09/12/2015

:00:00. > :00:13.Border. Order. Mr Tim Farron. The Minister of State on Monday was

:00:14. > :00:19.questioned about funds to the EU solidarity fund to help cithzens

:00:20. > :00:24.like mine suffering the after-effects of the flight, she was

:00:25. > :00:30.not aware of that at the tile. With the be a statement in the House

:00:31. > :00:35.about how this government c`n claim from the EU solidarity fund for

:00:36. > :00:43.those in Cumbria suffering the effects of the floods? I recall the

:00:44. > :00:50.discussion he alludes to. I have had no consideration to a statelent on

:00:51. > :00:55.that matter but the acid duty of the honourable gentleman and his

:00:56. > :01:01.ingenuity are as close to ldgendary as makes no difference and therefore

:01:02. > :01:07.if he is dissatisfied in thdse two calm, I have a hunch that hd will

:01:08. > :01:14.try to end Stewart the mattdr can be aired not with me but with the

:01:15. > :01:20.minister. - insular the matter can be aired. If no further points of

:01:21. > :01:25.order we come now to the ten minute rule motion. The honourable

:01:26. > :01:35.gentleman is smiling in eagdr anticipation. Sammy Wilson. I beg

:01:36. > :01:40.that leave be given to me to bring in a bill to establish an Armed

:01:41. > :01:45.Forces Coquelin seat to makd revision about the requiremdnts and

:01:46. > :01:50.obligations upon public authorities and in relation to serving `nd

:01:51. > :01:56.former members of the United Kingdom Armed Forces, maintained within that

:01:57. > :02:02.scheme and to establish means of audit and accountability in relation

:02:03. > :02:06.to the poor performance of the scheme against its objectivd. To

:02:07. > :02:16.mind the policy act 2010 and the Northern Ireland act 1988 for the

:02:17. > :02:21.connecting purposes. Mr Spe`ker our Armed Forces are one of the

:02:22. > :02:26.institutions that bind the Tnited Kingdom together. The sacrifices

:02:27. > :02:33.they have made over generathons are a common loss that presents as with

:02:34. > :02:41.an obligation towards those who have volunteered to put themselvds in

:02:42. > :02:47.harm 's way on our behalf. Lemorials in every art and part of thd UK

:02:48. > :02:53.stand as the sad testimony to their sacrifices and for these re`sons the

:02:54. > :02:58.full Millman of the militarx covenant should be a cause that has

:02:59. > :03:03.support. - fulfilment of thd military covenant. It is not a new

:03:04. > :03:09.one but the legacy of campahgns in Northern Ireland, the Iraq war is

:03:10. > :03:15.and the Afghanistan conflict have led to renewed focus on what it

:03:16. > :03:23.means and how it is to be ddlivered. The term moral is not one... It is

:03:24. > :03:28.nearly used in these post-modernist times but it is right when the call

:03:29. > :03:35.and is described as the mor`l obligation to members of thd Armed

:03:36. > :03:40.Forces and their families. That is exactly what it was, is and forever

:03:41. > :03:47.will be. Therefore it is an obligation that should be ftlfilled

:03:48. > :03:52.in letter and spirit across the UK. Sadly, it is not and that is why I

:03:53. > :03:59.present this will today. Good at this point Mr Speaker the tribute to

:04:00. > :04:03.Mrs Brenda Heal, it DUP member of the Northern Ireland assembly who

:04:04. > :04:09.lost her husband in Afghanistan and has championed this cause on behalf

:04:10. > :04:15.of all service men and servhcewomen in Northern Ireland. In Northern

:04:16. > :04:18.Ireland by the government's on admission the covenant is not being

:04:19. > :04:25.fulfilled. The Northern Ireland Office has previously claimdd that

:04:26. > :04:28.93% of it is an fulfilled. That figure has not been independently

:04:29. > :04:34.assessed and when I outline some of the problems members may wonder how

:04:35. > :04:41.that figure was reached. However, for the moment, let us take their

:04:42. > :04:45.word and ask two simple questions. When battle as a member of the royal

:04:46. > :04:51.air force, the Royal Navy ordered the army risk 93% for their country

:04:52. > :04:59.and Conrad 's? Of course thdy do not. The risk everything. The risk

:05:00. > :05:03.all. Within an battle does ` member of the Royal in force, Royal Navy or

:05:04. > :05:08.the army who comes from Northern Ireland orderlies in Northern

:05:09. > :05:15.Ireland only risk 93% while those in Great Britain risk 100%? Of course

:05:16. > :05:22.they do not. The risk all jtst the same as service men in other parts

:05:23. > :05:27.of the UK so, we are we failing in our moral obligation? The d`rk for

:05:28. > :05:33.timely areas in which the covenant is not been fulfilled. Firstly in

:05:34. > :05:36.priority of treatment in thd National Health Service for window

:05:37. > :05:45.and sick veterans. Subject to the clinical need of others wounded and

:05:46. > :05:53.sick veterans are entitled to try oddity NHS treatment in GB for

:05:54. > :05:56.conditions which are attribttable to their service in the Armed Forces.

:05:57. > :06:00.That is not available in thd same weight for veterans in Northern

:06:01. > :06:07.Ireland, not only because they are reluctant to the clear prevhous

:06:08. > :06:11.Armed Forces service on sectrity grounds but because of the Northern

:06:12. > :06:15.Ireland act 1988 but secondly because when it comes to prhority

:06:16. > :06:21.for social housing, local authorities in GB are to consider

:06:22. > :06:33.service leaders - service ldaders as though they have local area. This is

:06:34. > :06:42.not the case in Northern Irdland because of section 75 of thd

:06:43. > :06:47.Northern Ireland act 1988. Thirdly, revision for IVF treatment hs not

:06:48. > :06:52.available on the same grounds for certain veterans who requird IVF

:06:53. > :06:58.treatment because of servicd related injuries there are three entitlement

:06:59. > :07:05.cycles in Scotland and Engl`nd. Only one is available in Northern Ireland

:07:06. > :07:11.and the cost of each cycle costs about ?3500 of all the numbdrs are

:07:12. > :07:15.small. Fourthly, when it coles to the waving of domestic rates or

:07:16. > :07:22.council tax for unoccupied property in GB it is a 50% discount on

:07:23. > :07:27.council tax in respect of elpty properties owned by service

:07:28. > :07:32.personnel who live elsewherd as a result of serving in the Arled

:07:33. > :07:36.Forces. This valuable concession is not available in Northern Ireland.

:07:37. > :07:41.With members seeing issues `s important as health and housing

:07:42. > :07:47.being failure is it is legitimate to question a higher failure r`te of

:07:48. > :07:53.only 7% an arise at by the Northern Ireland Office. This is a f`ilure of

:07:54. > :07:59.the liberty not just one or be slow and disconnected uropathy btt due to

:08:00. > :08:02.the particular circumstances in Northern Ireland and in particular

:08:03. > :08:07.section 75 requirements which requires key groups are enthtled to

:08:08. > :08:13.protection and is now interpreted as a legal barrier to the covenant in

:08:14. > :08:18.Northern Ireland. A law judge review of the system by the GM recognises

:08:19. > :08:24.that barrier and it was a proposal to Parliament to amend secthon 5 to

:08:25. > :08:27.enable service leaders - service leaders and veterans to get the

:08:28. > :08:36.service they deserve. Neither the Ministry of Defdnce or

:08:37. > :08:38.Northern Irish office have `cted on this, despite the fact that the

:08:39. > :08:43.amendments was changed to include travellers. I find it hard to

:08:44. > :08:53.understand when is of the travelling community should be regarded by the

:08:54. > :08:58.Northern Irish office to be -- should receive preventive treatments

:08:59. > :09:02.to members of the Armed Forces. The Ashcroft proposal would fit with the

:09:03. > :09:08.approach taken in America whth the Civil Rights act of 64, which

:09:09. > :09:11.implements specific protecthon for government action for veter`ns.

:09:12. > :09:17.Alternatively there is a proposal for my party's West Mr manifesto

:09:18. > :09:21.that rather than exempting decadence from section 75 they should be

:09:22. > :09:27.afforded the same protections as section 75 trips. I accept that this

:09:28. > :09:30.proposal does not have univdrsal acceptance in Northern Irel`nd and

:09:31. > :09:34.no doubt is one of the reasons for the reluctance of the NI all to

:09:35. > :09:38.bring forward changes to thd act, Sinn Fein and the SDLP have opposed

:09:39. > :09:42.the changes needed to enabld the full and fermentation of thd

:09:43. > :09:46.military covenant and many find their attitude is disappointing and

:09:47. > :09:49.disgraceful. Those are signhng up to join the Armed Forces do not

:09:50. > :09:54.exclusively come from the Protestant and Unionist community, the services

:09:55. > :10:01.recruits from all areas, figs and political allegiances in northern

:10:02. > :10:06.Ireland yet both Sinn Fein `nd the SDLP seem happy to abandon them In

:10:07. > :10:11.conclusion Mr Speaker are moral obligation is not met unless it is

:10:12. > :10:17.wholeheartedly actually met. In Northern Ireland it is not being met

:10:18. > :10:21.and thus in the United Kingdom as a whole the moral obligation hs not

:10:22. > :10:26.being fulfilled. Today I have shown the failures, I have offered this

:10:27. > :10:32.has solutions, this Parliamdnt must now commit itself and acts to fulfil

:10:33. > :10:37.the moral obligations to melbers of the Armed Forces and their families.

:10:38. > :10:41.The question is that the honourable member have leave to bring hn the

:10:42. > :10:47.bill, as many in favour say hi. To the contrary, no. The ayes have it,

:10:48. > :10:53.the ayes have it. Who will prepare and bring in the Bill? Mr D`vid

:10:54. > :10:59.Nuttall, Kate Hoey, Jim Shannon Gordon Henderson, Esther Grdgory

:11:00. > :11:04.Campbell, Mr Jeffrey Donaldson, Mr Nigel dogs and you'd easily. And

:11:05. > :11:44.yourself. Indeed. Armed Forces covenant implelentation

:11:45. > :11:53.United Kingdom built. Second reading what day? 9th of January -- 29th of

:11:54. > :11:59.January 20 16. 29th of Janu`ry 0 16. We come now to the opposition

:12:00. > :12:03.day, 12 allotted day in the first of our two scheduled debates, this

:12:04. > :12:11.being on the subject of mental health. On an opposition dax motion

:12:12. > :12:16.in the name of the leader. H can inform the house that the alendment

:12:17. > :12:24.has not been selected to move the motion, I called the Shadow Minister

:12:25. > :12:27.for mental health, Luciana Berger. Thank you Mr Speaker and I beg to

:12:28. > :12:29.move the motion standing in my name and that of my right honour`ble and

:12:30. > :12:34.honourable friends on the order paper. It is a privilege to the

:12:35. > :12:38.opening is opposition day ddbate today as the first Shadow Mhnister

:12:39. > :12:43.for mental health. The fact that we are having this debate is today is

:12:44. > :12:46.testament to just how seriotsly the opposition considers mental health,

:12:47. > :12:52.an issue that affects one in four of us every year. Yet one which has

:12:53. > :12:56.been neglected for far too long Mental health has come out of the

:12:57. > :12:59.shadows in recent years, and I know that there are many members on all

:13:00. > :13:03.sides of the house feel verx strongly about this issue. There

:13:04. > :13:09.have been many important stdps forward. Ask anyone with a lental

:13:10. > :13:14.health condition and they whll tell you that they still face sthgma

:13:15. > :13:18.prejudice and discrimination. Sadly there remain many areas where there

:13:19. > :13:22.has not been the progress that we had hoped for. We on this shde of

:13:23. > :13:26.the house have deep concerns about our nation's mental health `nd the

:13:27. > :13:31.services and support that is available. Mr Speaker of thd years

:13:32. > :13:36.ago it was my colleagues, mx bigger colleagues in the House of Lords who

:13:37. > :13:38.won the fight to ensure that the government give parity of esteem

:13:39. > :13:43.between mental health and physical health in the law. The gap between

:13:44. > :13:49.the reticle year from this government and the reality from

:13:50. > :13:52.patients on the ground is whder I am sure members on all sides of the

:13:53. > :13:57.house have many constituencx cases that echo these concerns, in the

:13:58. > :14:03.first few months I have been in this position I have been struck by the

:14:04. > :14:08.thousands of messages from people up and down the country. They `re

:14:09. > :14:12.desperate to see a change in how our society approaches mental hdalth.

:14:13. > :14:17.The strength of feeling is not surprising. On this governmdnt's

:14:18. > :14:23.watch there has been an increase in the number of patients who report a

:14:24. > :14:26.perfect space -- the experidnce of community mental health card. There

:14:27. > :14:32.are more patients that are having to travel hundreds of miles just to get

:14:33. > :14:36.the bed. The number of children being treated in adult wards,

:14:37. > :14:40.something the Mental Health Act rightly says it should not happen,

:14:41. > :14:43.has risen again this year. The number of people becoming so ill

:14:44. > :14:48.that they must be detained tnder the Mental Health Act left by 10% in the

:14:49. > :14:55.past year, and suicide, particularly among men under the age of 45 has

:14:56. > :15:00.seen its highest levels ever since 2001. I will give way. Does my

:15:01. > :15:06.honourable friend share my concern about the scale often by colmon

:15:07. > :15:09.agreement, and appropriate stress on the police as a consequence of the

:15:10. > :15:13.pressure on emergency mental health services? My local police h`ve

:15:14. > :15:17.advised me that in some casds they spend half a shift with sevdrely

:15:18. > :15:21.mentally ill patients who are queueing for access to acutd mental

:15:22. > :15:25.health hospitals. This is b`d for the police, but for the pathents and

:15:26. > :15:30.a reflection of terrible prdssures on the acute mental health sector. I

:15:31. > :15:33.thank my honourable friend for making that important contrhbution,

:15:34. > :15:36.there are too many stories of our blue light services being under

:15:37. > :15:39.incredible pressure, not just the police but under don't and Fire

:15:40. > :15:44.Services have to content with these issues and it is something that

:15:45. > :15:48.government, I believe, as do do more to address. I will give way. I am

:15:49. > :15:51.very grateful to the honour`ble lady and I am very pleased that he has

:15:52. > :15:57.called this debate. Does shd share my view that the report yesterday on

:15:58. > :16:01.perinatal mental health makds incredibly disturbing reading, that

:16:02. > :16:04.many women have lost their lives because of an absence of services

:16:05. > :16:07.and that we must commit to dnsuring that every part of the country as

:16:08. > :16:12.good quality services that can ensure people get through those

:16:13. > :16:14.difficult times? I thank thd honourable member for his

:16:15. > :16:18.intervention and I will comd onto the very serious issue that even

:16:19. > :16:22.razors and I perinatal ment`l health, something that should

:16:23. > :16:27.concern us all. I am very concerned that we have seen a psychiatry

:16:28. > :16:30.recruitment crisis, there h`s been a 94% increase in vacant and tnfilled

:16:31. > :16:35.consultant posts. The NHS contribution itself treats lental

:16:36. > :16:39.health and physical health differently. The government claims

:16:40. > :16:40.to be increasing mental health budgets, but patients and

:16:41. > :16:45.professionals tell a differdnt story. That ever since ministers

:16:46. > :16:50.discontinued the annual survey of investment in mental health three

:16:51. > :16:55.years ago we do not have an accurate picture of spending on ment`l health

:16:56. > :16:58.in our country. I will give way I thank my honourable friend forgiving

:16:59. > :17:06.way, she makes an important point about transparency of spendhng. In

:17:07. > :17:10.June last year I asked the then health Minister, when figurds would

:17:11. > :17:13.be published in the Tory government were working with NHS England to

:17:14. > :17:18.provide meaningful data. Last month the member opposite from Central

:17:19. > :17:22.Suffolk and North Ipswich t`bled a written question asking when the

:17:23. > :17:25.information would be made available and it is still not. Does she agree

:17:26. > :17:30.with me that the government needs to come clean on the position? I thank

:17:31. > :17:35.my honourable friend for making that important intervention, it hs one of

:17:36. > :17:38.my key contributions to this debate, we have so much to do to shhne a

:17:39. > :17:41.spotlight on what has happened to mental health funding across the

:17:42. > :17:45.country. We are calling on the government stock Mac I will give

:17:46. > :17:48.way. Of course she is right, this is a vitally important subject and the

:17:49. > :17:52.government is working hard, though she join me in welcoming thd

:17:53. > :17:56.government's product -- prolise of commitments to bring an acthon 00

:17:57. > :17:59.million to mental health services as set out in the Autumn Statelent

:18:00. > :18:03.Part of my concern rests on the fact that over the course of the past

:18:04. > :18:06.five years the cuts we have seen mean that we are only returning back

:18:07. > :18:10.to the levels of spending on mental health that we had in 2010, I have

:18:11. > :18:14.also asked the number of qudstions on how that ?600 million by present

:18:15. > :18:17.itself, I am waiting for thd answers to see how the government whll

:18:18. > :18:21.allocate their money and I will come onto some of the pledges thd

:18:22. > :18:24.government have made. I will make some progress because I havd some

:18:25. > :18:27.remarks to get through and H am conscious there are many melbers who

:18:28. > :18:30.would like to contribute. There are three things that we are calling for

:18:31. > :18:36.that we believe will make a difference. In reference to the many

:18:37. > :18:39.contributions we have just heard, first and foremost we are asking the

:18:40. > :18:44.government to restore transparency to address the murky picturd that we

:18:45. > :18:47.have mental health funding. Secondly we asked ministers to address the

:18:48. > :18:51.fundamental inequality that currently exists within our NHS

:18:52. > :18:57.Constitution and finally asking the government to prioritise prdvention,

:18:58. > :19:00.and implement a fully cross departmental plan to prevent mental

:19:01. > :19:07.health problems from developing in the first place. I will givd way. On

:19:08. > :19:10.the point of transparency, does she agree with me that transpardncy is

:19:11. > :19:13.known to be a very effectivd leader for the government to improve

:19:14. > :19:17.quality? And does she look on the steps that have been taken by this

:19:18. > :19:21.government to increase transparency in the performance of mental health

:19:22. > :19:26.services? I do not share thd honourable member's intervention, I

:19:27. > :19:28.have a list of just ten things in the last week which I have `sked for

:19:29. > :19:33.figures for the government `nd I have been told that they do not all

:19:34. > :19:35.that information centrally, many statistics that were previotsly

:19:36. > :19:39.available are no longer avahlable in the central progress we're laking is

:19:40. > :19:42.to restore that transparencx, particularly on how much is being

:19:43. > :19:45.spent on mental health. The government took that away in 20 2,

:19:46. > :19:49.we know from many honourabld members on both sides of the house that we

:19:50. > :19:53.want to know what those figtres are. I will give way. I am grateful to my

:19:54. > :19:57.honourable friend who is making a powerful speech. The map of

:19:58. > :20:00.prevention, is she as concerned as I am about the recent report from the

:20:01. > :20:07.University of Liverpool which estimated that an additional 59

:20:08. > :20:10.suicides were associated with a government policy and capabhlity

:20:11. > :20:16.assessment process between the use of 2010 and 2013? I thank mx

:20:17. > :20:19.honourable friend for her intervention and I am fully aware of

:20:20. > :20:21.that piece of research carrhed out by a number of academics from the

:20:22. > :20:26.University of Liverpool, including one of my constituents, and I have

:20:27. > :20:30.studied that research careftlly It highlights various areas of concern,

:20:31. > :20:34.particularly about the government 's changes made, reforms made `bout the

:20:35. > :20:37.Department for Work and Pensions that have had a negative impact that

:20:38. > :20:42.I will come on in my remarks to the very point is that she reasons. Mr

:20:43. > :20:47.Speaker nowhere is the gap between ministers rhetoric and realhty, the

:20:48. > :20:50.gap between their rhetoric `nd reality more evident than when we

:20:51. > :20:56.look at investment in our mdntal health services. Only last xear the

:20:57. > :21:02.funding for mental health trusts was cut by 20% more than that for other

:21:03. > :21:06.hospitals. And in 2011-2012, total investment in mental health dropped

:21:07. > :21:09.for the first time in a dec`de. Perhaps unsurprisingly that same

:21:10. > :21:15.year the government stopped publishing how much it invests in

:21:16. > :21:18.mental health. Last year, I had to use freedom of information requests

:21:19. > :21:24.to get to the bottom of how much clinical commissioning groups were

:21:25. > :21:28.allocating to mental health. 67 of respondents spent less than 10% of

:21:29. > :21:32.their budget on mental health, despite mental health accounting for

:21:33. > :21:36.23% of the total burden of disease. This year the Minister for community

:21:37. > :21:39.and social care promised to do something about it and he s`id he

:21:40. > :21:44.would ensure that investment by clinical commissioning groups and --

:21:45. > :21:48.in mental health increases this financial year in line with the

:21:49. > :21:51.increase in the overall budget. However, again, as the government

:21:52. > :21:55.does not publish a central record of this data I have to use the Freedom

:21:56. > :22:00.of Information Act to find out the answers for myself. Over thhs past

:22:01. > :22:04.summer I found that more th`n one in three CCG 's are not meeting the

:22:05. > :22:07.government's expectation. This is just one of many government pledges

:22:08. > :22:15.on mental health that have not translated into reality. I will give

:22:16. > :22:18.way. The honourable lady is making an important speech at the H

:22:19. > :22:23.encourage her on this vital issue to be as bipartisan as she possibly

:22:24. > :22:26.can, it is very good to see the Leader of the Opposition at the

:22:27. > :22:31.Health Secretary both in thdir place, both of whom take a

:22:32. > :22:36.long-standing approach to this issue and will she at least accept that

:22:37. > :22:40.the all-party group led by the Right honourable gentleman for Norfolk

:22:41. > :22:44.North very substantially assisted by Alistair Campbell, who has some

:22:45. > :22:49.considerable expertise in this area, was a successful behind the scenes

:22:50. > :22:52.in persuading the Chancellor to produce an extra ?600 million for

:22:53. > :22:56.mental health. All of us will try to make sure this money is spent well

:22:57. > :23:01.but let's try and keep this as an all-party bipartisan approach. I

:23:02. > :23:04.thank the honourable member for his intervention and I know he has

:23:05. > :23:08.worked very hard on these issues, as many members on both sides of the

:23:09. > :23:11.house had done as well. My job is to hold the government to accotnt for

:23:12. > :23:15.the promises they have made, that is what I am endeavouring to do here

:23:16. > :23:18.today. Where there are opportunities for us to work together let's be

:23:19. > :23:21.clear that we are very keen to make that happen but an pledges the habit

:23:22. > :23:25.previously and have not delhvered, I would be keen to know the ddtail of

:23:26. > :23:29.how that ?600 million will be allocated, over what period and on

:23:30. > :23:37.exactly what. So we look forward to the detail coming forward from

:23:38. > :23:40.government. The example that I gave about the spending of clinical

:23:41. > :23:44.commissioning groups is one of the pledges on mental health th`t has

:23:45. > :23:47.not translated into reality. Another one unfortunately around thd

:23:48. > :23:53.commitment to spending ?250 million on child and adolescent met`l health

:23:54. > :23:58.services this year. The responses to questions the government has

:23:59. > :24:08.admitted that there will be a pledge on what they will spend this year.

:24:09. > :24:17.We are concerned about the lack of transparency on health spending and

:24:18. > :24:22.we are calling for eight reinstatement of transparency on

:24:23. > :24:26.health services. Equality on mental health has still to be achidved A

:24:27. > :24:32.huge disparity remains at the heart of our NHS. Patients, public and

:24:33. > :24:38.staff are entitled and the pledges of the NHS is committed to

:24:39. > :24:41.achieving. The NHS Constitution enshrines all of our rights to

:24:42. > :24:47.access drugs and other treatments. It does not extend this right to

:24:48. > :24:52.talking therapies. Recently the government consulted on addhng a

:24:53. > :24:57.right to psychological ther`pies to the NHS Constitution but decided not

:24:58. > :25:00.to include it in the latest version. This decision reinforces thd

:25:01. > :25:05.existing bias in the system against mental health. If the government is

:25:06. > :25:14.serious about fair access to mental health treatment must affect this

:25:15. > :25:20.fundamental disparity. I am grateful to her for giving way. The Scottish

:25:21. > :25:26.health terraces included in this motion which does not say mtch for

:25:27. > :25:34.the new leader. In Wales thd only part of the UK we are the L`bour

:25:35. > :25:39.Party are in charge, the Ac`demy which represents 16 colleges and

:25:40. > :25:48.facilities represents significant inequalities. What the sheet say to

:25:49. > :25:52.the Academy in Wales? I thank him for his intervention. In Scotland I

:25:53. > :25:56.have heard from colleagues `bout the challenges they face and it is right

:25:57. > :26:02.we should raise them today. In terms of Wales, I have met with colleagues

:26:03. > :26:06.peers and seen the fantastic work they are doing. They have phoneering

:26:07. > :26:11.mental health legislation which came into course in 2012 which is the

:26:12. > :26:15.first of any country in the world in how it treats mental health and

:26:16. > :26:18.insurers patients have a copper mental health dedicated plan which

:26:19. > :26:25.looks at their health needs, their support and care and training. I

:26:26. > :26:31.look forward to meeting my colleagues in Wales to support them

:26:32. > :26:37.in their fantastic work. My honourable men friend made `t

:26:38. > :26:45.important point about access to talking therapies. Isn't ond of the

:26:46. > :26:50.issues that medication in some circumstances leads to people

:26:51. > :26:54.becoming dependent for a long period of time. It is not just a mhnor

:26:55. > :26:59.matter about whether it is hn the Constitution but it leads to an

:27:00. > :27:03.appropriate intervention whhch can have a lifelong effect on pdople. I

:27:04. > :27:09.thank him for his interventhon. Many of us in this House will he`r from

:27:10. > :27:12.our own constituents about the experience which he shares has been

:27:13. > :27:18.replicated across the country. We know by looking at the numbdr of

:27:19. > :27:23.prescriptions allocated in lental health they have risen and then into

:27:24. > :27:26.the millions in terms of people having to access drugs, somdtimes

:27:27. > :27:37.because they cannot access talking therapies. I will give way. Does she

:27:38. > :27:42.welcome the government commhtment to introducing - reducing waithng times

:27:43. > :27:46.so people do not have too wdak a long time to get the talking

:27:47. > :27:54.therapy? It is something thhs government introduced and the Labour

:27:55. > :27:58.government did not. Under the Labour Party we created these servhces in

:27:59. > :28:03.the first place. Services h`ve two exist which did not exist bdfore.

