. Who will be the responsible authority? If people move overnight to interim accommodation, whose policies will prevail? There are problems at the moment with local authorities taking responsibility. I know of situations in which one local authority says, “These people can’t come back to us,” and the other says, “We don’t want to accept them.”

[Jeremy Corbyn (Islington North) (Lab)]

My hon. Friend makes an important point. This is a serious and acute problem in London. Given that the boroughs are geographically small, people who move at a time of crisis are not aware of what borough they are moving to and from, and the situation can be disastrous for their future housing options. Central Government direction is needed, and there must be complete ring-fencing and a statutory requirement on each local authority because otherwise the most vulnerable will be short-changed as a result of demands for expenditure—albeit understandable demands—in other areas of a local authority.

[Yvonne Fovargue]

I completely agree. The Government’s approach seems to be predicated on a view that local management will more accurately assess local people’s needs and use a range of local provision and services to support people in need, but that argument is flawed.

We have heard mention of credit unions and charitable support, as well as recycled furniture outlets and food banks. However, let me cite the example of an individual whose washing machine or cooker breaks down. They might be given a recycled product, but such goods are often much less energy-efficient than new goods, so that person will face higher fuel costs and will have no choice but to pay them with more of their low income. Such goods also lack a guarantee and have questionable reliability, so the approach might well be a false economy.

There is also a question of whether charities will be able to sustain continuing demand and, importantly, of whether the dignity of the individual will be adequately protected. I have heard many people—young and old—say, “I am not asking for charity. I do not want charity.” I fear that people will be deterred from applying to any scheme under which they will be referred to a charity and that they will therefore be forced into the hands of the high-cost lenders and credit companies.

--- Later in debate ---

[Jeremy Corbyn]

I am glad that my hon. Friend brings up the issue of private landlords because the majority of the people about whom we are talking—certainly in London, but possibly in the rest of the country—tend to live in private rented accommodation, which is often unregistered and usually incredibly energy-inefficient, certainly compared with council and housing association accommodation and most owner-occupied properties. These people therefore face higher energy costs and their permanency of accommodation is more vulnerable. We need to take account of the fact that we will be throwing people into the most vulnerable housing sector of all those available.

[Yvonne Fovargue]

I agree. This is no way to treat vulnerable individuals who are trying to obtain life’s necessities. I urge hon. Members not to legislate for the Government’s proposals before a robust, effective and consistent alternative, with a proper right of appeal, has been fully explored.