:28:04. > :28:10.The chronic underfunding of mental health which existed 397, wd are

:28:11. > :28:14.incredibly proud. As things develop the waiting time standards should

:28:15. > :28:20.come forward. There were wahting time standards in place which

:28:21. > :28:23.include physical health and mental health and I am proud of th`t and

:28:24. > :28:29.disappointed that in too many cases at the moment we do not see the same

:28:30. > :28:33.equality applied to mental health. If the government is serious about

:28:34. > :28:39.fair access to cost effective mental health treatment there must be

:28:40. > :28:45.needed added the addressed. We are calling today on the governlent to

:28:46. > :28:50.commit to all patients whether they need a drug or psychological therapy

:28:51. > :28:54.have those same rights. Endtring people have access to health. I will

:28:55. > :29:02.make some progress as I am short of time. Insulating people havd access

:29:03. > :29:07.to health help early on is hmportant to prevent people from becoling ill.

:29:08. > :29:11.We have seen cuts in prevention early intervention and commtnity

:29:12. > :29:15.services which are having a devastating impact. When thd number

:29:16. > :29:19.of children with mental health problems turning up at accident and

:29:20. > :29:25.emergency has doubled, when one prisoner is taking life in four days

:29:26. > :29:28.and went a young person is self harming but will because thd are not

:29:29. > :29:34.suicidal they do not meet the threshold for help. And when the

:29:35. > :29:38.women with an eating disorddr is turned away from mental health

:29:39. > :29:44.services because her BME is not low enough, people are not getthng the

:29:45. > :29:47.right help soon enough and too often mental health problems are being

:29:48. > :29:55.ignored and it is only when they reach crisis point they get

:29:56. > :29:59.attention. I am hearing frol dental health professionals across the

:30:00. > :30:05.country that the local servhces are being stripped out. Apart from the

:30:06. > :30:10.devastating human costs imp`cting on a person's ability to hold down a

:30:11. > :30:16.job, he a mortgage and maintain relationships with family and

:30:17. > :30:19.friends, these problems will cost our NHS and local authoritids more

:30:20. > :30:24.as they struggled to deal whth the consequences of serious ill,health

:30:25. > :30:31.which could have prevented. The cost is not insignificant, recent studies

:30:32. > :30:37.have put it at 105 billion pounds per year. How can the Secretary Of

:30:38. > :30:42.State and this Tory governmdnt justify it? Ensuring people can

:30:43. > :30:46.access support when they nedd it is an urgent priority. If we are to

:30:47. > :30:51.ensure our services are sustainable into the future we must do so much

:30:52. > :30:58.more to prevent able from bdcoming ill in the first place. I t`lked

:30:59. > :31:02.about perinatal mental health. This affects up to 20% of women `t some

:31:03. > :31:07.point during pregnancy or in the year after the birth of her baby.

:31:08. > :31:12.These problems cost our economy ?8 billion per year. Isn't it `ppalling

:31:13. > :31:17.that even if these women sedk help the are not always guarantedd to get

:31:18. > :31:23.the specialist support they need. The number of mother and GP units

:31:24. > :31:31.has dropped since 2010 at ?06 million being spent on perinatal

:31:32. > :31:36.which was pledged this year was welcome but so far the government

:31:37. > :31:41.have spent just 1/15 of what they had promised. Intervening e`rly in

:31:42. > :31:51.perinatal health helps not just the mothers but also the childrdn. I

:31:52. > :31:57.will give way. Thank you. I will take her back to the point `bout the

:31:58. > :32:03.Ivy Atkin programme. That is an illustration of when both p`rties

:32:04. > :32:10.have delivered successfully. The future of psychological therapies in

:32:11. > :32:14.Britain is about if we enshrined it in the Constitution it might be a

:32:15. > :32:21.good thing but we need to btild more capacity to deliver on standards. We

:32:22. > :32:28.cannot just write it in the constitution, we need to increase

:32:29. > :32:37.access. I thank him for his intervention, I do not think it is

:32:38. > :32:42.either or, it is something we address in the constitution. Those

:32:43. > :32:47.who have problems in working life often experience problems in

:32:48. > :32:53.childhood or adolescence yet a small proportion of the budget is spent on

:32:54. > :32:56.child or adolescent services. We need to focus attention on children

:32:57. > :33:02.and young people and crucially on prevention. We need schools and

:33:03. > :33:08.colleges that promote good lental health. We need to ensure all

:33:09. > :33:14.children have access to high-quality social and emotional learning soapy

:33:15. > :33:18.enquire the skills to express how they feel and have an understanding

:33:19. > :33:24.of good mental health. We wdre concerned to deep the Ofsted report

:33:25. > :33:28.on education which said mental health education is often olitted

:33:29. > :33:33.from the curriculum due to ` lack of teacher training. We know the

:33:34. > :33:38.government funded the assochation to publish guidance and lesson plans to

:33:39. > :33:42.support teaching and mental health at how the government insulhn

:33:43. > :33:49.schools are actually using ht? We need communities that promote good

:33:50. > :33:51.health and well-being. Proposing, few poverty and neighbourhood

:33:52. > :33:56.factors such as overcrowding, feeling unsafe and the lack of

:33:57. > :34:03.access to community facilithes can have a harmful impact on mental

:34:04. > :34:09.health. Those along with bullying, trauma, isolation are just some of

:34:10. > :34:16.the leaders against good mental health that we must address. I thank

:34:17. > :34:21.her for setting out such a strong case. Does she agree that local

:34:22. > :34:24.government have had a negathve impact on community cohesion in

:34:25. > :34:31.relation to mental health and the growth of loneliness and thhngs of

:34:32. > :34:35.that sort? I thank him for his intervention which brings md neatly

:34:36. > :34:39.onto the remarks I am just `bout to meet. I am enormously concerned

:34:40. > :34:41.about the deep cuts we have seen by this government to our local

:34:42. > :34:47.authorities over at the last five years. The ?200 million in xour cuts

:34:48. > :34:52.to public health prevention and further cuts down the line. I am

:34:53. > :34:55.very concerned about the impact those cuts will have and will

:34:56. > :35:01.continue to have on our comlunities and the services which servd him.

:35:02. > :35:06.Services such as our librarhes, drop-in centres, presenting centres,

:35:07. > :35:09.we talked about loneliness. Supporting pavements and yotng

:35:10. > :35:14.children, citizens advice you lose which support the pool so mtch early

:35:15. > :35:19.on, they are the glue which support and keep our communities together. I

:35:20. > :35:22.am very concerned about what is on tap happen over the course of the

:35:23. > :35:30.next few years. Nielsen needy social care system which is implemdnted

:35:31. > :35:35.with our mental health servhces We know that billions have been slashed

:35:36. > :35:38.from social care budgets and the number of people receiving social

:35:39. > :35:46.care support for mental health has fallen by a quarter since 2009 or

:35:47. > :35:50.ten. I queued this time and again when I visit rental health trusts

:35:51. > :35:55.that they have patients who cannot be moved out because social Kier is

:35:56. > :36:00.not available for them to move on. He also need workplaces which

:36:01. > :36:05.promote a good work and lifd balance. 70 million working days are

:36:06. > :36:11.lost every single year in otr country due to stress, deprdssion

:36:12. > :36:17.and other mental health conditions. It costs the UK employers 30 billion

:36:18. > :36:26.per year through recruitment and absence. The NHS has to get its own

:36:27. > :36:28.House in order. Across the health service staff tell me they `re so

:36:29. > :36:34.concerned about their well-being and that of their colleagues, longer

:36:35. > :36:39.hours, few resources, greatdr demands and an incredible alount of

:36:40. > :36:45.goodwill creating an perfect storm within the NHS. Figures frol the NHS

:36:46. > :36:51.staff survey show the proportion of staff reporting work-related stress

:36:52. > :37:01.has increased to 38% in 2014. I will give way. In the spirit of

:37:02. > :37:06.bipartisan ship as touched tpon by my friend from Sutton Coldfheld

:37:07. > :37:09.Wiltshire except evidence bdtween good mental health and employment

:37:10. > :37:13.and the number of jobs that have been created over the past five

:37:14. > :37:20.years since I have no doubt that that has been very positive in terms

:37:21. > :37:23.of promoting mental health? I am very interested to hear the

:37:24. > :37:28.intervention from the Honourable member. I am about to talk `bout

:37:29. > :37:35.employment support. I am concerned about the number of constittents who

:37:36. > :37:38.come to me about the increase in precarious employment when they

:37:39. > :37:43.cannot sustain themselves from week to week and plan financial budgets.

:37:44. > :37:45.Or those who are unemployed orderlies their jobs becausd of

:37:46. > :37:51.their condition and the hopd of getting back into work and this

:37:52. > :37:56.government is unjustifiably slim. The latest statistics reveal less

:37:57. > :38:00.than 9% of April with mental health conditions receiving employlent and

:38:01. > :38:04.support allowance have an hdlped back into work by the work

:38:05. > :38:13.programme. 83% of people surveyed why the charity Mind, noticd that

:38:14. > :38:18.the work programme made thehr condition worse. How can it like

:38:19. > :38:23.that programmes that are supposed to help people back into work can be

:38:24. > :38:29.doing the opposite? The arts have long played an important role in

:38:30. > :38:35.helping people with mental hllness, the is more work to do with the

:38:36. > :38:38.Ministry of Justice, it'll health in our prisons, all front-line

:38:39. > :38:42.professionals especially in the police and health services need

:38:43. > :38:51.training to support to ment`l health. I come to our third and

:38:52. > :38:56.final call. We must improve our response to mental health in

:38:57. > :39:05.society. It was published in 20 1 and promised to be across strategy

:39:06. > :39:13.for people of all ages. Progress has been limited. We need a new strategy

:39:14. > :39:15.with teeth that will have coordinated across departments to

:39:16. > :39:23.measure progress and evaluate success. We have eagerly aw`iting

:39:24. > :39:27.NHS England's ask force. It is due to be released this autumn xet we

:39:28. > :39:33.heard the other week that this has been delayed until next year, after

:39:34. > :39:38.the NHS England planning guhdance will have already been issudd. What

:39:39. > :39:43.impact does the government hoped this impact will have if thd

:39:44. > :39:48.guidance for the NHS for thd coming year will not even take account of

:39:49. > :39:54.it? In conclusion, mental hdalth matters. It matters in our schools,

:39:55. > :40:01.workplaces and communities. It matters to our fulfilment and to the

:40:02. > :40:05.economic success of our sochety There have been important strides

:40:06. > :40:10.forward and we on this side of the House welcomed them but we `re also

:40:11. > :40:15.concerned too much is at risk. We hear too often that our mental

:40:16. > :40:18.health system is at crisis. We are concerned the right help and support

:40:19. > :40:22.is not therefore people when they need it and not enough is bding done

:40:23. > :40:30.to prevent people from having to turn to these services in the first

:40:31. > :40:32.place. We are anxious that hn some place changes taking effect over

:40:33. > :40:34.government departments are laking things worse for our nation's mental

:40:35. > :40:51.health. I called Jeremy Hunt. I would like

:40:52. > :40:59.to congratulate the Shadow Linister and the member for Liverpool on

:41:00. > :41:01.securing this debate, she spoke very powerfully about the shortcomings

:41:02. > :41:06.that we currently face in mdntal health provision and although she

:41:07. > :41:11.was somewhat reluctant to rdcognise the very real progress that is now

:41:12. > :41:17.being made, she deserves crddit for securing this, her first debate in

:41:18. > :41:23.her new portfolio. President Obama recently talked of the need to bring

:41:24. > :41:29.mental health out of the sh`dows. I would just like to start by taking a

:41:30. > :41:32.few moments to congratulate the many honourable members on all shdes of

:41:33. > :41:37.the house for their bravery in doing exactly that. I would like to

:41:38. > :41:42.recognise the honourable melber for Broxburn who spoke powerfully of his

:41:43. > :41:47.own obsessive-compulsive disorder on the impact it had on his falily life

:41:48. > :41:50.and the low member for Barrow in Furness who talked about his own

:41:51. > :41:55.treatment for depression, the honourable member for North Durham

:41:56. > :41:57.'s book are very briefly about his battle with depression. I wrote

:41:58. > :42:02.honourable friend from Sutton Coldfield who was part of the new

:42:03. > :42:05.cross-party campaign who opdned up about his own mental health

:42:06. > :42:10.challenges during a very difficult period in his life, I would like to

:42:11. > :42:13.thank the honourable member for Croydon Central for his Private

:42:14. > :42:16.members bill is supported bx the government, that we feel is the laws

:42:17. > :42:21.preventing people with ment`l health conditions in members of Parliament,

:42:22. > :42:26.juror 's or company directors. I would like to thank the honour will

:42:27. > :42:29.members for Eastleigh in Ashfield for the leadership of the all-party

:42:30. > :42:33.group on them without effective right honourable member for Norfolk

:42:34. > :42:39.North, nobody has done more in this house to campaign for mental health

:42:40. > :42:43.and I would like to recognise the bravery of his son, Archie, whose

:42:44. > :42:47.book about his own mental hdalth challenges. Anyone who saw their

:42:48. > :42:51.joint interview on ITV news would have been extremely moved bx what

:42:52. > :42:55.they saw. I would also like to recognise somebody who is not a

:42:56. > :42:59.member of this house and not usually praise from the side of the house

:43:00. > :43:02.and that is Alistair Campbell, Husaberg powerful advocate for

:43:03. > :43:07.mental health and his bravery and openness is a reminder to us all

:43:08. > :43:12.that depression affects people in all walks of life. All of these

:43:13. > :43:18.honourable members have sent a strong message to the public that

:43:19. > :43:23.when it comes to mental health conditions you are not alond. One in

:43:24. > :43:29.four adults experience ment`l health problems every year. It affdcts

:43:30. > :43:36.everyone, including a relathve representatives. I speaking out

:43:37. > :43:39.they also sent a message to other parliamentarians who may be

:43:40. > :43:44.suffering in silence becausd despite the incredible privilege of working

:43:45. > :43:49.in this place, public life can be incredibly stressful and can destroy

:43:50. > :43:53.not just people's hoax but `lso marriages, relationships and

:43:54. > :43:57.families and being an MP dods not make you immune to the pressures

:43:58. > :44:02.that affect everyone -- people's hopes. But as a port of the

:44:03. > :44:05.wonderful campaigning organhsations like mine, rethink and the

:44:06. > :44:12.Samaritans, this kind of cotrage has made a real difference. I think we

:44:13. > :44:16.have seen over the last couple of years, huge determination on all

:44:17. > :44:22.sides of the house to improvement of health provision. And one rdason for

:44:23. > :44:28.that is because in the last decade, a huge amount has improved hn our

:44:29. > :44:31.understanding of mental health as a society. We should celebratd the

:44:32. > :44:35.fact that we no much more than we ever did before about the workings

:44:36. > :44:40.of the brain, but because is, treatment and prevention of mental

:44:41. > :44:45.ill-health and about links other societal issues like debt,

:44:46. > :44:52.unemployment and family bre`kdown. The result of that developmdnt is

:44:53. > :44:57.that between 70 and 90% of those treated for serious mental hllness

:44:58. > :45:02.see a reduction in their sylptoms and improved quality of lifd, even

:45:03. > :45:05.higher percentages if it is caught early, the best example of this is

:45:06. > :45:11.early intervention for psychosis which can see a reduction in suicide

:45:12. > :45:16.risk from 15% to just 1%. Wd should also recognise the progress made on

:45:17. > :45:23.depression. The world health organisation ascribes depression as

:45:24. > :45:27.more disabling than angina, arthritis, asthma or diabetds. But

:45:28. > :45:33.we know it can be treated as successfully as any of thosd,

:45:34. > :45:35.including in the British medical Journal 's's research published

:45:36. > :45:39.today which mention the fact that talking therapies can be as

:45:40. > :45:44.effective as drugs for moderate and severe depression. Over on

:45:45. > :45:51.programmes of talking therapists have a 50% recovery rate

:45:52. > :45:57.post-treatment. I give way. I appreciate the way he is addressing

:45:58. > :46:00.the subject and we are all on a journey on this. He will relember

:46:01. > :46:07.that last October we published a document that painted a vishon until

:46:08. > :46:11.2020 of achieving genuine epuality, not rhetoric, but genuine epuality

:46:12. > :46:14.and settled that was introdtcing conference of waiting time

:46:15. > :46:18.standards, so there is a colplete equilibrium. The same right to

:46:19. > :46:22.access treatment on a timelx basis whether you have a physical or

:46:23. > :46:26.mental health problem, does he remain committed to that crhtical

:46:27. > :46:30.principle? I am committed to that principle. We have discussed this

:46:31. > :46:34.many times. Access to treatlent is vital, so too is the qualitx of

:46:35. > :46:38.treatment you get when you start that process of treatment and we

:46:39. > :46:46.have to make sure that we kdep a close eye on both. I do think it was

:46:47. > :46:52.the right thing to do to ask Paul Farmer of Mind of the best way to

:46:53. > :46:57.make progress towards paritx during this new parliament and I whll wait

:46:58. > :47:00.and see what his recommendations are before we decide the way th`t we

:47:01. > :47:12.implement the vision that hd was such an important part of

:47:13. > :47:16.developing. We all know that policy by one department can cost pressures

:47:17. > :47:18.on another area and early today that the Secretary of State for Justice

:47:19. > :47:23.are announcing they will reduce prison sentences and have more

:47:24. > :47:27.people serve their sentences in the community. I wouldn't necessarily

:47:28. > :47:30.disagree with that but have been discussions will be discusshons with

:47:31. > :47:36.the Department of health about what pressure that then puts on community

:47:37. > :47:39.mental health services? People who are offenders often have mental

:47:40. > :47:43.health or addiction issues behind a criminal behaviour, so I re`lly want

:47:44. > :47:46.to make sure and implore thd Secretary of State to look `t how

:47:47. > :47:50.this policy in one department will have a knock-on effect on pressure

:47:51. > :47:54.on an already pressurised sdrvice with mental health. She makds a very

:47:55. > :47:59.important point and I can rdassure her that there are very good and

:48:00. > :48:02.ongoing discussions with thd of justice and I think the isste of the

:48:03. > :48:08.mental health of the prison population is another area where we

:48:09. > :48:10.failed to do as much as we need to do, there are so many obviots things

:48:11. > :48:15.we could do with huge benefht, not just to the individuals concerned

:48:16. > :48:18.but the rest of society in terms of reducing reoffending rates `nd we

:48:19. > :48:25.are committed to making real tangible progress in doing that Set

:48:26. > :48:28.against these improvements hn the potential of mental health treatment

:48:29. > :48:33.that I have been talking about are some troubling societal changes

:48:34. > :48:39.which increase the demand and need for mental health support. Globally,

:48:40. > :48:44.there has been an 80% incre`se in those living alone since thd

:48:45. > :48:50.turn-of-the-century. In the UK it is now rising to almost a third of all

:48:51. > :48:56.households where people are living alone. For children and young

:48:57. > :49:01.people, it isn't just about exam pressure, insecurities around body

:49:02. > :49:04.image but also the risks around social media. The office for

:49:05. > :49:09.National statistics found a clear association between more tile spent

:49:10. > :49:14.on social networking sites `nd child mental health problems with children

:49:15. > :49:15.that spend more than three hours a day on social media twice as likely

:49:16. > :49:25.to suffer poor mental health. The Secretary of State is t`lking

:49:26. > :49:28.about the pressures on children and one in five children are in need of

:49:29. > :49:34.treatment and are being turned away including from A and therd is a

:49:35. > :49:38.real crisis in the service provision and it is lacking ?200 millhon, it

:49:39. > :49:42.is being reduced from the mdntal health budget, given his reflection

:49:43. > :49:46.on how big a challenge this is, doesn't he think that his

:49:47. > :49:49.government's response is colpletely inadequate, despite the good efforts

:49:50. > :49:53.being made, it is not good dnough and he has to step up and ilprove

:49:54. > :49:59.the situation, particularly around young people. I do accept that we

:50:00. > :50:02.need to improve the provision of mental health services for children

:50:03. > :50:09.but I don't accept her characterisation, she will know that

:50:10. > :50:12.in the final budget before the last election, the previous coalhtion

:50:13. > :50:19.government committed ?1.25 billion over this Parliament to improve

:50:20. > :50:22.child mental health provision and prenatal mental health support and

:50:23. > :50:25.that has been honoured by the government and we are in thd process

:50:26. > :50:28.of working out how to rule that out and it is something that my right

:50:29. > :50:32.honourable friend or not th`t the show is a lot of time thinkhng

:50:33. > :50:37.about. That might for North East Bedfordshire.

:50:38. > :50:42.Before we discuss the precise things that need to happen and I think this

:50:43. > :50:47.should be done in a bipartisan spirit, I think we should rdcognise

:50:48. > :50:51.as a house that really important progress has been made in rdcent

:50:52. > :50:54.years. I want to start with some of the achievements made by thd

:50:55. > :51:00.previous Labour government, who increased funding for the NHS and

:51:01. > :51:05.indeed for mental health services within that. Who oversaw a

:51:06. > :51:11.significant expansion of thd mental health workforce, whose big

:51:12. > :51:15.improvements in patient card with 70% of mental health patients being

:51:16. > :51:21.seen in private rooms and increased the use of new drugs and thdrapies,

:51:22. > :51:28.including psychotherapy. Those were important steps forward. Under the

:51:29. > :51:32.coalition government, in thd last Parliament, we have seen a record

:51:33. > :51:36.investment of ?11.7 billion in mental health services at a time of

:51:37. > :51:43.huge pressure on public fin`nces. We have seen the passing of thd parity

:51:44. > :51:45.of esteem clause in the 2012 act which is something that we on the

:51:46. > :51:51.side of the house are incredibly proud of, we have seen the first

:51:52. > :51:58.access targets being set for talking therapies, for psychosis and we are

:51:59. > :52:01.starting to end the distorthon that the right honourable gentlelan for

:52:02. > :52:05.Norfolk North talked about, which had seen the targets for phxsical

:52:06. > :52:08.health access sucking resources away from April health provision at a

:52:09. > :52:14.local level over a sustained period of time. -- mental health provision.

:52:15. > :52:17.We have seen particular progress in two areas and I think it is

:52:18. > :52:22.important to mention and provide encouragement that when we do decide

:52:23. > :52:25.to focus on improving specific areas of mental health provision, we can

:52:26. > :52:34.make real progress. The first of those is talking therapies, NHS is

:52:35. > :52:40.now recognised as a world ldader. The number of people getting help

:52:41. > :52:47.from cocking therapies quadrupled from 182,000 starting treatlent in

:52:48. > :52:51.2009-2010 to 800,000 starting treatment last year. The total

:52:52. > :53:00.number of people helped in the last Parliament was 3 million, compared

:53:01. > :53:09.to just 226 thousand. -- talking therapies. We want the access

:53:10. > :53:15.targets to be 15% of those needing it. That model is now being looked

:53:16. > :53:21.at very closely by Scandinavian countries and a pilot based on what

:53:22. > :53:25.we have done here is now st`rting in Stockholm and we can be verx proud

:53:26. > :53:31.of that important progress. Another area is dementia, where over the

:53:32. > :53:38.last Parliament we saw a 50$ increase in dementia diagnosis

:53:39. > :53:42.rates, up from 41% to the start of the parliament to 67% at thd end of

:53:43. > :53:49.the parliament, the highest dementia diagnosis rate in the world. 1.

:53:50. > :53:52.million dementia friends and 12 dementia friendly communitids and we

:53:53. > :53:54.are seeing doubling in fundhng for dementia research within yotr

:53:55. > :54:02.mission to find a cure for the disease modifying therapy bx 20 5.

:54:03. > :54:07.In the spending growing the Prime Minister announced funding for a new

:54:08. > :54:13.dementia research institute which I think will be an important step

:54:14. > :54:18.forward. I will give way. Thank you for giving way. He talks about the

:54:19. > :54:20.amount of money that has bedn put into dementia research for ` very

:54:21. > :54:25.good reasons but isn't therd a strong argument as well that we need

:54:26. > :54:29.to build a research base around mental health and the evidence base

:54:30. > :54:34.around mental health so we need re-search into investment in dental

:54:35. > :54:40.health so that we can see more about that. I think he is right and I want

:54:41. > :54:46.to commend him for his work on the all-party group. The truth hs that

:54:47. > :54:58.we are still in very early days when it comes to proper understanding of

:54:59. > :55:07.mental illness. The top ten health the search universities havd five of

:55:08. > :55:11.them in the UK. Let me talk about the problems we need to address and

:55:12. > :55:20.we need to address rapidly. The first problem. Let me give way and

:55:21. > :55:24.then I will make some progrdss. I am grateful to the Secretary Of State.

:55:25. > :55:30.In addition to my point to ly honourable friend about the

:55:31. > :55:34.additional 590 suicides associated with the work capability assessment,

:55:35. > :55:43.the Royal College of psychi`trists has also raised concerns about the

:55:44. > :55:48.cut to the ESE group many of whom have mental health disorders. You're

:55:49. > :55:53.talking about exacerbating the mental health issue, self h`rming or

:55:54. > :55:59.taking their own lives. In the light of that will he look to meet with

:56:00. > :56:05.his Secretary of State for Work and Pensions? We do have very close

:56:06. > :56:10.working with the Department for Work and Pensions but I would just urge

:56:11. > :56:14.caution on the issue of suicide rates. The BMA said themselves no

:56:15. > :56:19.conclusions could drawn abott cause and effect and we should relember

:56:20. > :56:22.the many studies which talk about the approved health and well-being

:56:23. > :56:28.when it comes from being in work and the tremendous progress, 2 lillion

:56:29. > :56:35.additional jobs created over the last month. I will give way first

:56:36. > :56:38.and then make progress. Can I knowledge the progress that has been

:56:39. > :56:43.made over this period but what really winds people up outshde this

:56:44. > :56:47.lease is the rhetoric reality that when the politicians on all sides

:56:48. > :56:51.making grand statements abott access to treatment and then the rdality

:56:52. > :56:57.and the deal world is different it damages politics. The dark two

:56:58. > :57:03.options. One is using littld will anti-ground level to prioritise this

:57:04. > :57:07.land close the gap in terms of priority esteem. Omission is on the

:57:08. > :57:12.ground do not have adequate resources and to make impossible

:57:13. > :57:19.choices because adequate resources are not available. Before hd has an

:57:20. > :57:22.opportunity to answer the intervention, long interventions are

:57:23. > :57:31.not appropriate on A.D. When the ruddy great many people wishing to

:57:32. > :57:37.speak. If you wish to make ` speech you have too make a speech. If he

:57:38. > :57:42.listens to what I have been seeing, I have been very honest abott the

:57:43. > :57:45.problems and the gap about what we want to deliver and what we are

:57:46. > :57:49.delivering and I want to make solutions. It is important for his

:57:50. > :57:56.side of the House to recognhse we have had a very real issue with

:57:57. > :58:01.focus on mental health over the last year with progress has been made and

:58:02. > :58:04.we should recognise that gives sides hope that if we continue to broaden

:58:05. > :58:13.that focus out he will make on breast in other areas as well. I

:58:14. > :58:21.want to talk very openly about we are more progress needs to be made.

:58:22. > :58:27.The first thing is that we have far too much variation in the qtality of

:58:28. > :58:32.services across the country as to free services are good and ready are

:58:33. > :58:35.not satisfactory. I think it is wrong as the person who is

:58:36. > :58:41.responsible for the health service that I cannot tell you in shmple

:58:42. > :58:46.terms the relative quality of rental health provision in North Shropshire

:58:47. > :58:51.versus South Shropshire or side and sister versus Sheffield. We need to

:58:52. > :58:55.do that because we know frol other areas of the health service that

:58:56. > :59:01.once you are transparent about variations in here people mdasure

:59:02. > :59:08.themselves against their pedrs and you get a great deal of improvement.

:59:09. > :59:12.I thank him for the content and tone of the speech and further to the

:59:13. > :59:16.last intervention does he agree with me that what really irritatds our

:59:17. > :59:23.constituents, certainly a g`p tween reality and rhetoric is to be

:59:24. > :59:28.regretted but what really bothers our constituents is the makhng of

:59:29. > :59:33.August party political points on this subject and I go peopld insure

:59:34. > :59:36.his tone and content is reflected by his apartment and I wish hil every

:59:37. > :59:41.success in working with the honourable lady who clearly has

:59:42. > :59:47.deeply about this matter to make sure there is an all-party `pproach

:59:48. > :59:52.to this. Of course he is absolutely right and I think we do a great

:59:53. > :59:55.disservice to the many people suffering mental health conditions

:59:56. > :00:00.if we do allow this to becole a partisan issue. Of course

:00:01. > :00:05.governments must be held to account for their promises but what we must

:00:06. > :00:09.never do is try to suggest one House here is more about this than the

:00:10. > :00:13.other or that all the effort is on one side of the House have been

:00:14. > :00:17.somehow compromised in a lack of interest or commitment to the issue.

:00:18. > :00:21.It is clear from the number of people speaking in this deb`te today

:00:22. > :00:26.and on all sides of the House that the determination to improvd mental

:00:27. > :00:31.health provision is shared right across the House. I want to make

:00:32. > :00:34.further progress. We have other things we need to address urgently

:00:35. > :00:41.such as the increase in eathng disorders like anorexia which is the

:00:42. > :00:56.killer. Tween five and 20% of anorexia surfaces tragicallx do die.

:00:57. > :01:02.-- between 5% and 20%. Referrals were up 11% last year to Kalms

:01:03. > :01:09.services and we need to makd sure they can deal with that and look at

:01:10. > :01:14.what we can do to prevent e`rly intervention so we can reduce the

:01:15. > :01:19.growth in those referrals. We also need to look at the use of police

:01:20. > :01:28.cells which has been talked about. We have seen a 75% reduction but

:01:29. > :01:33.they were still used for thousand times last year and in the case of

:01:34. > :01:36.children it is totally inappropriate and often totally inapproprhate in

:01:37. > :01:44.the case of adults as well. We need to look at the use of out of area

:01:45. > :01:49.placements for people and mx right honourable friend for Bedford is

:01:50. > :01:52.committed to turn this around by next March. I had some other

:01:53. > :01:59.interventions. The honourable gentleman at the back. I th`nk him

:02:00. > :02:04.for giving way. My point is cross-party support to tackle things

:02:05. > :02:09.like suicide. In the assistdd dying debate the was support for tackling

:02:10. > :02:15.anyone who suggested the wish to commit suicide, why, then, hs the

:02:16. > :02:24.minister refusing to acknowledge the impact on benefit cuts as rdferred

:02:25. > :02:34.to by the member? Secretary Of State? The BM - British medhcal

:02:35. > :02:39.journey says you should not draw conclusions about cause and effect.

:02:40. > :02:50.The suicide rates which unddr the last Labour government and previous

:02:51. > :02:55.Labour government were under... I think we should be bold and ask

:02:56. > :03:00.whether we should have a zero suicide ambition. Ian is no country

:03:01. > :03:05.in the world that has delivdred that and it will require a big rdthink in

:03:06. > :03:09.how we deliver services. We should think about that and all thd factors

:03:10. > :03:14.which may contribute to people being in a highly distressed statd, not

:03:15. > :03:19.being able to get the support they want. I want to move on and make

:03:20. > :03:28.some progress if I may. I h`ve not taken interventions. Let me take on

:03:29. > :03:32.intervention and I will movd on I appreciate you getting way. What

:03:33. > :03:35.assessment as he made around the changes to employment support

:03:36. > :03:39.allowance? Particularly the work-related activity group in

:03:40. > :03:46.relation to those suffering ill mental health? We are working very

:03:47. > :03:48.closely with the Department for Work and Pensions to improve the mental

:03:49. > :03:53.health provision for people looking for work, but just people who are

:03:54. > :03:58.finding it difficult to find work because of stigma and bias `mong

:03:59. > :04:02.employers are also people who are in work and may fall out of thd health

:04:03. > :04:06.forced because of mental he`lth condition but I want to movd on To

:04:07. > :04:12.talk about what we're actually doing. We cannot do everythhng in

:04:13. > :04:16.this area of health provision as in other areas of health provision but

:04:17. > :04:22.that does not mean we should not make tangible and immeasurable

:04:23. > :04:28.progress on the visions we share on all sides of the House. On funding

:04:29. > :04:33.for the Chancellor delivered a record settlement for the NHS in the

:04:34. > :04:37.recent spending review, confirming a ?10 billion real terms incrdase in

:04:38. > :04:45.funding for the NHS over thhs Harland, that is very significant

:04:46. > :04:51.for mental health. -- over this Parliament. They are committed to

:04:52. > :04:55.increasing the proportion of funding that goes into mental health. I am

:04:56. > :05:09.going to make progress. That means we have the progress - macro pro

:05:10. > :05:13.Specht of real progress. We do not have a monopoly of wisdom in this

:05:14. > :05:18.easier which is why we set tp the independent mental health t`sk force

:05:19. > :05:23.led by Paul Farmer, the chidf executive of Mind. We will get you

:05:24. > :05:29.in the New Year and this follows the successful report produced why the

:05:30. > :05:33.cancer task force and I think it is a good way to unite both thd

:05:34. > :05:39.government, all sides of thhs House and the mental health campahgning

:05:40. > :05:42.charities as to the G areas we want to transform over the coming years.

:05:43. > :05:51.We are still working through detailed planning but even before

:05:52. > :05:55.that planning has been completed we have, as a government, and `nnounced

:05:56. > :06:04.two Ilion pounds of additional health funding over the course of

:06:05. > :06:09.this Parliament. Some of those were promises made by the previots

:06:10. > :06:12.Coalition Government, dumb of which we have said we will honour and

:06:13. > :06:19.others are new promises we have made. As we increase investlent in

:06:20. > :06:28.mental health we need better transparency showing us how that

:06:29. > :06:31.money is spent and that is why, I am pleased to see macro, following

:06:32. > :06:35.consultation with the Kings fund, for the first time since June we

:06:36. > :06:42.will have independently shotld Ofsted style ratings which will tell

:06:43. > :06:46.as very simply whether the lental health provision across the whole

:06:47. > :06:51.health economy is outstanding, good, requires improvement or inadequate.

:06:52. > :06:56.To my knowledge we are the first country in the world to do that and

:06:57. > :07:00.based on the experience of doing the same thing for the hospital sector

:07:01. > :07:12.in the wake of mid-Staffs, that will be to eat reduction in vari`tion and

:07:13. > :07:16.improvement in care. Part of that transparency also means devdloping a

:07:17. > :07:20.new mental health data set where we are able to collect more data,

:07:21. > :07:26.better data, share it with this House, it debate that data `nd learn

:07:27. > :07:29.what needs to be learned. Again this is something, let me give w`y to a

:07:30. > :07:35.final intervention and make my point. I recognise the thoughtful

:07:36. > :07:41.Casey is making that things are not good at but are getting better. The

:07:42. > :07:46.stories from my area do not match what we're hearing from dispatch

:07:47. > :07:51.box. Here is the story in the Greater Manchester evening News

:07:52. > :07:56.right now about cuts which does not seem to match the case being made

:07:57. > :07:59.today. You make commitments and choices that the government in terms

:08:00. > :08:02.of where we want resources to go and then we have a duty to make sure

:08:03. > :08:07.those are followed up at a local level. As with all governments as we

:08:08. > :08:11.now with the health service locally that advice and direction is

:08:12. > :08:17.followed sometimes and sometimes is not. What I was seeing macro about

:08:18. > :08:23.copper independent ratings `rea IEF is the will be able to expose the

:08:24. > :08:27.areas on mental health the commitment. This is something that

:08:28. > :08:31.has been mentioned on all shdes of the House it is a false economy not

:08:32. > :08:45.to invest what we need on mdntal health.

:08:46. > :08:52.Finally, I just want to movd on can I make some progress, as it is the

:08:53. > :08:57.Shadow minister, I will makd this my final... Can he just clarifx the

:08:58. > :09:01.commitment he just made, dodsn't extend to ensure we have a clear

:09:02. > :09:07.picture of the spend in every area of mental health? I believe we will

:09:08. > :09:10.be able to do that, I will write to her to clarify exactly what we think

:09:11. > :09:15.we are able to do, I'm commhtted to making sure this has has information

:09:16. > :09:20.about the quality of provishon across the service and investment is

:09:21. > :09:25.a factor in the terminator hf the quality of provision can medt the

:09:26. > :09:29.high standard we wanted to be. The other party wants to conclude was a

:09:30. > :09:34.point that she made, quite rightly about the importance of cross

:09:35. > :09:38.government work. We have set up an innovative joint unit with the

:09:39. > :09:42.Department of work and penshons and we have set up a series of pilots to

:09:43. > :09:48.help people with mental health conditions get back to work. We

:09:49. > :09:54.urgently need to do more to reduce the stigma amongst employers, we

:09:55. > :09:56.have seen in one survey of dmployers think they would avoid hiring

:09:57. > :10:01.somebody with a mental health problem and we also want to help

:10:02. > :10:05.people at risk of leaving work because of a mental health problem.

:10:06. > :10:09.We are also working very closely with the Department for education

:10:10. > :10:11.where we have a pilot progr`mme to create a single point of contact for

:10:12. > :10:20.schools who have concerns about their pupils who have mental health

:10:21. > :10:24.challenges and that is now covering 27 CCG 's and 22 areas. We `lso need

:10:25. > :10:29.something every going to tackle this that the government and this house

:10:30. > :10:35.alone cannot deliver. That hs further progress across sochety in

:10:36. > :10:41.reducing stigma. Bill Clinton said that until illness is nothing to be

:10:42. > :10:48.ashamed of but stigma and bhas shame us all. I want to finish by paying

:10:49. > :10:54.tribute to the timed change movement founded by Mind and Rethink and the

:10:55. > :10:56.dementia friends movement ldd by the Alzheimer's Society and pay tribute

:10:57. > :11:00.to the honourable members on all sides of the house and have

:11:01. > :11:04.participated in these campahgns and reassure them that they havd the

:11:05. > :11:08.full support of the governmdnt as we try to change attitudes on this

:11:09. > :11:13.vital mission. Somebody oncd said that the greatest of crueltx is our

:11:14. > :11:18.casual mindedness to the despair of others, let us resolve to do that

:11:19. > :11:19.when it comes to mental health, no one can ever say that about this

:11:20. > :11:30.house. May I congratulate the Shadow

:11:31. > :11:34.Minister for bringing such `n important debate. It is a privilege

:11:35. > :11:39.to be speaking in this debate today on mental health, I must firstly

:11:40. > :11:42.declare a professional interest having worked as a Parenti `nd

:11:43. > :11:49.clinical psychologist over ` period of 20 years in the NHS, specialising

:11:50. > :11:52.in mental health and at a consultant level for ten of those years, I

:11:53. > :11:58.continue to maintain my skills and engagement in line with my

:11:59. > :12:03.professional registration requirements, earlier in thd year I

:12:04. > :12:11.was privileged to contributd to the evidence given in the select

:12:12. > :12:17.committee. There wish to cover three areas in this debate today. Adult

:12:18. > :12:23.mental health services strategy child and adolescent servicds and

:12:24. > :12:27.mental health services for veterans. Mental health is an extremely wide

:12:28. > :12:34.field from major mental illness such as psychosis, depression and anxiety

:12:35. > :12:37.disorders to trauma, eating and adjustment disorders. Developmental

:12:38. > :12:43.disorders are also sometimes included within the sphere of mental

:12:44. > :12:47.health such as attention deficit hyperactivity disorder and H would

:12:48. > :12:52.welcome future debates in these areas as I fear that we do not have

:12:53. > :12:58.time to do these very important area is just as today. It is reported by

:12:59. > :13:03.the British psychological Society that one in four people in the UK

:13:04. > :13:07.will experience a diagnosable mental health problem with mental health

:13:08. > :13:13.accounting for up to 23% of all ill health in the UK and being the

:13:14. > :13:18.largest single cause of dis`bility. In Scotland, figures are currently

:13:19. > :13:26.one in three. Mental disorddrs are strongly related to risk of suicide

:13:27. > :13:29.and it should be known that high levels of substances ardour and

:13:30. > :13:33.physical ill-health are prevalent. I would like to start by stathng that

:13:34. > :13:38.mental health services right across the UK are not the finished article

:13:39. > :13:41.wherever you go. We are continually striving towards improvement and

:13:42. > :13:46.this should always be guided by patient need and by research

:13:47. > :13:52.underpinning most effective clinical practice. In terms of funding of

:13:53. > :13:57.mental health services, when I started practising in the 1890s in

:13:58. > :14:03.Scotland, these very severely lagged behind other areas of NHS ftnding,

:14:04. > :14:07.this resulted in far too few practitioners on what seemed to be

:14:08. > :14:10.never-ending waiting lists for both patients and for clinicians to

:14:11. > :14:16.manage. At the start of my career at this time, patients routinely waited

:14:17. > :14:20.to see psychologists and mental health specialties for 6-12 months

:14:21. > :14:25.and in some areas for over ` year. This was clearly ineffectual, often

:14:26. > :14:31.meaning that problems were exacerbated over time and that

:14:32. > :14:34.mainly a medical model pershsted. This is not what patients w`nt, nor

:14:35. > :14:41.did it fit with best practice, evidence indicates that pathent

:14:42. > :14:45.recovery is improved with access to talking therapies alongside medical

:14:46. > :14:52.management. This is evidencd clearly within national in situ for clinical

:14:53. > :14:56.excellence guidelines. We h`ve seen targets adopted in Scotland and

:14:57. > :15:01.across the UK in 2014, meanhng that patients should be seen frol

:15:02. > :15:08.referral to assessment and 08 weeks. In Scotland in 2014, 81.6% of

:15:09. > :15:15.patients received an 18 weeks and a number of people seem in 2004 was

:15:16. > :15:20.27% higher than the same qu`rter the previous year. Demand is increasing,

:15:21. > :15:28.which is actually a good thhng, it means that we are starting to tackle

:15:29. > :15:31.stigma and that access is ilproving. Matched step care involving

:15:32. > :15:35.psychological therapies and practitioners at differing levels

:15:36. > :15:38.and depending upon clinical effectiveness or therapy type for

:15:39. > :15:44.differing disorders was ruldd out with an all boards with an NHS

:15:45. > :15:50.Scotland and NHS education for Scotland took a primary rold in

:15:51. > :15:54.capacity modelling and training Use of self-guided help has also been

:15:55. > :15:59.developed and technological advances are important in terms of access for

:16:00. > :16:04.patients in this modern world and in relation to early prevention.

:16:05. > :16:06.Suicide rates have been brotght down and the target met of trainhng high

:16:07. > :16:11.levels of front line staff hn suicide prevention and risk

:16:12. > :16:16.identification, quality ambhtions have also been developed as

:16:17. > :16:22.benchmarks unleashing two Pdrson centred safe and effective care

:16:23. > :16:28.However I fear there will continue to be a dramatically increasing

:16:29. > :16:32.demand upon mental health sdrvices. Evidence suggests that recession

:16:33. > :16:37.increases mental health problems, including depression, suicidal

:16:38. > :16:39.behaviours and substance abtse. Unemployed individuals, particularly

:16:40. > :16:44.the long-term unemployed, h`ve a higher risk of poor mental health,

:16:45. > :16:49.compared with those in employment. Stress is now the most common cause

:16:50. > :16:52.of long-term sick leave in the UK and the more debt and indivhdual

:16:53. > :16:58.has, the more likely they are to suffer mental problem. A social and

:16:59. > :17:01.policy climate of austerity affecting the most vulnerable to a

:17:02. > :17:08.greater degree, I would argte, is a likely aggravate of mental

:17:09. > :17:11.ill-health. I welcome pledgds from both the Westminster and Scottish

:17:12. > :17:18.government to increase spending significantly upon mental hdalth.

:17:19. > :17:21.100 million pounds in Scotl`nd, mental health services have not

:17:22. > :17:28.achieved parity with physic`l health services for decades since H started

:17:29. > :17:35.in the field. We need to be clear, much more is needed to fill the gap.

:17:36. > :17:38.I would commend ministers and MPs to go out to mental health services and

:17:39. > :17:43.spend quality time with clinicians on the front line. Manageri`lly

:17:44. > :17:47.produced statistics often include a multitude of issues and it hs only

:17:48. > :17:52.with this front line insight that the true patient journey and daily

:17:53. > :17:58.clinical barriers can be iddntified. These are often excessive p`per

:17:59. > :18:05.Mark, repeated reviews and servers changes that diminish morald. -

:18:06. > :18:09.service changes. I come to lental health issues in childhood. Mental

:18:10. > :18:13.health problems within childhood is an extremely serious problel and can

:18:14. > :18:20.destroy educational potenti`l at West and impeded when probldms are

:18:21. > :18:26.less severe. Difficulties mtst be assessed and recognised at `n early

:18:27. > :18:32.stage. Targets for services were set at 18 weeks as of December 20 1 .

:18:33. > :18:41.NHS Scotland data suggests ` significant reduction from 0200

:18:42. > :18:48.weights of over 26 weeks in 200 . 76.6% of patients were seen in 8

:18:49. > :18:55.weeks in the quarter ending June 2015 and the average weight was nine

:18:56. > :19:00.weeks. There has been a 35% increase in demand in the past 99 ye`rs to

:19:01. > :19:05.work completed on stigma and improving access and 60 million has

:19:06. > :19:13.been invested in the workforce in Scotland since 2009 and is `t its

:19:14. > :19:17.highest ever level. 50 millhon further has been pledged to these

:19:18. > :19:21.services in Scotland to further improve waiting game -- 15 lillion.

:19:22. > :19:26.Widespread staff training h`s been undertaken and modalities stch as

:19:27. > :19:30.cognitive behaviour therapy, family therapy, interpersonal ther`py and

:19:31. > :19:35.specialist interventions such as for eating disorders, with the focus on

:19:36. > :19:40.seeing patients as close as to home as possible. More progress hs

:19:41. > :19:48.required across the UK and hn Scotland to meet our 90% target I

:19:49. > :19:52.must say that inpatient tre`tment for Child and adolescents should be

:19:53. > :19:55.a very last resort. It takes children away from family and that

:19:56. > :20:06.apologises their difficultids. Best children should the scene at home

:20:07. > :20:11.and treated within the natural environment, therefore maxilising

:20:12. > :20:17.key family and peer support. Children who need inpatient

:20:18. > :20:24.services, suffer psychosis, intractable eating disorders, severe

:20:25. > :20:26.obsessive-compulsive disorddr and a variety of neurological conditions

:20:27. > :20:33.and neurodevelopmental disorders. There are currently 48 beds

:20:34. > :20:39.available in Scotland and ?8 million has been pledged to build a unit for

:20:40. > :20:45.child and Assen lessons with mental health problems in Dundee -, child

:20:46. > :20:50.and adolescents. My own cynhcal experience suggests a lack of

:20:51. > :20:55.available beds in forensics child and adolescent mental health

:20:56. > :21:00.services and in learning disability child and adolescent health services

:21:01. > :21:03.and constituents who have contacted me suggested further work h`s to be

:21:04. > :21:07.done in terms of improving `ccess to specialist eating disorders

:21:08. > :21:15.inpatient care, and with thd private sector. -- out with. Increases of

:21:16. > :21:20.children presenting with self harm and receiving brief overnight

:21:21. > :21:27.admission have been high. What I would say, I would say clinhcally

:21:28. > :21:33.this is a difficult decision. Often clinicians are faced with the issue

:21:34. > :21:40.of sending Assen lessons for a brief period of stay -- adolescents. It

:21:41. > :21:46.makes it difficult for carers and parents to visit them or to admit

:21:47. > :21:50.them briefly overnight. Surdly the maximum or optimum level of

:21:51. > :21:55.treatment would be to see and assess and make sure their children are

:21:56. > :22:02.safe and able to go home with the strongest possible package of care

:22:03. > :22:09.as quickly as possible. I'm extremely grateful that she is

:22:10. > :22:13.willing to take an intervention I am greatly value in her contribution

:22:14. > :22:17.as somebody with huge expertise I get the feeling there is a lot of

:22:18. > :22:22.medical expertise to come from behind the paper that she m`y be

:22:23. > :22:27.setting a lot of her speech from. I wonder if she could just explain to

:22:28. > :22:32.us whether she thinks the points made in the hoped-for amendlent were

:22:33. > :22:37.valuable and whether in the absence of that she still supports the

:22:38. > :22:41.motion as it stands and how she would urge honourable members to

:22:42. > :22:47.vote today? I don't support the motion in its reflection to the

:22:48. > :22:53.Scottish government care, as I said, children who have mental he`lth

:22:54. > :22:56.difficulties, clinicians have two make a very sensitive judgmdnt

:22:57. > :23:01.regarding the length of potdntial stakes, whether or not the problems

:23:02. > :23:05.are intractable and issued be seen and admitted to a specialist unit,

:23:06. > :23:12.which can often be some milds from their own home, or in many of the

:23:13. > :23:16.cases we are seeing, it is self harm attempts which require psychiatric

:23:17. > :23:25.assessment monitoring overnhght care and monitoring and home intdnsive

:23:26. > :23:27.care to try to reduce anothdr incidence. I hope that answdrs your

:23:28. > :23:35.question. Recommendations, however, I do feel

:23:36. > :23:43.have to be made in relation to campus services. These incltde a

:23:44. > :23:50.wider appreciation of children's mental health, beyond health itself,

:23:51. > :23:54.providing education and awareness in schools, and having access

:23:55. > :23:59.potentially to mental health clinicians in skill settings, and

:24:00. > :24:03.not just clinics. Just like diet and exercise, so should good mental

:24:04. > :24:07.health be normalised. These are all fundamental living skills that

:24:08. > :24:12.impact upon all aspects of functioning, and deserve a lore

:24:13. > :24:20.health and well-being slant, rather than a pathology dosing labdl. I

:24:21. > :24:30.thank the honourable lady for giving way. Would she agree with md that to

:24:31. > :24:33.have these services in schools is actually invaluable, and normalises

:24:34. > :24:39.the feelings of low self-esteem that many of these young children or

:24:40. > :24:44.young people are experiencing, and actually to have counsellors based

:24:45. > :24:49.in the school is very important for the mental health of these xoung

:24:50. > :24:56.children? Many thanks, and thank you for that intervention. Yes, I think

:24:57. > :25:00.access to mental health within schools, mental health awardness and

:25:01. > :25:04.training, and particularly training for staff in schools, so thdy can

:25:05. > :25:10.pick up at a very early stage if someone is experiencing a mdntal

:25:11. > :25:13.health problem, and then trhed to access services at that verx early

:25:14. > :25:20.stage is something that is definitely merited. So spechalist

:25:21. > :25:25.training for teachers would be a positive step forward, I thhnk, so

:25:26. > :25:30.that they recognise the signs of mental distress in children. I think

:25:31. > :25:33.we also need to modernise otr approaches to mental health for

:25:34. > :25:39.children in adolescence, embrace IT and social media as methods of

:25:40. > :25:43.communicating, because that is the modern world that is often where

:25:44. > :25:48.they communicate from. Therd is a project currently in Scotland called

:25:49. > :25:52.safe spot, which is an applhcation website and school intervention to

:25:53. > :25:54.promote positive coping skills, safety planning and accessed

:25:55. > :25:59.information about mental he`lth services for very young people. The

:26:00. > :26:05.project is going very well `nd the app is freely available on hTunes

:26:06. > :26:09.and android stores. The safd spot website will be used within the

:26:10. > :26:15.greater Glasgow and Clyde hdalth board, and also Dundee health board

:26:16. > :26:24.are also looking at access to this app. It was designed by a clinician,

:26:25. > :26:31.Doctor Fiona Mishal, and I commend her for her innovative work in that

:26:32. > :26:33.regard. There remains a lack of in Pera called data regarding dffective

:26:34. > :26:39.interventions for young people with what I would call mental he`lth

:26:40. > :26:46.coupled with learning disabhlity or substance use. That's certahnly

:26:47. > :26:52.requires to be built upon, looked after and accommodated children are

:26:53. > :27:01.also some of the most severdly disadvantaged, in terms of services

:27:02. > :27:05.and magnitude of difficultids, particularly those who have violence

:27:06. > :27:11.needs or self harm needs. For specialist groups and underpinning

:27:12. > :27:16.research will be crucial. Ghven that the weight of evidence for child and

:27:17. > :27:20.adolescence mental health sdrvices is in favour of psychologic`l rather

:27:21. > :27:25.than pharmacological intervdntions, for the majority of mental health

:27:26. > :27:31.interventions, clear structtres should be in place to support the

:27:32. > :27:35.delivery of psychological therapies for children's and adolescence.

:27:36. > :27:40.Those from socially disadvantaged backgrounds have always tended to

:27:41. > :27:44.have a poorer uptake of the child and adolescent mental health

:27:45. > :27:50.services and I think an assdrtive outreach approach may be beneficial,

:27:51. > :27:52.and required, so that some of our most vulnerable and disadvantaged

:27:53. > :27:59.children and families do not slip through the net. Specialist service

:28:00. > :28:02.delivery in areas of developmental disorder, such as autism, children

:28:03. > :28:06.in the criminal justice system and children with poor mobility,

:28:07. > :28:10.required to be thought throtgh and plan so that these children and

:28:11. > :28:15.their families are able to `ccess services, without feeling that they

:28:16. > :28:18.are passed pillar to post. Ht is extremely difficult for famhlies in

:28:19. > :28:24.particular to access early diagnosis of developmental disorder, such as

:28:25. > :28:26.autistic spectrum disorder, which means their needs can go unlet, and

:28:27. > :28:33.their attainment may therefore diminish. In terms of mental health

:28:34. > :28:36.for veterans, just prior to closing, I continue to believe that this is

:28:37. > :28:41.an area that is underfunded across the UK, and that those who have been

:28:42. > :28:45.willing to lay down their lhves for their country should have consequent

:28:46. > :29:00.health, including mental he`lth needs, fire retires to. I would like

:29:01. > :29:05.to have a further statement with regards to what will be dond,

:29:06. > :29:08.particularly as we are in a new conflict, and the number of those in

:29:09. > :29:12.armed services who witnessed or experienced trauma will increase.

:29:13. > :29:16.What I would play to the hotse as a clinician and mental health

:29:17. > :29:23.dash-macro in mental health is that to me mental health services are

:29:24. > :29:29.beyond party politics. It is crucial that we tackle it meaningfully, in a

:29:30. > :29:36.cross-party manner, that brhngs about real continued progress on the

:29:37. > :29:39.ground, for service users and staff, and that we should share best

:29:40. > :29:45.practice across the UK and what works philosophy. I welcome the

:29:46. > :29:51.announcement there will be hmproved access to data. That is crucial in

:29:52. > :29:56.terms of taking forward and ensuring best practice. I think what I would

:29:57. > :30:02.like to say in concluding is that I sense a real note of colleghate

:30:03. > :30:08.nests across the house and ` will to take this very important issue

:30:09. > :30:11.forward. I look forward to fully partaking in that, and my p`rty

:30:12. > :30:13.certainly wishes to see mental health services continue to improve

:30:14. > :30:23.in Scotland, the UK and beyond. Doctor Liam Fox. Thank you, Madam

:30:24. > :30:27.Deputy Speaker. 1 of the waxs in which we can measure ourselves, in

:30:28. > :30:31.terms of house of lies to a society we are is how well we deal with our

:30:32. > :30:34.most vulnerable citizens, and there are few groups more vulnerable than

:30:35. > :30:39.those who suffer from mental illness. And yet from when H began

:30:40. > :30:44.working in the health service as a doctor back in the early 1980s right

:30:45. > :30:49.through my time as a member of Parliament, mental health sdrvices

:30:50. > :30:53.have been the Cinderella subject in the National Health Service. Let's

:30:54. > :30:58.be very frank, we would nevdr act set the level of care in cardiac

:30:59. > :31:01.disease, orthopaedic diseasd or cancer for our constituents that we

:31:02. > :31:07.are forced to accept, in terms of the treatment for mental illness.

:31:08. > :31:10.There can be few areas wherd our role as members of parliament in

:31:11. > :31:14.advocacy is more important than the issue of mental health, bec`use

:31:15. > :31:19.these are very often the people who are least able and least willing to

:31:20. > :31:24.stand up for themselves in the debate about how the NHS cake is

:31:25. > :31:28.going to be divided out. And we have a role also in dealing with what the

:31:29. > :31:30.Secretary of State and the honourable lady on the front bench

:31:31. > :31:46.for the opposition talked about as the last taboo. We do have to make

:31:47. > :31:50.societal changes, and I would also like to give thanks to thosd who

:31:51. > :31:53.have used the painful personal experiences to give colour to our

:31:54. > :31:56.debate and to take this forward In all the years I have been at the

:31:57. > :32:01.House of Commons, I cannot remember and attendance as high as that today

:32:02. > :32:06.on a mental health debate. H think that is indicative of how f`r we

:32:07. > :32:11.have come. I very much welcome the government's changes, the attitudes

:32:12. > :32:14.that have been fostered in recent years, not least I have to say

:32:15. > :32:17.during the Coalition Governlent figure was one of the great

:32:18. > :32:21.achievements of that Coalithon Government that it put ment`l health

:32:22. > :32:26.budget further up the agend`, and I am particularly pleased of the

:32:27. > :32:33.announcement the Secretary of State had made about transparency on CCG

:32:34. > :32:42.outcomes. That is the cruci`l element. However many rights we give

:32:43. > :32:47.patients, it is the capacitx constraints that will ultim`tely

:32:48. > :32:52.determine what those outcomds are. I want to deal with just two or three

:32:53. > :32:59.of those. The government's dye up the programme is a great programme,

:33:00. > :33:03.and getting great -- getting greater access to talking therapies is

:33:04. > :33:07.extremely important. But I was asked to do a short piece for the Victoria

:33:08. > :33:12.Derbyshire programme on the BBC and we looked at the difference between

:33:13. > :33:16.the best and the worst. In terms of provision of talking theraphes. And

:33:17. > :33:19.it is quite unacceptable in a National Health Service that is

:33:20. > :33:22.funded from a simple -- single service of taxation that in some

:33:23. > :33:25.parts of the country 100% of patients are able to be seen within

:33:26. > :33:33.the government's target timd, and at the other end, only 6% in E`st

:33:34. > :33:36.Cheshire. You can accept solething of a discrepancy between thd best in

:33:37. > :33:39.the worst but you cannot accept that level of discrepancy in a hdalth

:33:40. > :33:45.service that is supposedly founded on an equal basis across our whole

:33:46. > :33:47.country. What was interesting, and the honourable lady who opened the

:33:48. > :33:52.debate and others have made the point, then we have that access to

:33:53. > :33:56.talking therapies, experience suggests that doctors are ldss

:33:57. > :34:02.likely to prescribe medicathon, including antidepressants, `s a

:34:03. > :34:06.consequence. And that is an extremely positive developmdnt,

:34:07. > :34:09.because one of the things that has worried me about the lack of

:34:10. > :34:13.capacity in mental health sdrvices is what I would describe as the

:34:14. > :34:16.medicalisation of unhappiness, where medical profession simply don't have

:34:17. > :34:20.the time the doctor patients about the causes of their symptoms, and

:34:21. > :34:24.they deal with the symptoms themselves, and that is not, in the

:34:25. > :34:30.end, good medical practice. The second area that I am concerned

:34:31. > :34:35.about is that of childhood `nd adolescent medical services.

:34:36. > :34:39.Government after government of both political persuasions have told us

:34:40. > :34:44.that it is going to be improving. I have seen very little sign of it

:34:45. > :34:47.improving, and it matters for this reason: around 70% of adult mental

:34:48. > :34:52.health problems will have presented by the age of 17. You would have

:34:53. > :34:55.thought, knowing that knowlddge we would prioritise our health care

:34:56. > :35:01.early on to try to minimise the damage that would be caused by

:35:02. > :35:07.untreated illness and yet wd are not, still, fulfilling our Judy on

:35:08. > :35:16.that front. But the biggest problem we face is that of impatient

:35:17. > :35:19.capacity. -- in patient. During the closure of the Victorian Society is,

:35:20. > :35:25.I worked in one of those old hospitals that was genuinelx a

:35:26. > :35:28.Dickensian nightmare. There was a great fashion, supported Red Cross

:35:29. > :35:32.this house, the move towards care in the community, but the consdquence

:35:33. > :35:35.of not having adequate capacity in the community meant that a lot of

:35:36. > :35:39.patients simply fell through the net. The point has already been made

:35:40. > :35:45.about the large mental illndss population in our criminal justice

:35:46. > :35:48.population. What we did was to close down one type of inappropri`te

:35:49. > :35:53.institution and end up with patients in aid event type of inappropriate

:35:54. > :35:56.institution and call it progress, and a De Ceglie not good enough and

:35:57. > :36:00.we need to do very much mord to prevent patients who are mentally

:36:01. > :36:03.ill ending up being incarcerated in our criminal justice system when

:36:04. > :36:08.they should be being treated appropriately for their illness And

:36:09. > :36:14.when we see patients being put in police cells because there hs

:36:15. > :36:17.inadequate capacity of in p`tient care, how would we feel if women

:36:18. > :36:20.with breast cancer or diabetic patients were being put in police

:36:21. > :36:25.cells because we could not find beds for them. It would be on thd front

:36:26. > :36:30.page of every newspaper, and leading every news bulletin in our country.

:36:31. > :36:36.I would love to see that money being made available by the Treastry ring

:36:37. > :36:39.fenced in our CCGs. If we do not get ring fencing of that money ht will

:36:40. > :36:43.go elsewhere, for the very reasons I have already set out. And wd need to

:36:44. > :36:48.ensure that that money that is now quite rightly being sent out for

:36:49. > :36:51.mental health treatments actually ends up there, and not being

:36:52. > :36:56.siphoned off into areas where the voice is stronger for that

:36:57. > :36:59.particular spending. I would also love to see us skip more support to

:37:00. > :37:06.the wonderful mental health charities out there, Marjorhe

:37:07. > :37:09.Wallace, Sane and Mind, all of them are hugely important. I want to ask

:37:10. > :37:14.the secretary of state in closing the little one thing, the incipient

:37:15. > :37:18.crisis in suicide amongst mdn in the United Kingdom, a subject that isn't

:37:19. > :37:21.hugely talked about, and thd culture of our society often makes ht very

:37:22. > :37:24.difficult for men to admit that they are unable to deal with the stresses

:37:25. > :37:31.of life, with anxiety and depression. The statistics relating

:37:32. > :37:34.to the worst manifestation of that, suicide, are deeply worrying.

:37:35. > :37:39.British men are three times as likely to die by suicide as British

:37:40. > :37:44.women. Suicide remains the lost common cause of death in men under

:37:45. > :37:50.the age of 35, and over a qtarter of the 24 to 34-year-old males who die

:37:51. > :37:54.take their own lives, compared to 13% amongst women. That is ` huge,

:37:55. > :37:59.Madam Deputy Speaker, national scandal, and we need to givd

:38:00. > :38:03.priority to it. And success or failure in dealing with mental

:38:04. > :38:07.illness in our country in the 2 st century, in the world's fifth

:38:08. > :38:12.richest country, is not just a judgment on the government or the

:38:13. > :38:19.NHS, but our society as a whole and our basic humanity. Ben Bradshaw. I

:38:20. > :38:24.am sorry to have to rise not for the first time in this house in the last

:38:25. > :38:27.few years to say that in sphte of all the warm reassurances from the

:38:28. > :38:33.government's side that our lental health services are getting better,

:38:34. > :38:36.the experience of my constituents, both as users of the servicd, or

:38:37. > :38:40.people who work in the servhce and who manage the service, is

:38:41. > :38:43.completely different. It is extremely welcome that ment`l health

:38:44. > :38:46.has risen up the political `genda in recent years and I pay tribtte to

:38:47. > :38:49.the many people outside this house and inside it to buy speaking of

:38:50. > :38:54.their own experience have hdlped achieve that. But the higher public

:38:55. > :38:59.profile has not yet translated into delivery on the ground. In ly own

:39:00. > :39:03.area, the public are still experiencing service is being cut.

:39:04. > :39:07.They are still having to waht an acceptably long times for t`lking

:39:08. > :39:11.therapy and other treatment. And in spite of the repeated warnings and

:39:12. > :39:16.assurances we have received in previous years about the sc`ndal of

:39:17. > :39:19.people being sent out of thd area, we saw a 23% increase in thd number

:39:20. > :39:24.of patients sent out of the area in the last year, more than 500, and in

:39:25. > :39:28.Devon, one of the worst performing parts of the country, 45 patients

:39:29. > :39:34.were forced miles away from their friends and family.

:39:35. > :39:42.I've recently experienced this in my own family. When the bright and

:39:43. > :39:49.previously happy teenage datghter of a friend had a crisis. How great is

:39:50. > :39:55.rapidly escalated and she ndeded to be admitted. There were no suitable

:39:56. > :40:01.beds at all in London, wherd she and her family live. She was first sent

:40:02. > :40:06.to Southampton, only for thd unit there to be deemed unsuitable and

:40:07. > :40:11.she was then sent to Manchester Thank you for giving way. Does my

:40:12. > :40:16.honourable friend agree that in my area some children and adoldscents

:40:17. > :40:21.are waiting up to two years for outpatient talking therapies? That

:40:22. > :40:24.is appalling and completely unacceptable. Does he also `gree

:40:25. > :40:28.that early intervention is very important in order to hope that

:40:29. > :40:34.these people don't suffer too much in later life? My honourabld friend

:40:35. > :40:36.is absolutely right and as she clearly articulates, the picture on

:40:37. > :40:44.the ground is quite different to the one so often painted by the

:40:45. > :40:49.government. I raised the case in another debate of a 16-year,old girl

:40:50. > :40:52.in Devon who was kept in a police cell for two nights because there

:40:53. > :40:56.was no bed found for her anxwhere in the country. She is not unusual As

:40:57. > :41:02.we've already heard in todax's debate, more than X thousand people

:41:03. > :41:08.with mental illnesses were held in police cells last year. I ghve way.

:41:09. > :41:14.Would the member access that the issue is a national commisshons

:41:15. > :41:25.issue and it is bound for NHS England and not by the CCGs? Many of

:41:26. > :41:28.our young people who have e`ting disorders get to that stage. My

:41:29. > :41:33.honourable friend is absolutely right and I hope she heard ly

:41:34. > :41:38.intervention because I belidve that out of my speech. I was going to

:41:39. > :41:44.raise the ongoing problem of the transition between services for

:41:45. > :41:48.young people and adults and a lot of people are falling through the gap.

:41:49. > :41:52.We've had a lot of talk including from the Government about p`rity of

:41:53. > :41:58.esteem but there is scant evidence of this happening on the ground at

:41:59. > :42:02.local level. I would like to ask the Minister if when he responds he

:42:03. > :42:09.could explain why if the government is serious about parity of dsteem,

:42:10. > :42:14.white the government has reloved parity of esteem from this xear s

:42:15. > :42:19.NHS mandate, which basicallx tells local health services what they have

:42:20. > :42:24.to deliver. Why has that bedn removed? Why too is the govdrnment

:42:25. > :42:28.cutting so drastically publhc health, which delivers so m`ny of

:42:29. > :42:31.the presenters if -- preventative services like alcohol and drugs

:42:32. > :42:35.treatment and psychological support for young people in schools that

:42:36. > :42:40.prevent people getting ill hn the first place, saving money and lives?

:42:41. > :42:44.We've also heard from previous speakers, after years of falling,

:42:45. > :42:48.male suicide is now on the hncrease again and reside among young males

:42:49. > :42:56.is the main cause of avoidable death for young males. I give way. I thank

:42:57. > :43:00.my honourable friend forgivhng way. Would my honourable friend like to

:43:01. > :43:06.attend a meeting of the all,party suicide prevention group and the

:43:07. > :43:13.all-party mental health grotp? Doctor Robert Colgate is coling to

:43:14. > :43:17.address triage, so that people, social workers, GPs, who have a

:43:18. > :43:22.patient who they cannot get an appointment for immediately can be

:43:23. > :43:27.triaged and appropriate plans put in place while they wait for the next

:43:28. > :43:34.stage of treatment? It is on the 29th of January. I'm sure honourable

:43:35. > :43:37.members will be very grateftl for that invitation despite the pressure

:43:38. > :43:46.on their diaries from numerous party groups in this house. Yesterday we

:43:47. > :43:50.were told that the vast majority of Acute Hospital trusts are expecting

:43:51. > :43:53.to run deficits this year, ` big increase on last year, the figure

:43:54. > :43:56.for mental health trusts is much lower. You might think that was a

:43:57. > :44:01.good thing until you realisd that the reason acute trusts are running

:44:02. > :44:06.such a deficits is because they are giving priority to ensuring safe

:44:07. > :44:09.care. If far fewer mental hdalth trusts are running deficits, Madam

:44:10. > :44:14.Deputy Speaker, is this bec`use they are simply cutting services rest at

:44:15. > :44:18.I would be grateful if the Linister can give his view on that dhfference

:44:19. > :44:24.between the level of deficits run by mental health trusts and general

:44:25. > :44:26.Acute Hospital trusts. Madal Deputy Speaker, I shall be brief and close

:44:27. > :44:32.now because there are many people who want to speak in this ddbate. I

:44:33. > :44:37.think there are not many of us whose family has not been affected by

:44:38. > :44:40.mental illness. People have been hearing warm words from the

:44:41. > :44:45.government now for several xears about how things will, or indeed

:44:46. > :44:48.today we have heard are improving. That is not the Syrians are people

:44:49. > :44:51.on the ground. I hope when the Minister responds he will focus on

:44:52. > :44:57.the action and the delivery and not just the words. The house whll be

:44:58. > :45:01.aware that a great many people wish to speak, so I will now havd to

:45:02. > :45:08.impose a time limit of five minutes. Robin Walker. Thank you Mad`m Deputy

:45:09. > :45:12.Speaker, it is a pleasure to follow the Right Honourable gentlelan. I

:45:13. > :45:15.want to raise some concerns of my constituents. I welcome the extra

:45:16. > :45:20.funding of ?2 billion that the government has put in to addressing

:45:21. > :45:25.mental health and the fact that we have put parity of esteem into law.

:45:26. > :45:28.I thought my right honourable friend for North Somerset made a vdry

:45:29. > :45:31.important case about patient capacity and one aspect frol was

:45:32. > :45:37.this year that I would welcome is some of the improvements we have

:45:38. > :45:40.seen in the ward in the hospital in that respect, but it is cle`r there

:45:41. > :45:45.is a need for more investment in that respect. It is also essential

:45:46. > :45:52.that we take on the remaining aspect of stigma around mental health and I

:45:53. > :46:02.echo the support of those who have spoken out on this issue. The

:46:03. > :46:06.Gloucestershire hospital trtst, I commend their collective effort in

:46:07. > :46:14.this regard. I want to commdnd the passion with which my young

:46:15. > :46:19.constituent Darian Murray h`s given on this issue. Does my honotrable

:46:20. > :46:24.friend agree that young people are more able to treat about thd issue

:46:25. > :46:29.of mental health than the older generations? I do agree with my

:46:30. > :46:32.honourable friend and I thank her for her intervention. I think it is

:46:33. > :46:36.impressive how young people have spoken out about these issuds and I

:46:37. > :46:44.think in many areas they ard showing us the way in terms of taking on

:46:45. > :46:50.this stigma. I take an the good work done in Worcestershire on this.

:46:51. > :46:54.Attitudes towards mental he`lth have changed for the better in rdcent

:46:55. > :46:58.years and I hope that in thd years to come we can see further progress.

:46:59. > :47:02.I welcome the fact that my honourable friend. And on, the

:47:03. > :47:10.Minister for disabilities, `s held a jobs fair to help people with

:47:11. > :47:23.disabilities find work and ht is something I will be looking to do as

:47:24. > :47:27.well. I have some concerns `bout was the sheer, we have a series of three

:47:28. > :47:30.centres which provide therapy to support people who might otherwise

:47:31. > :47:40.have difficulty in getting back into work. One of these is... Yet another

:47:41. > :47:44.in my honourable friend for Redditch's constituency at Orchard

:47:45. > :47:47.Place. Earlier this year thd trust launched a consultation on the

:47:48. > :47:50.future of the services, sayhng their budget was being reduced by a third

:47:51. > :47:59.and implying they were reducing from three centres to two. Many contacted

:48:00. > :48:02.me with strong support of these services and gave examples of how

:48:03. > :48:05.these services have helped them turn their lives around. It becale

:48:06. > :48:11.apparent that the trust thelselves running these centres what not

:48:12. > :48:15.necessarily the best use of resource. I know my honourable

:48:16. > :48:21.friend for West was that shd has been working with our fun stpporters

:48:22. > :48:25.of the very ability to this at Link Nurseries to see if this cotld be

:48:26. > :48:29.taken over as a social enterprise and continue to offer its sdrvices

:48:30. > :48:34.beyond the trust itself and this is something I would support. H am

:48:35. > :48:37.pleased to see in an update from the trust today that this is under

:48:38. > :48:42.active consideration but it is a matter of great concern that the

:48:43. > :48:46.initial consultation suggested a move from three centres to two. The

:48:47. > :48:51.latest thinking from the trtst appears to be along the linds of

:48:52. > :48:57.closing three centres and rdplacing them with one as a hub. We `ll

:48:58. > :49:01.recognise the benefit of more outreach. I have to question the

:49:02. > :49:09.benefits of consultation whhch seems to be cutting back on an important

:49:10. > :49:12.service. I urge ministers to look into this matter and see if there is

:49:13. > :49:17.anything they can do to encourage the commissioners to have another

:49:18. > :49:20.look. In addition to my concerns about vocational centres, there is

:49:21. > :49:23.one aspect of mental health provision in Worcestershire which

:49:24. > :49:34.causes me concern, which is the port for A -- support. At the end of

:49:35. > :49:39.that pilot, both trusts askdd for it to continue and calls for pdople to

:49:40. > :49:44.be given access to support `vailable 24 hours a day, full crisis point

:49:45. > :49:50.and emergency access to mental health care, it is welcome but since

:49:51. > :49:54.that the number of people n`tionally going through mental health crises

:49:55. > :50:00.held in police cells has halved but in South was to sheer commissioners

:50:01. > :50:04.decided that the 24-hour cover would be withdrawn and replaced bx a

:50:05. > :50:08.specialist nurse during the daytime and access to telephone support

:50:09. > :50:12.overnight. I know the Minister has replied carefully to me on ` written

:50:13. > :50:17.question in this regard. I thank my honourable friend for giving way.

:50:18. > :50:23.Does he agree with me that ht's incredible important for hospitals

:50:24. > :50:27.to have comprehensive psychhatric liaison so that when people go into

:50:28. > :50:33.A there is a specialist to help them get the right help? I

:50:34. > :50:36.wholeheartedly agree. The ilportance of specialist care in these

:50:37. > :50:41.situations is absolutely vital. I would ask the minister following his

:50:42. > :50:45.reply to my question in Julx to consider whether the statemdnt he

:50:46. > :50:55.made that the government's landate to NHS England suggest that the

:50:56. > :51:03.response must be as quality as other health centres means that hd has the

:51:04. > :51:12.quality to mandate through practitioners rather than tdlephone

:51:13. > :51:17.support. I would urge ministers to draw their act attention to the case

:51:18. > :51:22.of a constituent who as a rdsult of the absence of this support early in

:51:23. > :51:30.2014 went through an acute dpisode having left A without recdiving

:51:31. > :51:38.the care that she needed. Any savings made from the commission to

:51:39. > :51:42.give overnight cover would be a case of being penny wise and pound

:51:43. > :51:46.foolish. Sometimes not investing in mental health can be a falsd

:51:47. > :51:49.economy. Overall however I welcome the additional investment going on

:51:50. > :51:54.and the investment I have sden my own constituency of Worcestdr.

:51:55. > :52:00.Thank you for calling me in. I'm very pleased to be able to follow

:52:01. > :52:03.the honourable member forward stuff. I'm very grateful that this debate

:52:04. > :52:08.is taking place, it's an issue that is deeply close to my heart. It s

:52:09. > :52:13.vital that we ensure everyone has access to the best services when it

:52:14. > :52:16.comes to mental health. As the Secretary of State pointed out, one

:52:17. > :52:21.in four of us over the next year will face some form of ment`l

:52:22. > :52:24.illness. Figures from the mdntal health charity Mind suggest that 75%

:52:25. > :52:31.of those with anxiety or depression yet know treatment at all. Ht's

:52:32. > :52:36.vital that we start taking lental health more seriously starthng with

:52:37. > :52:42.adequate funding and giving mental health the parity it deservds with

:52:43. > :52:45.physical health. I wholeheartedly support a protected NHS budget. The

:52:46. > :52:51.most effective treatment of NHS treatment however is being `t a

:52:52. > :52:54.local level in communities. A protected budget means little when

:52:55. > :53:00.funding to mental health services at a local level is being slashed.

:53:01. > :53:05.Those in need reach first to their local services, but the scale of the

:53:06. > :53:09.cuts we are seeing particul`rly at local councils is having a direct

:53:10. > :53:12.and detrimental effect on sdrvices that are crucial to helping many

:53:13. > :53:18.deal with their mental health problems. The Royal Joss

:53:19. > :53:23.psychiatrists state that a key part of mental health services is good

:53:24. > :53:28.public health funding, yet currently only 1% public health spendhng is

:53:29. > :53:33.focused mental health. This will only be further compounded by the

:53:34. > :53:39.fact that the money for public health given to councils will fall

:53:40. > :53:44.by 3.9% year on year, which will be 18% by the end of this Parlhament.

:53:45. > :53:47.If we are committed to ensuring parity of esteem between mental and

:53:48. > :53:56.physical health then this is simply not good enough. My honourable

:53:57. > :53:59.friend might be aware that the suicide prevention group did a

:54:00. > :54:05.survey of local authorities to see how many had suicide prevention will

:54:06. > :54:10.plans and suicide action groups in place. A large proportion dhd not

:54:11. > :54:13.have any action plan or any groups working on suicide prevention. Isn't

:54:14. > :54:20.that something that the govdrnment must address if we are to move

:54:21. > :54:23.forward? I think that's a rdally important intervention, acttally,

:54:24. > :54:27.and something I have been aware of and something that governments

:54:28. > :54:30.should impress on local are`s to ensure it does take place and

:54:31. > :54:35.suicide is something that I want to come onto now in actual fact. I have

:54:36. > :54:42.to pay tribute to the right on a member for North Somerset who is now

:54:43. > :54:45.in his place, who made an excellent speech not least talking about

:54:46. > :54:50.suicide. It is important in Rochdale, we have seen suichde rates

:54:51. > :54:55.continue to remain above thd national average in our town, at

:54:56. > :55:08.11.8 per 100,000 per year which compares to 8.9 for England as a

:55:09. > :55:16.whole. The male suicide ratd is 18.6 per 100,000, which also dwarfs the

:55:17. > :55:22.14.1 for England as a whole. In 2010 it was 14.7 in Rochdale and 14. in

:55:23. > :55:27.England. Put simply, more pdople are killing themselves in Rochd`le. And

:55:28. > :55:34.in Rochdale, our council like many others up and down the country are

:55:35. > :55:37.faced with cuts to its budgdt. The result in Rochdale has been that it

:55:38. > :55:43.is considering removing funding to the sum of just ?20,000 for the

:55:44. > :55:50.award-winning Growth Project. This project works to support those with

:55:51. > :55:56.mental health issues at a ntmber of allotments, providing a safd haven.

:55:57. > :56:05.It promotes good mental and physical health throughout the activhty,

:56:06. > :56:12.where participants can quitd literally see the fruits of their

:56:13. > :56:16.labour. To date, the project has had 88 beneficiaries. This projdct

:56:17. > :56:23.embodies the essence of of `nd physical health. Although this

:56:24. > :56:28.project is a voluntary organisation, fighting mental health issuds must

:56:29. > :56:39.not be seen as an act of ch`rity. It is about justice and necesshty. Let

:56:40. > :56:46.me finish by saying if we are truly to achieve parity, it is ex`ctly

:56:47. > :56:54.like projects like Growth Project that need funding and not bding cut

:56:55. > :56:57.to the pressure on council budgets. Thank you for calling you so early

:56:58. > :57:01.on in this very important ddbate. It is a pleasure to be able to follow

:57:02. > :57:07.the honourable member for Rochdale and his thoughtful speech. The issue

:57:08. > :57:10.of mental health such an important and one which cannot and should not

:57:11. > :57:14.be swept under the carpet any longer. I would like to pay the

:57:15. > :57:18.tequila tribute to the Right Honourable member for North Norfolk

:57:19. > :57:23.for his work over the last parliament. He has definitely left a

:57:24. > :57:29.legacy. The issue of mental health and how people talk about it is in a

:57:30. > :57:32.way how we spoke about cancdr if you years ago. People didn't talk about

:57:33. > :57:36.cancer because people hoped it would go away. In a similar way, people

:57:37. > :57:41.haven't been talking about lental health, hoping it would go `way but

:57:42. > :57:48.it hasn't done. Mental health sadly is not going away and the sooner

:57:49. > :57:50.that is recognised, the better. By putting mental health on a level

:57:51. > :57:59.playing field with physical health, people are now talking about it The

:58:00. > :58:04.issue of mental health has been recognised by an important group of

:58:05. > :58:08.young people. For the loss of years, girl guiding has carried out a girl

:58:09. > :58:12.'s attitude survey, which c`mpuses the opinion of over 1500 girls and

:58:13. > :58:17.young women between the ages of seven and 21. As year-on-ye`r

:58:18. > :58:21.surveys can be compared, it is interesting to note that five years

:58:22. > :58:27.ago the area of most concern to those survey that was alcohol and

:58:28. > :58:31.drug abuse. In the 2015 survey published early October, for today's

:58:32. > :58:35.cohort of young girls and women that has now changed to mental hdalth. I

:58:36. > :58:39.would like to stress that those surveys were not restricted just to

:58:40. > :58:48.girl guides but to a wide atdience across the whole of the country and

:58:49. > :58:55.all young ladies and girls. It needs to be taken seriously. What was

:58:56. > :59:01.concerning, the survey showdd there was a mismatch between what concerns

:59:02. > :59:04.the young people and what p`rents think concerns young people. The

:59:05. > :59:13.girls taking the survey thotght that their parents and what they saw as

:59:14. > :59:16.traditional risks, drugs, cigarettes, alcohol and young

:59:17. > :59:20.pregnancy, whereas their concerns were mental health and cyber

:59:21. > :59:29.bullying. Further information coming out of that survey in the -,

:59:30. > :59:32.indicated that fewer than h`lf of young girls survey to talk `bout

:59:33. > :59:36.mental health at school, despite them saying this is where they would

:59:37. > :59:40.most like to get information about mental health. In my short time as

:59:41. > :59:45.member of Parliament I have had a number of cases relating to young

:59:46. > :59:49.people, and this problem is not going away. Talking to at mx local

:59:50. > :59:54.schools, they have also highlighted the problem of mental health

:59:55. > :00:00.starting at a very young agd. This is why in the New Year I am planning

:00:01. > :00:01.to convene a roundtable meeting with headteachers, the police, CCG,

:00:02. > :00:06.charities and other interested parties. I want to find out what

:00:07. > :00:11.more can be done locally and what more should be done to prevdnt

:00:12. > :00:17.mental health issues arriving and also any grassroots solutions to the

:00:18. > :00:21.existing problems. As consthtuency MPs, we have our role to pl`y.

:00:22. > :00:28.People turn to us for help on a daily basis, often as a last resort.

:00:29. > :00:31.The issues vary. With some dasier to resolve than others, but thdy can

:00:32. > :00:36.all cause a great deal of stress and pressure which in turn mount up and

:00:37. > :00:40.can be for want of a better phrase the straw that breaks the c`mel s

:00:41. > :00:44.back. We may not have all of the answers all be able to secure the

:00:45. > :00:47.right outcome for every constituent but we are often the only pdople

:00:48. > :00:52.fighting their corner, and we should do everything in our power to avoid

:00:53. > :00:58.the situation deteriorate into such an extent that it could havd a

:00:59. > :01:02.significant impact on consthtuents's mental health. I would like to pay

:01:03. > :01:06.tribute to all of our casework staff who go above and beyond for local

:01:07. > :01:18.residents on our behalf, often with little recognition for their

:01:19. > :01:20.efforts. It is crossing so lany boundaries, education,

:01:21. > :01:26.employability, family life, the list goes on. Today's debate yet again

:01:27. > :01:33.has served to keep mental hdalth high on the political agend`, but

:01:34. > :01:36.words must continue to take action, and I commend the government on work

:01:37. > :01:44.they are doing to ensure th`t we do have that action. Can I just say

:01:45. > :01:50.that I welcome today's debate. We are doing a very simple think are

:01:51. > :01:56.talking about mental health in this chamber. But the Secretary of State

:01:57. > :02:00.and my honourable friend sahd change in attitude and things are changing,

:02:01. > :02:04.I would agree, totally, things are changing for the better, not just in

:02:05. > :02:08.this place, but also in the media, in society. Sadly in my own party

:02:09. > :02:13.there are some parts that still need to go a little bit further hn

:02:14. > :02:16.understanding mental health. But we are making great strides, and they

:02:17. > :02:20.should be recognised. That hs down to the great work that has been done

:02:21. > :02:26.by rethink and time to change and other charities, who have to say are

:02:27. > :02:33.not individuals working for those organisations but the thous`nds of

:02:34. > :02:39.volunteers behind them. It hs only to give him the due credit that he

:02:40. > :02:44.deserves for his place of actually talking about mental health. I thank

:02:45. > :02:47.you for that, my civil thing was that we need to talk more about it

:02:48. > :02:54.because that will change attitudes. The next thing we need to do is

:02:55. > :02:59.hard-wire mental health and well-being into public policy and

:03:00. > :03:02.Society. People might say why is that important? It is important

:03:03. > :03:08.because it is the right thing to do, but also because even in thdse times

:03:09. > :03:15.of austerity it makes econolic common sense. It saves not only

:03:16. > :03:19.lives but also saves money `s well. What we need is a system whdre every

:03:20. > :03:25.single government policy, doesn t matter what department it is in is

:03:26. > :03:27.road-tested against mental health and mental well-being. The Secretary

:03:28. > :03:31.of State accused my honourable friend of being political mdss. I am

:03:32. > :03:35.sorry, the government cannot escape some of the things it is dohng in

:03:36. > :03:40.terms of mental health. It hs our job to not only question thd

:03:41. > :03:48.statements they make, but actually look at the facts. The Chancellor

:03:49. > :03:51.quite rightly and very welcome early announced ?600 million monex for

:03:52. > :03:55.talking therapies but that hs against nearly an eight and a half

:03:56. > :03:59.percent cut in the last Parliament. That will do nothing to replace the

:04:00. > :04:03.beds that will be lost insecure psychiatric wards, where we have

:04:04. > :04:10.people, I know the honourable member from North Norfolk has raisdd this,

:04:11. > :04:15.to remove ridiculous lengths around the country to get access to those

:04:16. > :04:21.beds. What is the real causd of that? A shortage of beds? Yds, but

:04:22. > :04:24.one of the root causes in London is the shortage of available housing.

:04:25. > :04:29.Housing policy is having eight direct result on that. The back to

:04:30. > :04:32.work interviews and the work capability tests have already been

:04:33. > :04:39.mentioned. I have raised thhs on numerous occasions, but I al sorry,

:04:40. > :04:43.they are not listening, the DWP people are still being put through

:04:44. > :04:47.this torturous process which is neither good for the taxpaydr or

:04:48. > :04:52.these individuals. We have `n announcement in the budget of 5 %

:04:53. > :04:56.cuts in the local government, I would because I have very lhmited

:04:57. > :05:06.time, in the local government budget, that will have a direct

:05:07. > :05:12.effect. We have at the moment, on that basis, County Durham whll lose

:05:13. > :05:17.?20 million a year. All of those policies that have been takdn, that

:05:18. > :05:20.people will say not only have an impact on mental health but on the

:05:21. > :05:24.services we deliver, we need to hot-wire mental health and

:05:25. > :05:32.well-being into those areas, whether it be in schools, society, `nd the

:05:33. > :05:35.criminal justice system. In terms of the issues facing people with mental

:05:36. > :05:39.illness, I know personally some very dark places but one of the lost

:05:40. > :05:46.tragic and darkest places are those people that commit suicide. In those

:05:47. > :05:49.individuals, it is not just the life cut short, the opportunity hs

:05:50. > :05:52.missed, in terms of the fulfilment they could give not only in society

:05:53. > :06:01.but their families, but thehr families are left bereft, and in a

:06:02. > :06:04.very emotional state. In thhs country, there are three tiles more

:06:05. > :06:09.people committing suicide all year than there are killed on thd roads.

:06:10. > :06:14.We had a great campaign and pressured in terms of road safety

:06:15. > :06:19.and other issues which addrdss that. We need the same campaigning zeal to

:06:20. > :06:24.attack the suicide rates in this country as we did for the road

:06:25. > :06:28.campaigns. Unfortunately for my own region, the north-east, has a very

:06:29. > :06:33.unenviable record, we are the highest region in the country with

:06:34. > :06:41.13.8% per 100,000 individual is taking their own lives. People

:06:42. > :06:46.contracting gloss over it as much as they like but economic situ`tions

:06:47. > :06:49.affect people's lives, in tdrms of the way things are. We also have to

:06:50. > :06:54.address that some tips on those figures are actually men. It is a

:06:55. > :06:59.root cause that we are terrhble as individual men of talking about

:07:00. > :07:06.mental health. So yes, progress is being made, Madam Deputy Spdaker,

:07:07. > :07:08.but we do need to, as I say, have mental health and mental well-being

:07:09. > :07:12.running through all governmdnt policies before they are put

:07:13. > :07:15.forward. So I welcome today, as I said, because it is another

:07:16. > :07:19.opportunity to raise mental health on the floor of the house, `nd talk

:07:20. > :07:24.about mental health, which has got to be a good thing, but I h`ve to

:07:25. > :07:29.say now is the time to change those words into action. We have less than

:07:30. > :07:33.an hour for backbench contrhbutions in this debate so I will have to

:07:34. > :07:39.reduce the time limit to three minutes. Which makes life a little

:07:40. > :07:48.difficult for Mr Julian stood in. Apologies. If I may, I will focus my

:07:49. > :07:52.brief contribution on the issue of mental health services in York and

:07:53. > :07:58.my constituency. The ministdr is aware that with Park hospit`l, a

:07:59. > :08:04.mental health care facility in York, closed on 30th September thhs year,

:08:05. > :08:07.and the sick UC declared thd 18th-century grade one building

:08:08. > :08:12.unfit for purpose. The fact they stated patients were at significant

:08:13. > :08:18.harm at the hospital, the f`cility had been part of the Leeds `nd York

:08:19. > :08:23.NHS Trust and concerns had been raised since 2013 when the sea QC

:08:24. > :08:26.inspection declared that thd hospital did not meet the rdquired

:08:27. > :08:34.safety standards. While the improvements were made, at ` cost of

:08:35. > :08:37.1.7 million, the sea QC vishted again and expressed continudd

:08:38. > :08:42.concerns about the safety on some of the wards. As a consequence,

:08:43. > :08:45.significant improvements were called in January and money was made

:08:46. > :08:49.available. However when the inspectors returned nine months

:08:50. > :08:56.later in September, none had been delivered. No one denies thdre are

:08:57. > :09:01.problems with the facility due to its structure and age, and H visited

:09:02. > :09:07.the hospital and saw for myself the problems raised by the seat you see,

:09:08. > :09:11.but the trust had nine months to rectify those well-known and

:09:12. > :09:14.documented problems yet did absolutely nothing, which ldd to

:09:15. > :09:22.this important facility being closed, with staff and patidnts just

:09:23. > :09:26.given five days's notice, something that is unprecedented, and which

:09:27. > :09:29.caused an immense amount of stress and anxiety for patients and

:09:30. > :09:35.families and the hard-working staff. Things were further complic`ted when

:09:36. > :09:39.the Vale of York CCG chose to transfer your's health servhces from

:09:40. > :09:50.Leeds to this was due to allegations that a

:09:51. > :09:54.disproportionate amount of funding was being allocated to Leeds and

:09:55. > :10:01.York, missing out, and basically leaving York missing out. W`s this

:10:02. > :10:04.due to leads being prioritised over your? Leeds and the York NHS Trust

:10:05. > :10:08.has many questions to answer and I would like to know who will be

:10:09. > :10:12.bringing them to account ovdr the situation that never should have

:10:13. > :10:15.arisen? There were enough opportunities to solve this

:10:16. > :10:20.opposition is back with this problem. The trust had enough

:10:21. > :10:24.warning, despite these requhred actions that were not taken. Madam

:10:25. > :10:29.Deputy Speaker, in closing `t this very brief time, ultimately I just

:10:30. > :10:35.want to say that the long-tdrm, in the long-term we very much hope see

:10:36. > :10:38.a new purpose-built facilitx in York and from my meeting with thd

:10:39. > :10:41.ministers I know he feels the same way and I am confident he c`n

:10:42. > :10:47.deliver that but I want to hear that from him today and also we have to

:10:48. > :10:49.deliver parity of esteem across-the-board but I don't believe

:10:50. > :10:56.that York are getting that `t the moment. Norman Lamb. Thank xou Madam

:10:57. > :11:00.Deputy Speaker. I wanted to say right at the outset that I strongly

:11:01. > :11:05.support this motion, and I `ctually hope that the whole house c`n unite

:11:06. > :11:08.behind it, because I think ht is incredibly potent, although there

:11:09. > :11:12.may be aspects of the motion people may disagree with, it is William

:11:13. > :11:15.Port and that we send out a united message that we are all agrded on

:11:16. > :11:22.the imperative of achieving equality for mental health. It seems to me it

:11:23. > :11:26.is self evident that we still have a long way to go and that we should be

:11:27. > :11:31.impatient for change. The sdntiment in the motion were actually at the

:11:32. > :11:33.heart of the cross-party calpaign that I launched, together whth

:11:34. > :11:39.Alister Campbell, and the Rhght Honourable member for Sutton

:11:40. > :11:44.Coldfield, and together we got over 200 leaders from across sochety to

:11:45. > :11:46.come together to make the c`se, the United case, for equality for mental

:11:47. > :11:56.health and for extra investlent And why is it that so many people,

:11:57. > :11:59.leaders, agreed to join that cause? I think it's because we've now

:12:00. > :12:06.reached the point where there is a growing recognition that we have to

:12:07. > :12:10.end what is an absolute historic injustice and we have to ensure

:12:11. > :12:17.equal access to treatment. H give way. Would the right on the

:12:18. > :12:22.gentleman also agree that those leaders now need to translate that

:12:23. > :12:28.action into actions in terms of policy, whether it be nationally but

:12:29. > :12:32.also at local level? I totally agree. We have to set the framework

:12:33. > :12:37.and get the funding in placd but we have to deliver it on a loc`l basis.

:12:38. > :12:41.The point I was going to make was, how can anyone in this chamber

:12:42. > :12:46.possibly justify that if yot have suspected cancer you have the right

:12:47. > :12:51.to a referral with a specialist within two weeks with your GP? If

:12:52. > :12:55.you are a youngster with an eating disorder, you have no such right.

:12:56. > :13:00.And yet we know that the condition can kill. That is a scandal and an

:13:01. > :13:06.outrage and it has to changd. There has to be equality of access. When

:13:07. > :13:09.you do get access too off and I m afraid it's a lottery. As wd

:13:10. > :13:15.discussed in the debate last week we have a continuing scandal of people,

:13:16. > :13:18.as the honourable member for North Durham indicated earlier, pdople

:13:19. > :13:22.being shunted around the cotntry in search of a bed. This would never

:13:23. > :13:29.ever happen if someone was suffering from a stroke or a heart condition.

:13:30. > :13:35.It is a complete scandal and an inaccessible access to treatment. I

:13:36. > :13:39.accept what you're saying btt one of the problems is that you have got

:13:40. > :13:46.people in beds for far too long One of the crisis point in London is

:13:47. > :13:50.access for adequate housing. I was so pleased for the honourable member

:13:51. > :13:54.making that point in his spdech It's not the answer to just have

:13:55. > :13:59.more beds. Actually we should be reducing the length of stay is

:14:00. > :14:04.actually not therapeutic for the individual, often. I can't give way,

:14:05. > :14:08.I'm afraid, I've got very lhmited time. At the heart of this

:14:09. > :14:12.inequality is the stigma th`t is still attached to mental he`lth

:14:13. > :14:17.We've made real progress in combating that but we have ` way to

:14:18. > :14:21.go. My message to the Government is that the inequality of access is

:14:22. > :14:25.morally wrong and we can't begin to justify one person not getthng

:14:26. > :14:31.access in the way that somebody else does in our publicly funded NHS

:14:32. > :14:33.It's a scandal. I was pleasdd the Secretary of State acknowledged that

:14:34. > :14:38.but they now have to deliver that equality of access and we now have

:14:39. > :14:43.to deliver the vision that he and I set out last October by 2020. It is

:14:44. > :14:50.morally wrong but also economically stupid, as many other members have

:14:51. > :14:54.mentioned. We reckon at the Centre for mental health that we spend

:14:55. > :14:57.about ?130 billion a year on the failures of and the neglect of

:14:58. > :15:05.mental ill health, though to continue to neglect it is stupid and

:15:06. > :15:08.it is completely counter-productive. If you make the investment tpfront,

:15:09. > :15:14.you will achieve savings further down the track. I welcome the ? 00

:15:15. > :15:17.million that the Chancellor indicated would be made avahlable to

:15:18. > :15:24.mental health in this Parli`ment in the spending review. That is real

:15:25. > :15:29.progress. But it's not enough. We have to keep arguing the case for

:15:30. > :15:33.genuine equality. We need, hn a sense, to do two things. We need to

:15:34. > :15:36.spend the money differently. Many other honourable members have made

:15:37. > :15:39.the point that we need to shift resources away from sort of

:15:40. > :15:44.containing people often in long state, secure settings, to darly

:15:45. > :15:47.intervention and recovery and to ensuring that there is propdr crisis

:15:48. > :15:52.support in the community to stop those admissions to hospital which

:15:53. > :15:56.are so damaging to someone's well-being. There also needs to be

:15:57. > :16:01.upfront investment to fund ` programme for comprehensive maximum

:16:02. > :16:05.waiting time standards incltding four children and young people, so

:16:06. > :16:09.that there is a complete eqtilibria, equal rights of access for

:16:10. > :16:13.treatment. We published that vision last year and I the Secretary of

:16:14. > :16:18.State will deliver it. If wd give up and don't deliver this, if we give

:16:19. > :16:22.up on the rights of equal access, to end the discrimination at the heart

:16:23. > :16:26.of our NHS, if we don't envx historic injustice, we will let down

:16:27. > :16:27.countless families across the country. It would be an uttdr

:16:28. > :16:37.disgrace to do so. Thank you, Madam Deputy Spe`ker I

:16:38. > :16:41.thank the honourable lady for bringing this debate today. I truly

:16:42. > :16:46.believe that mental health hs the social challenge of our gendration.

:16:47. > :16:50.Two aside is now the biggest killer in Britain of young men unddr 5 .

:16:51. > :16:55.Today in our country there will be 17 of our fellow men and wolen who

:16:56. > :16:59.take their lives. This year that's far has seen the greatest ntmber of

:17:00. > :17:02.male suicides ever. Suicide kills more young people than any physical

:17:03. > :17:05.illness and in Plymouth at the moment I'm trying to visit dvery

:17:06. > :17:10.school in my constituency bdfore the end of the academic year and

:17:11. > :17:14.teachers have been genuinelx struck by the dramatic increase in mental

:17:15. > :17:19.health issues in young people since even I left school 15 years ago

:17:20. > :17:22.There is also the classic issues about underreporting of mental

:17:23. > :17:25.health conditions for fear of the stigma that surrounds the whole

:17:26. > :17:33.issue, so these if anything may be worse. I believe how we deal with

:17:34. > :17:38.this challenge will define our future in communities such `s mine

:17:39. > :17:40.in Plymouth. I think our approach to mental health is that important and

:17:41. > :17:43.I'm determined to win this battle for those in Plymouth who do not

:17:44. > :17:49.have the strength to fight for it themselves. It requires a gdnuine

:17:50. > :17:56.shift in our attitudes, that most difficult of challenges, to achieve

:17:57. > :18:01.the change we want in mental health. Interventions in mental health can

:18:02. > :18:05.produce the most brilliant results. Whether it is the inspirational

:18:06. > :18:08.staff at the Marine Academy in Plymouth who make talking about

:18:09. > :18:18.mental health part of the school day or whether it is people at train

:18:19. > :18:26.stations who look out for pdople who may throw themselves onto an

:18:27. > :18:28.oncoming train. Whether it hs trying to totally be stigmatised t`lking

:18:29. > :18:33.about post-traumatic stress and other prevalent mental health

:18:34. > :18:37.conditions in young men. Whdther it is any of these examples, e`rly

:18:38. > :18:42.intervention talking about lental health can have dramatic effects.

:18:43. > :18:45.Even this is not enough on hts own. Mr Speaker, the real intervdntions

:18:46. > :18:53.of work are early interventhons Last week I started and invdctive

:18:54. > :18:57.mental health group to find a way of producing a similar mental health

:18:58. > :19:06.strategy to that of Trieste in Italy. We want a 20 47 ment`l health

:19:07. > :19:14.capability in Plymouth to m`tch our capability of dealing with physical

:19:15. > :19:19.health. He is making a brilliant speech. Does he agree that spending

:19:20. > :19:21.should actually reflect comlitments at a national level for parhty of

:19:22. > :19:26.esteem for mental and physical health? I thank my right honourable

:19:27. > :19:33.friend for his health and I completely agree. I draw his

:19:34. > :19:38.attention to the speech abott ring fencing these funds and how

:19:39. > :19:45.important it is to make surd that CCGs do that. I know the Government

:19:46. > :19:48.is committed to establishing this across the country. It may take five

:19:49. > :19:52.months or five years but I `nd others will continue to keep going

:19:53. > :19:56.until we get there, because this problem is too big to fail `t. We

:19:57. > :20:03.have to be the Government that turned the corner on this. Hf we are

:20:04. > :20:10.rightly fixated on delivering our manifesto pledges, we must `lso

:20:11. > :20:12.focus on those who will not make as much noise if we fail but whose need

:20:13. > :20:20.is equally of as great importance. Thank you Madam Deputy Speaker. I

:20:21. > :20:23.want to make some brief rem`rks in support of the motion but also to

:20:24. > :20:28.welcome the opportunity to talk about this issue. I do so as someone

:20:29. > :20:32.who, like very many people hn this house and millions of peopld around

:20:33. > :20:36.the country, have had my life affected by mental ill-health. I

:20:37. > :20:40.grew up in a home where a vdry close family member suffered severe

:20:41. > :20:46.depression and had a number of breakdowns. Ie Gasparyan how it

:20:47. > :20:50.affected the whole family over many years -- I experienced how ht

:20:51. > :20:54.affected the whole family over many years in terms of regular lhfe and

:20:55. > :21:00.the need for other family mdmbers to be home carers. Like probably all of

:21:01. > :21:03.us, I have had a number of friends affected and some years ago a close

:21:04. > :21:08.friend committed suicide as a result of her depression. My own pdrsonal

:21:09. > :21:13.experience of mental ill-he`lth like other members of this house I

:21:14. > :21:16.think there are a number of us probably, have suffered frol

:21:17. > :21:20.depression. As a result of those depressive episodes, I know how it

:21:21. > :21:27.feels to be able to come to be unable to function normally, to be

:21:28. > :21:33.unable to perform the most basic everyday tasks because the weight of

:21:34. > :21:35.the depression is so overwhdlming. I know how debilitating depression and

:21:36. > :21:41.mental ill-health can be. It's actually quite difficult to explain

:21:42. > :21:45.it to people who have not experienced it, but just how

:21:46. > :21:48.debilitating it can be. I'm really heartened that increasingly mental

:21:49. > :21:52.health is not only being recognised but acknowledged and spoken about.

:21:53. > :22:02.Increasingly people access that this is an illness that should bd without

:22:03. > :22:07.big or to blue -- that should be without stigma or taboo. Thhs

:22:08. > :22:12.affects people of all backgrounds and ages. More and more I think my

:22:13. > :22:18.XP variants is not unusual. As someone who was a councillor for

:22:19. > :22:25.many years before who -- before coming to this house in May, I have

:22:26. > :22:30.noticed the increase in people coming for help. Many feel failed by

:22:31. > :22:33.the system. We need to treat those people with sensitivity and

:22:34. > :22:40.understanding. It's not just the right thing to do for the

:22:41. > :22:49.individual. In relation to addressing constituents's ldad, you

:22:50. > :22:54.may have seen our bill on mdntal health care, mothers should be able

:22:55. > :22:58.to get that within a reason`ble distance, 75 miles, rather than the

:22:59. > :23:03.current postcode lottery. It is a very important issue and I thank him

:23:04. > :23:08.for raising his Private member's bill. I had someone who camd to me

:23:09. > :23:13.recently with some very difficult circumstances that left thel unable

:23:14. > :23:16.to work and they were told by the job centre that in order to maintain

:23:17. > :23:20.their benefits, they were rdquired to take part in telephone

:23:21. > :23:24.counselling and that was without reference to their GP. It ttrned out

:23:25. > :23:27.to be an extremely detrimental experience. It brought up episodes

:23:28. > :23:30.on the part that meant that my constituent was that back in their

:23:31. > :23:33.recovery actually and is now even further away from the ability to

:23:34. > :23:39.reading confidence and rejohn the workforce.

:23:40. > :23:44.Because of my personal experience, I understand how mental illness can

:23:45. > :23:49.blight of the Society of an individual.

:23:50. > :23:58.That is white cuts to mental health services and particularly

:23:59. > :24:04.preventative services, as the Secretary of State acknowledged

:24:05. > :24:09.earlier, a false economy and we are seeing the effects of cuts to mental

:24:10. > :24:13.health budget at a time when demand is growing and when we can finally

:24:14. > :24:16.acknowledged the need for concerted action to tackle this issue, that is

:24:17. > :24:21.a bad thing. That is why I `m supporting this motion todax. I have

:24:22. > :24:25.experienced how medication `nd physical treatment can make a

:24:26. > :24:30.difference. Medical treatment worked for me but I also know that

:24:31. > :24:33.psychological treatment can work. It is illogical that one can bd

:24:34. > :24:44.enshrined in the rights of the NHS but not the other. We now nded to go

:24:45. > :24:49.beyond and match it with action Can I congratulate colleagues on their

:24:50. > :24:54.contribution so far and welcome familiar faces to mental he`lth

:24:55. > :24:56.debates from the past. This is obviously a massive subject and to

:24:57. > :25:00.cover it in three minutes is impossible. I am struck acttally by

:25:01. > :25:03.the number of different specialities, different problems

:25:04. > :25:08.within mental health that h`ve already been touched on, thd it

:25:09. > :25:11.addiction, dementia, depression stress related illness, eathng

:25:12. > :25:16.disorders of the young, the list goes on and on and on. Sadlx all of

:25:17. > :25:19.these things are increasing in their frequency. Next week and ovdr

:25:20. > :25:25.Christmas I will be working as a doctor, and I can guarantee we will

:25:26. > :25:36.be seeing people with mental health problems during that period. We have

:25:37. > :25:39.talked about service provishon, we might want to reflect upon our

:25:40. > :25:45.society and ask ourselves the difficult question as to whx we are

:25:46. > :25:48.seeing an increase in depression and stress related illness, eathng

:25:49. > :25:54.disorders and the like. I would say it reflects actually what is sick in

:25:55. > :25:56.our own society, our drivers towards excess consumption that we can

:25:57. > :26:00.neither afford financially or indeed physically. I would say that it

:26:01. > :26:04.would be the breakdown of the family, the fact that peopld do not

:26:05. > :26:08.take their parental responshbilities as perhaps they should do on every

:26:09. > :26:12.occasion. The retreat of thd church to be replaced by what exactly? I am

:26:13. > :26:16.not so sure that anything else has come forward to replace the church

:26:17. > :26:19.in terms of that community hub, support for people in distrdss from

:26:20. > :26:24.within communities, not necdssarily from government. I think we should

:26:25. > :26:29.all reflect upon that, and H think we should spend a few weeks, if you

:26:30. > :26:33.months thinking about that, and ask ourselves how we can pass

:26:34. > :26:37.legislation here, how we can ourselves maybe be role moddls. How

:26:38. > :26:40.we can encourage people to seek a better life that is both better in

:26:41. > :26:45.terms of the quality-of-lifd that you lead, but also better in terms

:26:46. > :26:48.of your physical and mental health. But forgive me, forgive me

:26:49. > :26:52.colleagues, just want to mention one thing with regards to forensic

:26:53. > :26:58.psychiatry, my constituency is proud to host the pre-eminent high

:26:59. > :27:01.security hospital Broadmoor. Broadmoor hospital is widelx

:27:02. > :27:06.renowned internationally as well. It is being redeveloped over the next

:27:07. > :27:09.few years. This was a decishon based on a sea QC report commissioned

:27:10. > :27:13.under the previous Labour government, and the decision was

:27:14. > :27:19.made by the Coalition Government. ?250 million to provide 220 new

:27:20. > :27:22.beds, designed around new clinical models. The recidivism rate in

:27:23. > :27:27.Broadmoor, it is not a prison, but if it was replicated across the

:27:28. > :27:32.prison service we would be dxtremely happy. They do remarkably good work.

:27:33. > :27:37.Challenging work dealing with some very difficult cases, the khnd of

:27:38. > :27:41.cases you see in your newsp`pers. I am very proud that this hospital is

:27:42. > :27:46.based in my constituency and I am particularly proud of a sochety that

:27:47. > :27:53.places such emphasis on tre`ting people as patients not crimhnals.

:27:54. > :27:56.Thank you. I too want to talk about PRU from Park hospital that closed

:27:57. > :28:02.in just less than four workhng days. We must remember the impact that

:28:03. > :28:06.closure had on patients, thd fear, the anger, some patients

:28:07. > :28:11.withdrawing, someone thing to die. We must also sing praises of the

:28:12. > :28:15.professionalism of the staff dealing with that sudden closure, btt the

:28:16. > :28:19.closure was avoidable. Therd were too many people involved in

:28:20. > :28:22.decision-making, commissiondrs, providers, historic England, the

:28:23. > :28:26.owners of the buildings and others. That is one of the failings of what

:28:27. > :28:31.happened at Booth. We must `lso recognise that with the change of

:28:32. > :28:37.provider there were politics and blame that did insular and that must

:28:38. > :28:41.be investigated because it had an impact. We must also look at the

:28:42. > :28:48.role of the sea QC, the knowledge that the role that they had in

:28:49. > :28:53.having to inspect a building did have an impact on patient s`fety.

:28:54. > :28:59.Therefore it is absolutely vital that we have independent enpuiries,

:29:00. > :29:04.something I have requested, 800 000 people in my constituency h`ve

:29:05. > :29:07.requested too. I want a sponsor from the Minister today that we can have

:29:08. > :29:11.that enquiry, it is needed to ensure patient safety for the future. It

:29:12. > :29:19.may be an embarrassing situ`tion but we have to push through to lake the

:29:20. > :29:27.servers so. If was scattered across the city. Travelling miles hn a

:29:28. > :29:34.crisis. That is not acceptable. Therefore it is essential that we

:29:35. > :29:36.have answers to what happendd at Bootham hospital. But also to look

:29:37. > :29:39.back at the social health and care act at the heart of the problem

:29:40. > :29:48.There is nobody with overarching responsibility. For patient safety

:29:49. > :29:50.in the NHS. Different jurisdiction, different regulators have dhfferent

:29:51. > :29:54.responsibilities and there `re no mechanisms for responding to this.

:29:55. > :30:02.We also need to look at the role of the Secretary of State in this. Now

:30:03. > :30:06.having a due to to promote `n NHS, no longer to provide and secure

:30:07. > :30:10.That has an impact, because you can point a finger but don't have to

:30:11. > :30:18.lift a finger. We need to look back at that again. Also the rold of the

:30:19. > :30:25.CQC. My second plea today is that we do have clarity over the replacement

:30:26. > :30:28.of Bootham Park hospital. When the Chancellor stood up in the @utumn

:30:29. > :30:33.Statement he said three new hospitals would come to fruhtion.

:30:34. > :30:37.One the York was not mentioned. I want to know if that was about

:30:38. > :30:40.mental health not getting the parity of status or whether we're not

:30:41. > :30:53.getting that, and we do need clarity on that today.

:30:54. > :31:00.I would like, if I may, to cast your mind back to the summer. As a new

:31:01. > :31:05.MP, it was a Sunday, and I were sitting on the grass reading through

:31:06. > :31:10.my casework. Many of the ustal items of correspondence, housing, planning

:31:11. > :31:14.and then a letter and a momdnt I would ever forget, a letter from a

:31:15. > :31:20.constituent, Steve Mallon, telling of the tragic suicide of his

:31:21. > :31:24.18-year-old son, a brilliant, if the Germanic, grade eight piano,

:31:25. > :31:33.straight a stars at A-level and a place reserved at Cambridge

:31:34. > :31:38.University. Mental health. They are not dirty words. We all havd a state

:31:39. > :31:42.of mental health, just as wd all have a state of physical he`lth We

:31:43. > :31:48.have good days, we have bad days. We all have them, everyone of ts. For

:31:49. > :31:51.most of us, the good days follow those bad days and overcome them.

:31:52. > :31:56.But tragically this didn't happen for Edward. Today, I want to talk

:31:57. > :32:02.about what we in this room can do to make sure there are no more Edwards.

:32:03. > :32:06.Members will know I want thhs house to work together to resolve problems

:32:07. > :32:11.not point fingers of failurd so I would urge all sides of this house

:32:12. > :32:15.to recognise the good work that has been done so far and to comlit to

:32:16. > :32:20.working together to achieve more. I believe you are building on the

:32:21. > :32:24.foundations laid by the Ichdr Mendis work of Norman Lamb and the health

:32:25. > :32:30.and social care act of 2012. We have seen investment of 1.25 billion to

:32:31. > :32:35.help deliver the future and mind initiative. The Department for

:32:36. > :32:41.Education's first mental he`lth champion, and what a fireball she

:32:42. > :32:44.is. There is a 3 million pilot programme just announced thhs week

:32:45. > :32:49.to support mental health in schools across the country, and givdn a 10%

:32:50. > :32:52.of children under 16 have a clinical diagnosable mental health problem

:32:53. > :32:57.and 75% of all mental illness predates higher education, we are

:32:58. > :33:01.focusing on the right things. Prevention is a far better leans

:33:02. > :33:04.than a cure-all, a cure that by the time it comes as the stated

:33:05. > :33:10.families, communities and the wider economy. Ask Steve Mallon, `sked his

:33:11. > :33:14.family, and ask the village of Mildred, because they know. We could

:33:15. > :33:18.argue all day about whether the government is spending enough on the

:33:19. > :33:23.cure but I don't want us to do that. I am very grateful for the

:33:24. > :33:29.honourable lady for giving way, she is making a very passionate case,

:33:30. > :33:35.would she agree with me that we need to get the whole of the NHS to sign

:33:36. > :33:40.up to a commitment to a zero suicide ambition? This is not setting a

:33:41. > :33:46.target, just changing the ctlture so everyone focuses on saving lives?

:33:47. > :33:49.Yes, it should be the fundalental. There should be no alternathve, that

:33:50. > :33:54.is absolutely right. Nobody doubts the need to improve mental health,

:33:55. > :33:58.nobody doubts that money isn't growing on trees either. Investment

:33:59. > :34:02.is increasing but I fear thd scale of the problem is far greatdr than

:34:03. > :34:07.any government cheque-book. It is bigger than that but I also know

:34:08. > :34:11.that we are capable of being bigger than that too. Let's cast aside

:34:12. > :34:16.party politics and make this our issue, not just the governmdnt's

:34:17. > :34:22.issue. In South Cambridgeshhre, we are pulling the resources of

:34:23. > :34:23.schools, world leading acaddmics, local authorities, politici`ns,

:34:24. > :34:29.parents, everyone to do things differently. With Steve and the

:34:30. > :34:33.memory of his son Edward at the helm, we want to roll out a

:34:34. > :34:37.timetable early intervention and prevention programme in every single

:34:38. > :34:41.one of our schools. We are trialling it, developing it, and in M`rch next

:34:42. > :34:44.year we will launch it at an international Conference in

:34:45. > :34:48.Cambridge, which Alister Burton has committed to already. I havd no

:34:49. > :34:55.doubt of the personal dedic`tion of Alister Burton. The honourable lady

:34:56. > :35:03.must refer to members by thdir constituency names. I was gdnuinely

:35:04. > :35:06.unaware. I have no doubt of the personal dedication of our

:35:07. > :35:16.ministers. They have proved it to me and more importantly proved it to

:35:17. > :35:22.Steve Mallon. If we have le`rnt one thing about mental health, ht is

:35:23. > :35:27.that we need to talk about ht. The answer is a plea not about cash it

:35:28. > :35:31.is about partnership working, and I urge every membership of thhs house

:35:32. > :35:36.to join in this fight together. If honourable members wish to be kind

:35:37. > :35:41.to their fellow members, thdy will now take three minutes or ldss and

:35:42. > :35:45.no interventions. If that doesn t happen, there will be sever`l people

:35:46. > :35:51.who don't get to speak at all. It is up to members how they wish to

:35:52. > :35:55.behave. In Salford and Ecclds, we know only too well the urgent need

:35:56. > :35:59.to provide better mental he`lth services but we need to focts my

:36:00. > :36:09.remarks today more specific`lly on children's mental health services.

:36:10. > :36:14.Only 6% of the mental health budget is spent on children and adolescents

:36:15. > :36:19.services. Young minds, a le`ding mental health charity, has confirmed

:36:20. > :36:23.that due to local government cuts 60% of local authorities have either

:36:24. > :36:29.cut or frozen their cams budgets in 2010. Research has shown early

:36:30. > :36:39.intervention is with paramotnt importance, with one in ten children

:36:40. > :36:43.having a chronic problem. E`rly intervention is also key to ensure

:36:44. > :36:51.that an issue doesn't escal`te to the stage where hospitalisation is

:36:52. > :36:54.required. One inpatient bed costs a staggering ?25,000 a month, so it is

:36:55. > :37:00.perfectly clear that adequate investment into the lower thers of

:37:01. > :37:04.CAMS provision is not just ` case of social conscience, it is a latter of

:37:05. > :37:07.economic common sense. I must also address the systems in placd for

:37:08. > :37:13.ensuring children who present at all health issues receive the rdquisite

:37:14. > :37:17.health at the earliest opportunity. GPs are often the first point of

:37:18. > :37:22.contact for parents whose child is experiencing a mental health

:37:23. > :37:24.problem. GPs have however voiced concerns nationally that thdy are

:37:25. > :37:28.not sufficiently equipped to deal with children with mental hdalth

:37:29. > :37:32.issues, and their current training does not prepare them adequ`tely for

:37:33. > :37:37.such situations. Time and thme again I am made aware of cases in my

:37:38. > :37:41.constituency where a child did not present symptoms clearly enough to a

:37:42. > :37:44.GP. A referral was not made, and a problem that could have been dealt

:37:45. > :37:47.with relatively easily escalated to the point where the child bdcame

:37:48. > :37:52.seriously ill and required hospitalisation. There are `lso

:37:53. > :37:58.barriers to referral, such `s the POI limits, in relation to dating

:37:59. > :38:01.disorders, which my honourable friend highlighted earlier. I wonder

:38:02. > :38:06.if the ministers present cotld outline what further provishon and

:38:07. > :38:11.guidance the government will provide a GPs to address the issues? The

:38:12. > :38:14.case for early intervention in Salford becomes all the mord

:38:15. > :38:18.convincing when you consider the shortage of inpatient beds hn

:38:19. > :38:22.Manchester. I have been working with a family whose child desper`tely

:38:23. > :38:28.needed early treatment, and due to a lack of available beds, the child

:38:29. > :38:32.was admitted to a general p`ediatric ward where they waited for lonths

:38:33. > :38:35.until a bed became availabld. While the staff were amazing, the simple

:38:36. > :38:38.fact remains that this child was not on the correct ward and was

:38:39. > :38:39.therefore not receiving the psychiatric treatment that was

:38:40. > :38:46.immediately required. Whilst I appreciate some of the

:38:47. > :38:51.measures the Government's t`king, I have concerns they will bardly begin

:38:52. > :38:56.to address the issues I've raised today. I want to look at mental

:38:57. > :39:02.health in the justice systel and include the police. I'm ple`sed

:39:03. > :39:09.we've made progress in this, at least in my only county, police cars

:39:10. > :39:15.are no longer used to transport mental health patients, ambtlances

:39:16. > :39:19.are. NICE has been asked to develop guidelines on improving mental

:39:20. > :39:23.health for those in prison. The need is to identify those who have mental

:39:24. > :39:27.health problems and to support them as the Government has recognised.

:39:28. > :39:32.The choice here is to be supported with mental health issues as a

:39:33. > :39:35.prisoner moves along the crhminal justice pathway or for them to be

:39:36. > :39:42.diverted into treatment or hndeed into social care. The integration of

:39:43. > :39:46.social care with the NHS in this context, I think, can contrhbute

:39:47. > :39:52.quite a lot to this process. The service provided to prisoners needs

:39:53. > :39:57.to be consistent across the UK. I was pleased to hear the rem`rks by

:39:58. > :40:02.the Secretary of State about the involvement of the Kings Fund in

:40:03. > :40:08.doing this. The great need for prisoners is to have the sale access

:40:09. > :40:13.to services for mental health issues as non-prisoners. It is also

:40:14. > :40:17.necessary to ensure continuhty of treatment across the prison estate.

:40:18. > :40:25.Also, through into the non-prison environment. I think that continuity

:40:26. > :40:29.between the two is crucial hn providing for the better facilities

:40:30. > :40:35.for those prisoners who havd mental health issues. This goes back to the

:40:36. > :40:40.crisis and the need for good access to support. Prisoners need to know

:40:41. > :40:46.their problems are genuinelx taken seriously and they can get help when

:40:47. > :40:50.they need it. This indeed c`n help what my Right Honourable Frhend the

:40:51. > :40:56.member for North Somerset w`s talking about in terms of the huge

:40:57. > :41:03.number of men that are suichde victims in tackling this. I think

:41:04. > :41:07.that has to be acknowledged. I would like to congratulate the Government

:41:08. > :41:11.on the way it has moved forward with this in recognising the need for

:41:12. > :41:18.parity between mental and physical health services. I'm also extremely

:41:19. > :41:22.grateful for the ?600 million put into the system by the Chancellor in

:41:23. > :41:27.the Autumn Statement as indded was the Royal college of psychi`trists

:41:28. > :41:32.who said they were pleased to see the Chancellor committing an

:41:33. > :41:38.additional ?600 million funding for mental health in the Spending

:41:39. > :41:44.Review. This is good news, they say. I'm proud of the work Labour mental

:41:45. > :41:49.health have done to highlight many of the issues faced today. Hn

:41:50. > :41:53.particular, I congratulate the work of my constituent Victoria

:41:54. > :42:02.dis-Monday. I want to raise the case of one of my constituents, Keane, he

:42:03. > :42:07.was 18 when he took his own life. Keane group in care, foster homes

:42:08. > :42:13.and had a history of mental health problems. They were compounded by

:42:14. > :42:17.the problems society threw `t him. His unemployment benefits wdre

:42:18. > :42:21.stopped after he missed a doctor's appointment. This is where people

:42:22. > :42:27.are being sanctioned through now fault of their own. Cane was hit

:42:28. > :42:33.again when the Monye lender Wong Ga, with whom he'd taken a payd`y loan

:42:34. > :42:37.cleared out his bank account in part payment of his debt. He was

:42:38. > :42:42.destitute without a penny to his name. Hours later, Cane hanged

:42:43. > :42:48.himself. A shocking story. @ young boy who'd already had more than his

:42:49. > :42:52.fair share of problems in lhfe left penniless by a payday loan company

:42:53. > :42:55.after already being penalisdd by the state who withdrew his benefits it

:42:56. > :43:01.must have seeped like he had nowhere else to turn for help, support and

:43:02. > :43:06.for a little human understanding. And, of course, Cane is not alone.

:43:07. > :43:11.He's one of many 16-year-olds, many men on average who commit sticide

:43:12. > :43:14.every year in my constituency. Many more attempt to take their own

:43:15. > :43:19.lives. It is a truly miserable fact that men are three times more likely

:43:20. > :43:25.to take their own lives than women. It would be wrong to specul`te about

:43:26. > :43:31.the reasons, but it seemser fuelable to me economic circumstances do play

:43:32. > :43:37.some part. I try to be non-partisan but I can honestry say from my own

:43:38. > :43:41.experience and that of my mtm who suffered from bipolar for m`ny years

:43:42. > :43:43.that the Government, when they shout about rhetoric about long-tdrm

:43:44. > :43:47.economic plan when they cut taxes to the richest in the nation and tell

:43:48. > :43:51.my mum you have to move bec`use of the bedroom tax, you're havhng your

:43:52. > :43:56.benefits cut, we're cutting local authorities and the charitids that

:43:57. > :44:01.look after people like my mtm like Mind could no longer offer the

:44:02. > :44:08.support like she once had. Dconomics plays a huge part in the trdatment.

:44:09. > :44:15.The number of beds in Greatdr Manchester has been cut by 4%. My

:44:16. > :44:23.honourable friend raised earlier the regional press in my area today

:44:24. > :44:27.report add consultation starting to cut ?1.5 million more than 600

:44:28. > :44:33.patients are set to be hit by these proposed cuts. People listening to

:44:34. > :44:37.this debate and they need stpport, I commend the services out thdre, the

:44:38. > :44:42.charities, voluntary sector, including the Samaritans I tsed to

:44:43. > :44:46.be a member of. Thank you. Ht is very important to reflect on who

:44:47. > :44:50.this debate is about. This debate is about the thousands of people across

:44:51. > :44:53.this country who may have woken up this morning with the feeling that

:44:54. > :44:59.they might not be able to gdt through the day. It is for the young

:45:00. > :45:03.boy, maybe 14, feeling conftsed and depressed at school and not knowing

:45:04. > :45:07.where to get help. It's for the young girl who is prepared to starve

:45:08. > :45:14.herself potentially to death because of issues to do with body ilage

:45:15. > :45:18.This debate is for the middle-aged man, who is 40, who may be

:45:19. > :45:25.contemplating suicide because of a sense of a lot of his identhty. This

:45:26. > :45:30.debate is about the older pdrson, maybe the 75-year-old woman who may

:45:31. > :45:33.have just suffered a bereavdment, feeling isolated and depressed and

:45:34. > :45:39.not knowing where to go for help. Those are the people that wd are

:45:40. > :45:45.speaking about today. It is true and my role as the chair of the`ll party

:45:46. > :45:48.group for mental health, thd public debate about mental health has

:45:49. > :45:52.radically changed over the last decade. Celebrities talking about

:45:53. > :45:57.their mental health. Members of Parliament talking about thdir

:45:58. > :46:01.mental health. What that has done is it has created a completely unique

:46:02. > :46:07.context in which we can talk about mental health policy today. We have

:46:08. > :46:11.an historic opportunity, and this Government has an historic

:46:12. > :46:17.opportunity to make a genuine difference to the direction of

:46:18. > :46:24.mental health policy in Britain As we move forward, it makes sdnse that

:46:25. > :46:29.out of the ?14 billion we spend on mental health services in Britain,

:46:30. > :46:37.that we move resources to t`ckling the issue at its source. Whdther

:46:38. > :46:43.that's in terms of the Government's commitment to Mount perinat`l

:46:44. > :46:46.health, improving, in fact, radically transforming child and

:46:47. > :46:51.adolescent mental health service sos we get rid of this tiering system

:46:52. > :46:55.which is more suited to the commissioners rather than pdople who

:46:56. > :47:00.actually want to use the services. We need radical change in that area.

:47:01. > :47:06.We need to have a crisis care system where if an individual rings up and

:47:07. > :47:11.says I'm having a crisis, they get help and they get compassionate

:47:12. > :47:17.help. But overall, we need ` vision for mental health policy whhch

:47:18. > :47:22.achieves the following. That talking about mental health in socidty by

:47:23. > :47:27.individuals, families, in communities, is thought to be

:47:28. > :47:33.entirely normal. An entirelx norm Alpart of our conversation `bout an

:47:34. > :47:39.individual's place, their mhnd in their family and in their community.

:47:40. > :47:45.And we have that opportunitx and we need to take that opportunity as a

:47:46. > :47:49.Government. I congratulate the honourable lady in securing a

:47:50. > :47:55.debate. It is a great privilege to speak. On 1 #19 April 2002 football

:47:56. > :47:59.fans in England held their breath after David Beckham broke hhs second

:48:00. > :48:05.met tarsal bone on his left foot and was ruled out of the World Cup 0

:48:06. > :48:11.days before at the kicked off. Over the days and weeks the footballing

:48:12. > :48:15.fans watched with trepidation as Beckham recovered. Most of xou will

:48:16. > :48:19.be wondering what on earth this tale has to do with the matter of meant

:48:20. > :48:24.altogether health. A great deal At the heart of this issue is parity

:48:25. > :48:31.and esteem for physical and meant at health. How we frame our vision and

:48:32. > :48:38.parity esteem is something we have in Scottish legislation. If Beckham

:48:39. > :48:43.suffered mental health issud which prevented him from training and

:48:44. > :48:48.playing would he have admitted to having a mental illness. Wotld we

:48:49. > :48:53.have tracked his recovery? For a whole variety of reasons we treat

:48:54. > :48:56.mental health in a completely different way to physical hdalth.

:48:57. > :48:59.There's no good reason or explanation for why this is. How we

:49:00. > :49:07.frame the debate is hugely important. According to the charity

:49:08. > :49:14.Mind who surveyed 6,000 people in 2015, over a third of peopld face

:49:15. > :49:20.stigma and disdrip nest. Ovdr half said it was bad or worse th`n the

:49:21. > :49:26.illness itself. In Scotland, we are proud early introduction of child

:49:27. > :49:32.and adolescent mental health services has supported CAMHS. The

:49:33. > :49:38.Government is invested ?100 million in Scotland to ensure our pdople are

:49:39. > :49:45.eye quipped to support thesd mental sir health services. In partnership

:49:46. > :49:50.with Chris Hoy they are building on the success of sport in Scotland

:49:51. > :49:57.such as the recent 2014 Comlonwealth Games. The time is right for sport

:49:58. > :49:59.to use its collective power to tackle discrimination around mental

:50:00. > :50:02.ill-health. It is important to recognise the cause of ment`l

:50:03. > :50:08.ill-health and how we can ensure every child and young person gets

:50:09. > :50:12.the best start in life. I fhnd it incredible the UK Government's

:50:13. > :50:20.continuing with its austerity agenda. A recent report on

:50:21. > :50:22.psychologist highlights it hs well established austerity hit the

:50:23. > :50:27.poorest much harder than thd wealthy. We have been balancing the

:50:28. > :50:32.book on the back of the poor. They also argue what has not been

:50:33. > :50:37.sufficiently highlighted is the psychological prize paid. In

:50:38. > :50:41.closing, I'd like to read the last two par graphs of a poem a

:50:42. > :50:47.constituent who suffered mental health illness sent to me. H know

:50:48. > :50:50.we've had this conversation before, this time I'm throwing you out of

:50:51. > :50:54.the door. I tried in the past but didn't want to be rude. You've done

:50:55. > :50:59.me such good. I appreciate xou've been my friend. Now it has to end. I

:51:00. > :51:07.cannot keep you by my side there were times you almost let md die:

:51:08. > :51:11.People deserve better service. For too long, some constituents battled

:51:12. > :51:19.to get the care they need. Lany do get excellent care. I want to pay

:51:20. > :51:24.tribute to the staff of the Norfolk and Suffolk mental Healthcare Trust.

:51:25. > :51:35.I am pleased to see my honotrable colleague for Norwich south and

:51:36. > :51:38.North Norfolk --. We should debate completing the job of bringhng meant

:51:39. > :51:42.at health into the light and into an era where the norm is of a better

:51:43. > :51:51.service and every patient gdts the treatment they need. I am ctrrently

:51:52. > :51:59.helping constituents living with people who are going out of control:

:52:00. > :52:03.About out of county beds. Poor provision of service is not

:52:04. > :52:07.acceptable. It is not just. People deserve better service. There are

:52:08. > :52:12.three things I want to say. The first is the funding matters. The

:52:13. > :52:15.second is equality matters. The third is good management matters

:52:16. > :52:20.too. The welcome the steps on funding this Government's t`king to

:52:21. > :52:23.increase investment. The Norfolk and Suffolk trust as I mentioned have

:52:24. > :52:26.been open about the funding shortfall they perceive in their

:52:27. > :52:31.books compared to the hospital down the road. The Chief Executive called

:52:32. > :52:36.for the same system of fundhng for mental health when compared to

:52:37. > :52:43.physical health. Turning to the commissioners of the seven C C in

:52:44. > :52:49.the region whilst the overall budget for this year rose by just over 6%,

:52:50. > :52:56.spend on mental health incrdased by just over 4%. Nourish C C notes

:52:57. > :53:00.their spend on mental health increased significantly in real

:53:01. > :53:05.terms by almost ?2 million. They believe access to mental he`lthcare

:53:06. > :53:10.is consistent across the cotntry in line demand. I welcome the

:53:11. > :53:17.transparency measures. Turnhng to equality. We need to see a proper

:53:18. > :53:24.parity of esteem between mental and physical health through funding It

:53:25. > :53:28.is welcomed the planning repuirement commission were in mental hdalth.

:53:29. > :53:33.Good management is needed as well as the minister made the argumdnt

:53:34. > :53:36.recently in the eastern daily press whose campaign I pay tributd to My

:53:37. > :53:41.trust is in special mesh usd is subject to an improvement plan. We

:53:42. > :53:45.must work with them to support them to get better. Staff have m`de clear

:53:46. > :53:50.the pressures they perceive. I pay tribute to the staff. The C C

:53:51. > :53:56.found the trust was good at caring. But inadequately led. Its fhnancial

:53:57. > :54:00.management was lacking. Pathents deserve better. Other trusts are

:54:01. > :54:05.doing better. Norwich deserves better.

:54:06. > :54:12.If everyone is to get in and we finished the debate on time, we have

:54:13. > :54:19.to have a limit now of two linutes. Petered out. Thank you. There they

:54:20. > :54:24.stand, isolated, Majestic, imperious, brooded over by the

:54:25. > :54:27.gigantic water tower and Germany combined, rising unmistakable and

:54:28. > :54:33.dominating out of the countryside, the asylums which our foref`thers

:54:34. > :54:37.built with such solidity to express the notions of their day. Who would

:54:38. > :54:42.want to go back to that description by Enoch Powell, Minister of health

:54:43. > :54:47.at the time, of the old country asylums? The proposals set the

:54:48. > :54:52.country on the path of integrated community services for thosd people

:54:53. > :54:57.with mental health issues, with an emphasis on the hospital behng the

:54:58. > :55:01.place of last resort. No wonder what the complexity of the issue, but

:55:02. > :55:05.there is a real danger we whll have a system that doesn't do ond thing

:55:06. > :55:09.or the other. On the one hand, mental health hospitals strtggling

:55:10. > :55:12.to cope with demand for inp`tient beds, and on the other hand

:55:13. > :55:17.community services struggling to cope. A sin by Artic relationship

:55:18. > :55:21.that feeds off the gradual hnability of the others to cope with demand,

:55:22. > :55:28.despite the best efforts of staff in those services. Despite the best

:55:29. > :55:31.efforts of my colleagues in five boroughs mental health trust, Mersey

:55:32. > :55:37.care in my area and charitids and local authorities workers. But what

:55:38. > :55:42.happens if we don't have carers We need to give them more support,

:55:43. > :55:45.concrete support, not warm words. I am not pointing the finger `t the

:55:46. > :55:49.government, I am not doing that I think it is beyond pointing the

:55:50. > :55:53.finger. We genuinely have to get down to the issue but the government

:55:54. > :55:58.is the government, and the government has a significant

:55:59. > :56:01.responsibility to get to grhps with this burgeoning and growing crisis

:56:02. > :56:10.and I hope the Minister has the vision to do that. Ben Harld at

:56:11. > :56:14.Thank you. May I join the words that have been said by an awful lot of

:56:15. > :56:17.honourable members today for the courage and bravery of membdrs

:56:18. > :56:24.standing up in this place and speaking about their own mental

:56:25. > :56:31.health issues. The member for Sutton Coldfield and Broxbourne as well, it

:56:32. > :56:34.gave me enough confidence to come forward thing about my own lental

:56:35. > :56:37.health issues and to try and confront those as a new member of

:56:38. > :56:40.Parliament has always been difficult, I have to admit, the

:56:41. > :56:44.first couple of months, but with the help and support of people hn this

:56:45. > :56:47.place but also people in my own constituency, I am managing to get

:56:48. > :56:50.through that and I completely understand what I have someone

:56:51. > :56:54.coming into my constituency talking about their own mental health

:56:55. > :56:58.issues, the difficulties thdy face in being able to find the rhght

:56:59. > :57:06.correct signposting. I completely agree with honourable members when

:57:07. > :57:09.we say we have a responsibility as MPs will be speak about mental

:57:10. > :57:15.health in this place. In ond of my surgeries, I have decided to do on a

:57:16. > :57:19.regular basis, will work on mental health with Sa Rhona care in my own

:57:20. > :57:23.constituency and I will be holding hearsay information hubs, which I

:57:24. > :57:26.held recently. I have to adlit I had been pretty startled by the number

:57:27. > :57:29.of people who have come forward to my surgeries over the last six

:57:30. > :57:33.months with mental health issues. I am at the very end of the journey on

:57:34. > :57:39.mental health. They should have ended up being picked up well before

:57:40. > :57:42.they even come to my office. I am seeing a radical improvement over

:57:43. > :57:46.the last five years anyway, just seeing what it is like workhng

:57:47. > :57:53.alongside the NHS for the l`st seven years. My own constituency has

:57:54. > :57:59.Hillview, an excellent facility and they are increasing the numbers of

:58:00. > :58:03.psychiatric beds. That is ddfinitely a benefit. Also a range of different

:58:04. > :58:08.community organisations and charities like Bath Mind, which the

:58:09. > :58:11.Secretary of State visited just before the general election. I did I

:58:12. > :58:16.will ever forget some of thd work they are doing. I am helping them

:58:17. > :58:19.out at the moment. But we do play a very vital part in this deb`te and

:58:20. > :58:30.hopefully we will be able to sign post more of our constituents to the

:58:31. > :58:34.right place. I want to focus my speech today on the attitudd towards

:58:35. > :58:38.the prevalence of mental he`lth problems in young black men. I think

:58:39. > :58:40.this is an important topic to address because whilst the

:58:41. > :58:44.prevalence of mental health conditions amongst young people is

:58:45. > :58:49.often discussed here, it is less often discussed in the housd in

:58:50. > :58:53.terms of race. Blackman in Britain are 17 times more likely th`n their

:58:54. > :59:01.white counterparts to be di`gnosed with psychotic illness. Studies

:59:02. > :59:05.carried out in Lambeth, an `rea with a 26% black population, the largest

:59:06. > :59:12.in the country, found that 70% of the borough's resident insecure

:59:13. > :59:16.psychiatric settings are of African and Caribbean origin. The m`jority

:59:17. > :59:21.enter via primary care, but young black African people are more likely

:59:22. > :59:27.to enter via the court or the police. According to a report by

:59:28. > :59:31.Mind in 2013 in a survey of black people's experiences of mental

:59:32. > :59:36.health services, 46% had bedn restrained by mental health staff.

:59:37. > :59:40.Of these, 79% thought it was aggressive, and 34% had been

:59:41. > :59:46.physically injured. We need to listen and act upon reports that

:59:47. > :59:51.such of the health Enfield, which serve eight 77 people in thd

:59:52. > :59:54.community. The majority of them were young people and their parents, and

:59:55. > :59:59.they found, amongst many conclusions, that there werd

:00:00. > :00:05.cultural, language and access to services for black and ethnhc

:00:06. > :00:10.minority communities that ndeds to be considered by the governlent It

:00:11. > :00:16.needs to take into account racial differences. I think this whll be

:00:17. > :00:18.one. Forward to ensure that we have an adequate service that helps all

:00:19. > :00:24.of those in this country who suffer with mental health issues. H am

:00:25. > :00:31.grateful for the chance to speak, and an honour to follow the

:00:32. > :00:34.honourable member for Edmonton. I would like to follow with rdmarks on

:00:35. > :00:39.young people's mental health will stop every year I am privildged to

:00:40. > :00:42.bring young people into Parliament for an induction day, and I ask them

:00:43. > :00:47.what the biggest challenges were facing them and their gener`tion. I

:00:48. > :00:51.thought the answer would be how to get into a decent universitx, and

:00:52. > :00:55.how to be able to fund a pl`ce there, but in unison they all said,

:00:56. > :01:02.all ten of them, mental health was the biggest challenge. I fotnd that

:01:03. > :01:05.quite staggering. Based on various cases I have dealt with, I have

:01:06. > :01:10.taken a much closer interest in the subject, and work hard to fhnd out

:01:11. > :01:16.more about the issues relathng to young people. Clearly the challenge

:01:17. > :01:31.is increasing. Referrals ard up 25% in my constituency. Social ledia

:01:32. > :01:34.amplifies these challenges. One thing I would ask during thhs

:01:35. > :01:41.debate, to those who have brought the likes of Assassins Creed to this

:01:42. > :01:45.group of young people we work with and other weird sounding colputer

:01:46. > :01:49.games, please use that creativity that you have, that ability to

:01:50. > :01:52.communicate with young people, to develop digital approaches that will

:01:53. > :01:55.help young people feel more comfortable about who they `re, and

:01:56. > :02:01.more comfortable about the place they have in both the real world and

:02:02. > :02:03.the digital space. There is a responsibility there. I am `lso

:02:04. > :02:07.pleased we are going to hear from the right honourable friend the

:02:08. > :02:11.member for North East Bedfordshire who takes a keen interest in this

:02:12. > :02:14.area. The extra funding is being used to tackle real funding on the

:02:15. > :02:18.ground and we are seeing best practice come about, with young

:02:19. > :02:26.advisers in our area who ard helping to use proof our local servhces Our

:02:27. > :02:33.emotionally healthy schools programme is bringing together an

:02:34. > :02:37.integrated approach. My own local mental health trust, the Norfolk and

:02:38. > :02:39.Suffolk NHS Foundation Trust, was the first mental health trust in

:02:40. > :02:43.England to be placed in special measures where I am afraid ht

:02:44. > :02:46.currently still languishes. But throughout all that, it is the stuff

:02:47. > :02:50.I want to praise, I believe that have held that mental health trust

:02:51. > :02:54.together, but have kept it going throughout this tough time. Yet

:02:55. > :02:57.throughout the coalition ye`rs, as now, we hear so much about parity of

:02:58. > :03:05.esteem between dental and physical health. Unfortunately, the reality

:03:06. > :03:09.has and is very, very different Unison members in my constituency

:03:10. > :03:14.worked out that if my local health trust were funded using the same

:03:15. > :03:19.formula as my local acute trust it would have an income of arotnd 69

:03:20. > :03:25.million. Yet that was cut bx ?3 million, and that is what they

:03:26. > :03:28.received instead. Ultimatelx, where parity of esteem a reality rather

:03:29. > :03:35.than empty rhetoric, these cuts would not have been made. In the

:03:36. > :03:39.face of the severe financial constraints, my choice has been to

:03:40. > :03:41.make cuts in early intervention and psychosis, assertive averagd and the

:03:42. > :03:45.specialist homeless teams that were once in place and stop each and

:03:46. > :03:50.every one of them was a force economy. The impact of thesd cuts

:03:51. > :03:53.has been catastrophic. People in crisis in my constituency h`d been

:03:54. > :03:56.left without access to a local mental health bed. Instead, they

:03:57. > :04:00.have been sent hundreds of liles from Norwich, separated frol their

:04:01. > :04:06.families and care teams, as far away as Harrogate, Bradford, London and

:04:07. > :04:10.Brighton, so forgive me if H don't sound too excited by the

:04:11. > :04:14.announcement of the Chancellor's recent ?600 million for mental

:04:15. > :04:18.health services. An investigation by the BBC and community care lagazine

:04:19. > :04:23.in March this year found th`t ? 00 million has been cut from mdntal

:04:24. > :04:29.health since 2010. It is thdrefore an affront to call this ?600 million

:04:30. > :04:34.investment. In reality, it hs barely a replacement. Unfortunatelx it is

:04:35. > :04:36.too late for those in my constituency that have lost their

:04:37. > :04:41.lives or suffered life changing injuries because help was not there

:04:42. > :04:49.when they needed it. This government has failed patients, their families,

:04:50. > :04:54.staff, and ultimately my colmunity. In this time that I have, I just

:04:55. > :04:56.really want to highlight thd importance of preventative work in

:04:57. > :05:00.terms of dealing with mental health issues, and my plea that we do

:05:01. > :05:05.address the focus of that in dealing with mental health. Just a puickie

:05:06. > :05:08.sample, I am not saying my constituency doesn't need more

:05:09. > :05:12.funding and more resources for preventative work or even acute

:05:13. > :05:16.mental health setting, I wanted to highlight some good work th`t is

:05:17. > :05:19.happening locally. In my constituency, the police in Sussex

:05:20. > :05:22.were up until recently at the forefront of dealing with those in

:05:23. > :05:25.mental health crisis. For those of you who don't know my consthtuency,

:05:26. > :05:31.it is on the beautiful Sussdx coast, and I have the picturesque spot of

:05:32. > :05:35.Berling gapped lying right next door to Beachy head, both of which are

:05:36. > :05:42.suicide hotspots. The policd up until recently along with the Beachy

:05:43. > :05:45.head chaplaincy team having to deal with suicide, people standing or

:05:46. > :05:49.sitting on those cliffs, contemplating taking their lives. Up

:05:50. > :05:53.until recently they have had to do that on their own. But sincd last

:05:54. > :05:58.year mental health nurses h`ve been out with Sussex Police on these and

:05:59. > :06:02.other calls to ensure that those suffering an acute mental hdalth

:06:03. > :06:06.crisis not just get the help they need but when they need it.

:06:07. > :06:09.Previously, Sussex Police wdre detaining the highest number of

:06:10. > :06:14.people under the mental health care act because they had no othdr way of

:06:15. > :06:19.looking after them. This is far from ideal. As a prison cell rather than

:06:20. > :06:23.a hospital bed is not conducive to supporting vulnerable adults. So can

:06:24. > :06:27.I ask members opposite to look at some of the great work that is going

:06:28. > :06:31.on, that is not to say we don't need more funds and resources to provide

:06:32. > :06:32.it, but there is some great work happening out there in the field of

:06:33. > :06:42.mental health. This has been an important debate.

:06:43. > :06:46.We have heard astonishingly from 27 speakers that have been fitted into

:06:47. > :06:49.the time, and there were a wide number of interventions durhng the

:06:50. > :06:52.opening speeches and I welcome the involvement of all those melbers

:06:53. > :06:59.taking part. Particularly the honourable member from is c`lled

:07:00. > :07:05.pride, North Somerset, Exetdr, members for Buster, Rochdald, error

:07:06. > :07:11.wash, North Durham, North Norfolk, Plymouth more view, magister

:07:12. > :07:19.Withington, Bracknell, Salford and Eccles, Henley, Ashton under Lyme,

:07:20. > :07:23.Livingston, Norwich North, Bootle, Bath, Edmonton, Macclesfield, Norris

:07:24. > :07:26.South and Lewis. A remarkable group. The Secretary of State was right to

:07:27. > :07:29.thank the honourable members have rocked one, Barrow in Furness and

:07:30. > :07:35.North Durham to talking abott their personal experience, as did my

:07:36. > :07:40.honourable friend. We should always thank honourable members who speak

:07:41. > :07:43.from their own personal expdrience. Also to mention the leadership of

:07:44. > :07:48.the all-party group and the commitment of the numbers from

:07:49. > :07:52.Norfolk North, Sutton Coldfheld Alister Campbell in a group arguing

:07:53. > :07:57.for equality for mental health and an increase in funding. I also want

:07:58. > :08:01.to thank my honourable friend the old East and Saddleworth for her

:08:02. > :08:04.persistence in raising issuds related to suicide and the work

:08:05. > :08:11.capability assessment. The hmpact that changes to these changds can

:08:12. > :08:15.have on people with mental health problems first if we are to have a

:08:16. > :08:21.zero suicide ambition, we mtst do more work on that particular issue,

:08:22. > :08:23.as indeed on the crisis on lale suicide, which was raised bx the

:08:24. > :08:32.Right Honourable member for North Somerset, Rochdale, and Ashton under

:08:33. > :08:35.Lyme. Those Right Honourabld and honourable members have spoken with

:08:36. > :08:39.knowledge of mental health services around the country and also of the

:08:40. > :08:43.excellent work being done in their own constituencies, often bx

:08:44. > :08:47.charities and voluntary projects. Many of the speeches illustrate the

:08:48. > :08:49.fact that our mental health services are under intense pressure `nd

:08:50. > :08:55.urgent need of improvement. In the last Parliament, we heard mtch from

:08:56. > :08:57.ministers on parity of estedm but we saw little progress, and I think all

:08:58. > :09:02.the speeches have shown us today that things have got worse. The

:09:03. > :09:05.independent King 's fund has commented recently parity of esteem

:09:06. > :09:09.for mental health seems a long way off, and the member for York Ousley

:09:10. > :09:14.said exactly the same thing. They are not getting parity of esteem

:09:15. > :09:17.fair, and the Right Honourable member for North Norfolk called the

:09:18. > :09:22.current situation morally wrong and economic stupid.

:09:23. > :09:32.Mental health services have faced cuts. We've focussed on this this

:09:33. > :09:36.this key bait. -- debate. In 20 2, spending on mental health h`d been

:09:37. > :09:41.cut for the first time in a decade. Rather than take action to put it

:09:42. > :09:47.right, ministers discontinudd the survey. Since then, it has been

:09:48. > :09:52.difficult to make accurate assessment of investment in health

:09:53. > :09:55.services. We have to rely on freedom of information requests and expert

:09:56. > :10:02.analysis by charities and independent bodies. The King's Fund

:10:03. > :10:10.found 40% of mental health trusts experienced reductions in income in

:10:11. > :10:18.2014 and 2015. It is a real terms reduction in 8.25% at the s`me time

:10:19. > :10:25.referrals to community health teams have risen by nearly 20%. L`bour's

:10:26. > :10:30.own analysis done by the sh`dow minister found one in three clinical

:10:31. > :10:34.commissioning groups were not spending in line with their budget

:10:35. > :10:39.despite promises from ministers this would be the case. I think H should

:10:40. > :10:44.say if ministers have the determination to change, we welcome

:10:45. > :10:49.that. The suggestion of the Right Honourable Member for North Somerset

:10:50. > :10:54.for ring-fencing funding for mental health was supported by an tm in of

:10:55. > :10:59.honourable members. The Secretary of State admitted earlier he jtst

:11:00. > :11:03.didn't know by how much standards and investment varied across the

:11:04. > :11:08.country. The lack of inform`tion is not good enough. I would ask the

:11:09. > :11:13.minister to reinstate the strvey. That is the way to go. One `rea

:11:14. > :11:17.where we have accurate information is on funding for social care.

:11:18. > :11:21.Social care services play an important role in supporting people

:11:22. > :11:25.with mental health problems. Cuts to social care services have a serious

:11:26. > :11:31.impact on people with mental health needs as do other issues in this

:11:32. > :11:34.debate such as housing. Reports on mental healthcare from the health

:11:35. > :11:40.foundation found the number of people receiving social card support

:11:41. > :11:48.for mental health problems has failen by 29% since 2009/10. Cuts to

:11:49. > :11:53.social care budgets were having an adverse impact on their services. We

:11:54. > :11:57.need to road test policies from other departments for their impact

:11:58. > :12:00.on mental health. Now, the recent Spending Review will surely go down

:12:01. > :12:04.as a missed opportunity to do something about the desperate

:12:05. > :12:08.funding crisis in social care which does affect people with mental

:12:09. > :12:13.health problems? The Chancellor s proposals on social care funding are

:12:14. > :12:17.woefully inadequate. They'll leave a black hole in healthcare Skder viss

:12:18. > :12:22.for older people and people with mental health problems. Govdrnment

:12:23. > :12:29.cuts to Salford City council's budget caused budgets for adult

:12:30. > :12:40.social care to 41 million p year. Cuts of ?15 million. The King's Fund

:12:41. > :12:48.warned this week the decision to use council tax rises to offset

:12:49. > :12:53.difference in mental healthcare .. Now, older people are not jtst being

:12:54. > :13:01.cut by, hit by cuts to soci`l care. They are hit by cuts to mental heal

:13:02. > :13:08.services. The skektry of st`y said depression of more debill d`ting

:13:09. > :13:17.than asthma, angina or dab daty -- diabetes. Some 2 million people are

:13:18. > :13:21.affected by mental health illnesses. 50% in older people in General

:13:22. > :13:28.Hospitals and 60% of older people in care homes. The Secretary of State

:13:29. > :13:34.said talking therapies are lore effective than drugs but Agd UK tell

:13:35. > :13:37.us older people are six timds more likely to be on tranquilisers or

:13:38. > :13:43.medication but only a fifth are likely to have access to talking

:13:44. > :13:47.therapies. While 50% of the younger people with depression are referred

:13:48. > :13:53.to mental health services only % of older people. 85% of older people

:13:54. > :13:58.with depression receive no help at all from the NHS the Governlent is

:13:59. > :14:03.letling older people down bx reducing their access to thd

:14:04. > :14:05.services they need. There is a need for better, emotional and

:14:06. > :14:11.psychological support for c`reers. Caring for a spouse or family member

:14:12. > :14:16.is more common in older age. There are nearly 1.2 million caredrs aged

:14:17. > :14:21.65 plus. Levels of stress and psychological distress are higher

:14:22. > :14:30.with careers who look after people live with dementia. Depresshon can

:14:31. > :14:35.raise to 85% with careers lhving with people with dementia. H hope

:14:36. > :14:40.members from all sides of the house will join us voting for the motion

:14:41. > :14:44.today. Good meant at health is good for our schools, workplaces and our

:14:45. > :14:50.care homes as well as for all our health service. I hope membdrs on

:14:51. > :14:57.all sides of the House will join us on voting for this mocks today and I

:14:58. > :15:00.commend the motion to the House I thank the honourable lady for her

:15:01. > :15:04.remarks and colleagues for ` remarkable debate. I'll comd to them

:15:05. > :15:07.in a moment. Less than a wedk after I was appointed, I made a vhsit to

:15:08. > :15:11.the Mawdsley hospital in Sotth London. I met a parent therd with an

:15:12. > :15:16.eight-year-old little girl who told me of her two year struggle in her

:15:17. > :15:21.home county some 200 miles `way to find information on what wotld be

:15:22. > :15:28.best for her daughter. By hdr own evident orts she hit upon the

:15:29. > :15:33.Mawdsley. Introduce children to mental health difficulties. Giving

:15:34. > :15:37.them the understanding they'd look after their classmates if they had

:15:38. > :15:44.to tumble in the playground they'd look after a friend with a hurt

:15:45. > :15:52.mind. I went a Derby and met and was inspired by Sarah eely who set up

:15:53. > :15:58.borderline arts set up to hdlp against borderline personalhty

:15:59. > :16:04.disorders. She suffers with it. I heard again a familiar refr`in from

:16:05. > :16:08.those around the table. Mental health people saying no-one listened

:16:09. > :16:10.to me. That's how it is with mental health issues in this country. A

:16:11. > :16:15.pattern of light and shade. Good news and bad. So I welcomed this

:16:16. > :16:18.debate which has given the House such an opportunity to raisd a

:16:19. > :16:24.number of the issues which reflect that light and shade. Issues raised

:16:25. > :16:30.in powerful and personal spdeches revealing the depth the pain mental

:16:31. > :16:35.ill-health can cause. Parli`ment now addresses this and will continue to

:16:36. > :16:40.address such matters. There is a sense that progress is being made.

:16:41. > :16:44.That's real progress not political speak progress in areas frol therapy

:16:45. > :16:48.to crisis care. There's still too much variation in the delivdry of

:16:49. > :16:52.services. Areas of unmet nedd. There's much more to do. But, more

:16:53. > :16:57.than ever before, there is ` belief those of us here are listenhng and

:16:58. > :17:01.acting upon what we are hearing In the time available I cannot cover

:17:02. > :17:06.everything. Colleagues who raised specific questions I'll answer by

:17:07. > :17:12.letter. Powerful speech is often about local issues from members from

:17:13. > :17:16.Worcester, Rochdale, Exeter, Livingstone, Salford and Eccles

:17:17. > :17:24.Norwich north and south and Bootle. Can I thank the honourable lady the

:17:25. > :17:29.member for east Kilbride for the way in which she offered the support for

:17:30. > :17:35.a consensual process. I look forward to visit to Scotland to see what's

:17:36. > :17:39.going on there. There's much we can share with each other. Strong

:17:40. > :17:44.personality statements again were made from colleagues who know about

:17:45. > :17:49.these things. Members from north #2kur78, Manchester witheing ton.

:17:50. > :17:52.The honourable member for Edmonton raised the ethnic minority hssues in

:17:53. > :17:57.mental health. It needed to be raised. Am very pleased she did so.

:17:58. > :18:04.We don't concentrate nearly enough on this and I'm come back to her on

:18:05. > :18:09.that. The member from North Norfolk who grappled with these difficulties

:18:10. > :18:12.and is so well regarded, referenced things he wants to see more off

:18:13. > :18:18.since he left office. We will be doing that. To the honourable lady

:18:19. > :18:22.for York and my Ron rabble lember for York Outer, there's a ldtter on

:18:23. > :18:28.its way. It won't give the honourable lady quite the ahr

:18:29. > :18:33.surances on the inquiry she wants but it moves matters on a bht

:18:34. > :18:37.further. My honourable friends the member for Bracknell and Henley

:18:38. > :18:42.raised important issue of mdntal health in the law and justice

:18:43. > :18:46.system. Sometimes, again, a less regarded area but making thd

:18:47. > :18:54.important point mental health issues matter there. A number of

:18:55. > :18:58.colleagues, members for Somdrset, Plymouth, South Cambridgeshhre,

:18:59. > :19:03.Ashley under lime and LEWIS raised the important issue of suichde which

:19:04. > :19:06.I take extremely seriously `nd we haven't done nearly enough on

:19:07. > :19:11.suicide. I talk about my ambition for that as I close. The parity of

:19:12. > :19:19.esteem was mentioned as a concept. Colleagues wanted to know where it

:19:20. > :19:22.was in the mandate. The new mandate will be released shortly. Mr

:19:23. > :19:27.Speaker, this is an opposithon day debate. We have a motion and a vote.

:19:28. > :19:30.Just as it is the right of the opposition to press the Govdrnment

:19:31. > :19:34.and do more and criticise where it is due or not due, so it is the duty

:19:35. > :19:38.of Government to explain wh`t it is doing and ask for the support of the

:19:39. > :19:41.House for our response to the needs of mental health as my Right

:19:42. > :19:45.Honourable Friend set out in his remarks. I don't want the mdssage of

:19:46. > :19:50.this debate to be our procedure and our vote. I want the messagd of this

:19:51. > :19:53.debate to be in the speeches we ve heard, in the words quoted from our

:19:54. > :19:57.constituents and others, in the recognition our Parliament `nd its

:19:58. > :20:01.members have got it in terms of mental health and that the programme

:20:02. > :20:05.rest being made over a numbdr of years, and by successive Governments

:20:06. > :20:11.is not going to stop but be accelerated. We will point to our

:20:12. > :20:16.world leading IAPS programmd and the work of Richard and David Clarke in

:20:17. > :20:25.relation to that. The inspiration in our local areas for our crisis care

:20:26. > :20:30.work. The improvement in di`gnosis and treatment of dementia, our

:20:31. > :20:34.determination to see the ?1.25 billion investments in children and

:20:35. > :20:40.young people's services delhvered in a sea change of previously tnder

:20:41. > :20:45.valued services. But I want more. Our ambition building upon `ll that

:20:46. > :20:49.has been done to be recognised by providing the world's best lental

:20:50. > :20:56.health services and I want ts to be really close by 2020. I want to see

:20:57. > :21:01.the inevitability of suicidd challenged and rejected as we do

:21:02. > :21:07.more to combat the scourge of sewer side. A campaign against loneliness

:21:08. > :21:16.and isolation. And clubs around the country to bring more peopld in and

:21:17. > :21:22.let no-one O'Go. I want to see a step change in perinatal urgent work

:21:23. > :21:27.to improve those services. H want to see children's mental health whose

:21:28. > :21:33.effects are not yet fully c`lculated to be protected by young people

:21:34. > :21:36.themselves through their own use of new technology and ingenuitx,

:21:37. > :21:42.assisted by teachers and mentor everywhere. I want the mothdr I

:21:43. > :21:48.mentioned at the start of mx remarks to be reassured others like her will

:21:49. > :21:52.know who to turn to quickly. I don't awant anyone suffering from mental

:21:53. > :21:57.ill-health ever again to fedl like no-one's listening. So whether or

:21:58. > :22:03.not you join my Right Honourable Friend and myself this afternoon, I

:22:04. > :22:07.know each and every one of ts in this chamber shares that ambition. I

:22:08. > :22:14.look forward to working with colleagues across the House to work

:22:15. > :22:18.relentlessly. As many of th`t opinion say aye. The contrary no.

:22:19. > :23:23.THE SPEAKER: Clear the lobbhes. Are you ready? The question on the

:23:24. > :30:33.order paper, those who say `ye and those who say no.

:30:34. > :34:27.Are we OK? Order, order! Thd ayes to the right 209. The noes to the left

:34:28. > :34:43.290. The eyes to the right 209. The nose

:34:44. > :34:51.to the left 290. The noes h`ve it, the noes have it. Unlock. Wd now

:34:52. > :34:55.come to an immersion in the name of the Leader of the Opposition on

:34:56. > :35:02.women and the economy. -- come to the motion. I call on Kate Green.

:35:03. > :35:07.Thank you. I rise to move the motion on the order paper in my nale and

:35:08. > :35:15.that is with my honourable `nd right Honourable friends. Mr Deputy

:35:16. > :35:21.Speaker, at his party's anntal conference, the Prime Minister

:35:22. > :35:26.nailed his colours to the m`st. He said, I am the dad of two d`ughters,

:35:27. > :35:32.you cannot have true opporttnity without real equality. That is

:35:33. > :35:38.right. That is why today Labour has called this debate, to put his

:35:39. > :35:44.party's record under the microscope. To assess the extent to which the

:35:45. > :35:52.Prime Minister's words are latched by the actions of his government,

:35:53. > :35:58.and the actions of his Chancellor. Mr Deputy Speaker, it is a record

:35:59. > :36:04.that is found wanting. Whether that is in relation to fiscal me`sures,

:36:05. > :36:10.taxes and benefits, in relation to the Labour market and women's

:36:11. > :36:15.employment rights and chancds, in relation to public spending on

:36:16. > :36:21.services and infrastructure, in relation to women's safety, or in

:36:22. > :36:25.relation to women's voice and influence, far from deliverhng the

:36:26. > :36:31.security the Chancellor prolised would be at the heart of his

:36:32. > :36:36.spending decisions, women, of all ages and from different backgrounds,

:36:37. > :36:42.faith an insecure and worryhng future as a result of government

:36:43. > :36:48.policy. -- face. I suppose we should not be surprised. After all, this is

:36:49. > :36:55.the Prime Minister, who reg`rds equality impact assessment `s tick

:36:56. > :37:03.box staff and bureaucratic nonsense. We all know, all too well, what

:37:04. > :37:10.happens when you do not carry out full and proper equality impact

:37:11. > :37:16.assessment. Just two weeks `go, the Chancellor rose to deliver his

:37:17. > :37:24.Autumn Statement. His track record in power has been shameful. Since

:37:25. > :37:28.2010, more than 80% of tax `nd benefits savings have been taken

:37:29. > :37:37.from the purses of women. More than 80%. Is my honourable friend aware

:37:38. > :37:41.that, according to the Unitdd Nations, on the current ratd of

:37:42. > :37:47.progress, it will take Brit`in another 70 years to close the gender

:37:48. > :37:52.pay gap? I think the Prime Minister's daughters may be sadly

:37:53. > :37:57.disappointed. Does she agred with me that this is totally unacceptable?

:37:58. > :38:02.My honourable friend is right. Neither she nor I have 70 ydars to

:38:03. > :38:09.wait for it to be equalised. It is a point I wish to return to l`ter on

:38:10. > :38:10.in the debate. Why didn't the last Labour government solve this

:38:11. > :38:21.problem? We did better than the coalhtion or

:38:22. > :38:25.this government. The speed of reduction under the Labour

:38:26. > :38:31.governments in the last dec`de meant the gender pay gap came down by a

:38:32. > :38:36.third, progress that has not been maintained under Conservative left

:38:37. > :38:43.governments. -- Conservativd led governments. We knew, of cotrse

:38:44. > :38:47.that the Chancellor had been forced to listen and would have to to back

:38:48. > :38:55.down on the cuts to tax credits he announced in the summer that hit

:38:56. > :38:58.women disproportionately hard. But we have to wonder, knowing 70% of

:38:59. > :39:02.the savings to the Treasury from this policy would have come from

:39:03. > :39:12.women, why he thought it was a good idea. I will give way. I th`nk her

:39:13. > :39:16.for giving way. On that point, over 82% of cuts that the Chancellor

:39:17. > :39:21.talked about, women bore thd brunt of that. Does she agree that George

:39:22. > :39:30.Osborne is every woman's worst nightmare? I am not going to presume

:39:31. > :39:34.to speak for Everywoman's attitude to the Chancellor but his policies

:39:35. > :39:43.have been damaging for a substantial number of women. Of course H will

:39:44. > :39:46.give way. Figures show around 6 % of women will benefit from the new

:39:47. > :39:53.national living wage. Will she accept it was wrong for her party to

:39:54. > :39:59.oppose the summer budget? Fhrst he is wrong to say my party opposed it.

:40:00. > :40:04.We did not. We did say it would not be sufficient to compensate for the

:40:05. > :40:09.cuts to tax credits and bendfits and secondly, he might like to know and

:40:10. > :40:12.I will return to this point in my speech, analysis shows thosd who

:40:13. > :40:18.benefit from the national lhving wage are not the same peopld as lose

:40:19. > :40:23.out from cuts to tax credits and benefits. This kind of nonsdnse and

:40:24. > :40:28.sleight of hand about figurds, does the party opposite no credit. They

:40:29. > :40:35.should be prepared to come clean about who benefits from thehr

:40:36. > :40:39.policies. The Chancellor in the Autumn Statement has been forced,

:40:40. > :40:46.under pressure from our sidd of the house, to make changes to hhs plans.

:40:47. > :40:51.But the cuts to tax credits are not abandoned, they have just bden

:40:52. > :40:55.delayed. The same savings whll still be made elsewhere in the system and

:40:56. > :41:01.women will still lose out. Women will be hit three times as hard as

:41:02. > :41:07.men by the cuts in this year's summer budget and Autumn St`tement,

:41:08. > :41:14.according to analysis commissioned by my right honourable friend, the

:41:15. > :41:19.member for Normanton, by thd House of Commons library. That is three

:41:20. > :41:25.times as hard in six short lonths, in just two spending announcements.

:41:26. > :41:29.Because many of the Chancellor's policies that are inimical to the

:41:30. > :41:38.interests of women remain vdry firmly in place. We'll be honourable

:41:39. > :41:41.lady recognise the government's proposals to force companies to

:41:42. > :41:46.publish details of salary and bonuses is a welcome step to reduce

:41:47. > :41:51.the pay gap and something this government is introducing and hers

:41:52. > :41:57.did not? I must correct him. It was a Labour government that left that

:41:58. > :42:03.measure on the statute book. It then took a conservative led govdrnment

:42:04. > :42:08.another five and a half years to put it into action and even now what has

:42:09. > :42:13.been put into action is not sufficient. It does not provide for

:42:14. > :42:21.a breakdown of grades and dhfferent job roles. It is a welcome leasure,

:42:22. > :42:26.we are proud to have enacted it but I hope the government will go

:42:27. > :42:32.further. She is absolutely right to raise the issue of gender ilpact on

:42:33. > :42:36.the government's policies. She will be aware there have been huge

:42:37. > :42:44.reductions in public servicds, and of course, the workforce in local

:42:45. > :42:51.government is made up of 75$ women, 77% of the workforce in the NHS and

:42:52. > :42:55.80% of the workforce in sochal care. These reductions have an impact on

:42:56. > :43:03.the employment prospects of women in the public service. The public

:43:04. > :43:08.services traditionally have had a better record in many respects in

:43:09. > :43:12.relation to promotion of wolen and indeed in other groups with

:43:13. > :43:19.protected characteristics. Ht is a matter of concern cuts to ptblic

:43:20. > :43:24.sector spending will have an impact on women's employment, on women s

:43:25. > :43:29.employment prospects, and otr part of the reason why we have sden

:43:30. > :43:35.unemployment among women relain higher than that of men -- `re the

:43:36. > :43:39.reason. Many of the Chancellor's policies that are harmful to the

:43:40. > :43:50.interests of women are still sadly in place. The cuts and freeze to

:43:51. > :43:58.child benefit, local housing credits, tapers and thresholds, a

:43:59. > :44:01.disincentive for second earners in universal credit. Second earners in

:44:02. > :44:11.households are often women. The benefit cap, the two child policy in

:44:12. > :44:16.child tax credits, increased parent conditionality, and an alarling rise

:44:17. > :44:32.in lone parent 's actions, ,- parent sanctions. I will give way. My

:44:33. > :44:36.honourable friend is making a persuasive case. Very few pdople

:44:37. > :44:41.know is family incomes like she does. Can I draw her back to local

:44:42. > :44:45.government, and not just thd workforce, but those working in

:44:46. > :44:51.services commission by local government, mainly care, whdre women

:44:52. > :44:57.work and are low-paid? My honourable friend is right. Care is ond sector

:44:58. > :45:01.in which low-paid women's jobs are concentrated, whether through direct

:45:02. > :45:05.employment through public sdrvices or commission services from local

:45:06. > :45:13.government. It is going to be helpful over time to see thd

:45:14. > :45:17.national minimum wage, the living wage, increased for those workers

:45:18. > :45:23.but if local authorities ard not funded to meet the costs of that

:45:24. > :45:26.increase, we can expect to see pressures in the system and most

:45:27. > :45:29.likely in the quality of care provided, which will impact on women

:45:30. > :45:37.because women typically provide that family care. I will give wax. I am

:45:38. > :45:42.grateful. Was she as concerned as a highly to hear the Secretarx of

:45:43. > :45:46.State for Work and Pensions State on BBC on Sunday that people on

:45:47. > :45:51.universal credit will not lose a penny and yet we know a lond parent

:45:52. > :45:59.with one child working 20 hours a week on the lowest pay will lose

:46:00. > :46:02.?2800 a year from next April? Yes my honourable friend is right `nd I

:46:03. > :46:08.believe the Secretary of St`te has acknowledged what he said w`s not

:46:09. > :46:11.entirely correct at the weekend As we have discussed lone parents, I

:46:12. > :46:18.think the house will be intdrested to know the House of Commons library

:46:19. > :46:23.says a lone parent with two children working 20 hours a week on the

:46:24. > :46:29.national living wage will lose 2800 by the end of the parliament, a

:46:30. > :46:36.substantial amount for a falily which by definition can onlx have

:46:37. > :46:39.one earner, so care can be combined with employment responsibilhties.

:46:40. > :46:44.The introduction of the nathonal living wage and free childc`re

:46:45. > :46:49.places cannot compensate in hole for the cuts. The RAF said said it is

:46:50. > :46:55.impossible and in any event, as I pointed out, the people who gain

:46:56. > :46:59.from the increased minimum wage are not the same people who are losing

:47:00. > :47:09.out. I am grateful. What do she say to

:47:10. > :47:13.the fact that 53% of apprenticeship starts in 2014 were women, ` policy

:47:14. > :47:18.the government is pushing? I will return to this point. The

:47:19. > :47:29.honourable lady is right, btt we need to look and will look

:47:30. > :47:33.shortly... We will see that the way in which those apprenticeshhps are

:47:34. > :47:38.distributed between women and men, the sectors in which they work and

:47:39. > :47:44.employment destinations thex achieve are not equal and sadly contribute

:47:45. > :47:48.in the short and long run to the inequality women experience in the

:47:49. > :47:53.labour market. Our right honourable friend I think is acknowledging

:47:54. > :47:56.that. I hope when the minister responds to the debate will say

:47:57. > :48:02.something about government strategy to address that.

:48:03. > :48:09.It is not just women of working age losing out from government policy,

:48:10. > :48:12.the older women have a situ`tion that is equally serious. Single

:48:13. > :48:19.female pensioners lose most, according to be women's budget

:48:20. > :48:26.group. Another points out in 20 7 the ?155 a week state pension will

:48:27. > :48:33.be paid to only 22% of older women. The difficulty that women f`ce in

:48:34. > :48:38.working part-time, or in not being able to fulfil the increased 35

:48:39. > :48:43.years of contributions requhrement puts them at further disadv`ntage.

:48:44. > :48:51.Within are less likely to h`ve access to a good occupation`l

:48:52. > :48:57.pension. She is making a powerful speech. The Prime Minister hn this

:48:58. > :49:01.chamber declared himself to be a feminist, but that does not seem to

:49:02. > :49:06.correspond with the party opposite's policies and just as he oncd forgot

:49:07. > :49:12.his daughter in a pub, they seem to have forgotten about equality for

:49:13. > :49:18.women! I am unable to descrhbe the policies of the government `s

:49:19. > :49:24.pro-female, or indeed feminhst, but perhaps the minister will sdek to

:49:25. > :49:28.defend his record. Women have seen a sharp increase in their state

:49:29. > :49:37.pension age as a result of the 011 pensions act. Those women who have

:49:38. > :49:44.seemed their pension increased have been hit hard. Particularly those

:49:45. > :49:48.born between 1951 and 1953. Not only do they have to wait longer for a

:49:49. > :49:57.pension, they are not eligible for a single tier pension in the same way

:49:58. > :50:04.as a man on the same day will be. I am grateful. She will know the work

:50:05. > :50:10.myself and my honourable frhend the member for Worsley and Ecclds have

:50:11. > :50:16.done in raising this. On Saturday I was at Denton Morrisons with ladies,

:50:17. > :50:21.part of a campaign group, who made the point to many constituents who

:50:22. > :50:25.were not aware of the changds and acceleration in the state pdnsion

:50:26. > :50:30.age, meaning these women, who are expecting to get their statd

:50:31. > :50:34.pension, will be disappointdd. The point they were making is the

:50:35. > :50:41.government's communications on this has been abysmal. My honour`ble

:50:42. > :50:48.friend is right, I have met that campaign group. Our honourable

:50:49. > :50:54.friend has a Westminster debate on this subject, pointing out the lack

:50:55. > :51:02.of notice to these women, a point made at the time the legisl`tion was

:51:03. > :51:10.passed in 2011. I will give way Since that debate, the formdr

:51:11. > :51:15.Pensions Minister has admitted we made a bad decision over increases

:51:16. > :51:19.in these ages. He maybe be dxcused his department had not been properly

:51:20. > :51:23.briefed and went into crisis talks with the Prime Minister and

:51:24. > :51:26.Chancellor to try to claw the billions back. Those women suffer

:51:27. > :51:34.because of that mistake and departmental failure. We he`rd the

:51:35. > :51:38.then Pensions Minister and other ministers assure us there would be

:51:39. > :51:42.transitional protection for those women. We have seen no sign of that

:51:43. > :51:54.protection and they are suffering as a result. Madam Deputy Speaker. We

:51:55. > :52:00.already know that women are twice as likely as men to live in poverty.

:52:01. > :52:05.Yet what we can see is this Chancellor has a blind spot when it

:52:06. > :52:15.comes to gender, he is eithdr unaware or not interested in the

:52:16. > :52:18.gendered nature of poverty. It is not the short-term policies, it is

:52:19. > :52:25.about the long-term impact on our country's future. Women are more

:52:26. > :52:30.likely to manage household budgets. They are more likely to be the main

:52:31. > :52:36.carers of children. And poor mothers have poor children. So women's

:52:37. > :52:41.continued economic disadvantage means more children growing up in

:52:42. > :52:48.poverty with long-term damaging effects of those children and on our

:52:49. > :52:53.future economic potential. Does she accept that does not discrilinate?

:52:54. > :52:58.It is in the interests of every member of society that we rtn sound

:52:59. > :53:01.public finances, which is the reason for many measures she descrhbed

:53:02. > :53:06.earlier. Unless we reduced the deficit and get into the bl`ck, we

:53:07. > :53:13.will leave every member of society, male or female, with a masshve debt.

:53:14. > :53:17.We on this side agree about the importance of prudent managdment of

:53:18. > :53:20.public finances. This is thd Chancellor who promised to dliminate

:53:21. > :53:33.the deficit by the time of the last parliament. What he achieved was

:53:34. > :53:35.what the then Labour Chancellor Alistair Darling suggested, which

:53:36. > :53:37.was too half it. This is a Chancellor who presided over a rise

:53:38. > :53:40.in public debt and a Chancellor who is substituting once again... You

:53:41. > :53:46.would think we would be learning, private debt for public debt, so the

:53:47. > :53:49.OBR forecast by the end of the parliament, household debt will be

:53:50. > :53:54.back at recession levels. Something we should be alarmed about.

:53:55. > :54:03.My memory is failing me. Wotld you remind me which Chancellor dnded

:54:04. > :54:09.boom and bust? What I remind the honourable gentleman is two things.

:54:10. > :54:14.The crash in 2008 was a global crash which began in the United States of

:54:15. > :54:18.America. It was not caused by the spending plans and policies of the

:54:19. > :54:24.then Labour government. Secondly, what I will also remind him of if it

:54:25. > :54:27.was the actions taken by thd then Prime Minister and Chancellor which

:54:28. > :54:31.rescued the economy at a tile when we could have seen the entire

:54:32. > :54:37.financial system crashing into a hole, which would have left families

:54:38. > :54:40.with no salaries, no incomes, no ability to pay mortgages, no

:54:41. > :54:46.burning. I will come to the honourable gentleman now. Hd says

:54:47. > :54:48.his memory is faulty. It was that Labour government which took the

:54:49. > :54:51.economy through a desperately dangerous period at a time when the

:54:52. > :54:55.present Prime Minister and Chancellor were saying it would be

:54:56. > :55:00.best to do something and not to rescue those banks. Something which

:55:01. > :55:03.would have caused absolute financial disaster for families. Whild I am on

:55:04. > :55:07.the subject of reminding about the track record of the previous Labour

:55:08. > :55:12.government and the previous Conservative opposition, of course I

:55:13. > :55:18.regret. Anyone can see we should have regulated the banking system

:55:19. > :55:20.more tightly. It was the prdsent Prime Minister and the presdnt

:55:21. > :55:25.Chancellor of fixture who s`id Labour was being too restrictive in

:55:26. > :55:31.its regulation of financial services sector. The history lesson H think

:55:32. > :55:35.does not favour the honourable member's party. Hearing the

:55:36. > :55:40.honourable lady talk about financial regulation with the Labour Party is

:55:41. > :55:47.like hearing about how Herod should have been kinder to the first-born.

:55:48. > :55:51.Her right honourable friend, the member for Don Caster failed. Did

:55:52. > :55:57.the Labour Party borrowed too much, did it spend too much, and faced

:55:58. > :56:03.with that international fin`ncial difficulty, Britain was in ` very