The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
It is an honour to respond on behalf of my hon. Friend the Mental Health Minister and the Government on this uniquely emotive topic that impacts every community. I thank my hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher) for giving us the opportunity to have this debate the day after World Suicide Prevention Day. I know that the whole House will join me in thanking him for channelling a deep amount of personal pain and sorrow into such a constructive debate. His family and constituents should be rightly proud.
I also want to commend all hon. Friends and hon. Members for their contributions, many of which have also come from a position of personal pain and experience. Often in our society it is the doctors and nurses who are perceived to be the lifesaver, but I am confident that every hon. Member who has taken part in the debate is a lifesaver, and their constituents should be rightly proud of all of them.
The hon. Member for Winchester (Dr Chambers) spoke about the mental health fund, and I would be delighted to set up a meeting with him and my colleague the Mental Health Minister to talk further about that. My hon. Friend the Member for Burton and Uttoxeter (Jacob Collier) asked for a meeting with his constituent Helena’s parents, and I would also be delighted to arrange that. The hon. Member for Hinckley and Bosworth (Dr Evans), in his usual forensic manner, asked a number of questions that I hope I will address in my speech, but I am sure he will be forthcoming if there are any shortcomings in my answers.
The Government stood on a manifesto commitment to tackle the biggest killers, and suicide remains the leading cause of death for young people in this country. Every life lost to suicide is one too many. That is why our men’s health strategy, our plan for change and our 10-year health plan have given a renewed focus on prevention. Our aim is to get the NHS, Government Departments, academia and the private sector to intertwine like never before in a call to action.
Let me briefly set out the different strands of the work. First, we will target high-risk groups, including children and young people, middle-aged men and people known to have a history of self-harm. Secondly, we will expand the offer of our mental health emergency departments as part of our 10-year plan. Thirdly, we will imbibe a greater sense of responsibility and responsiveness in the digital and media sectors.
Too often people in crisis find themselves terrified and vulnerable in places that are least equipped to help them—for example, traditional A&E departments, facing long waits and often inadequate support. That is why we are committed to expanding mental health emergency departments. We are investing up to £120 million to bring the number of mental health emergency departments up to 85, while piloting an innovative model of mental health care for people with serious mental health needs. That will mean that people in their darkest moments can access immediate specialist care in safe and dignified spaces.
Given that only one third of people who die by suicide are in contact with mental health services, we are also working to make support easier to find and easier to navigate. Our shift from hospital to neighbourhood care in the 10-year plan is a big part of that, as is NHS England’s recently published “Staying Safe from Suicide” guidance, which is for all mental health practitioners to follow. It removes any uncertainty about the approach that they should take, moves them away from tick-box checklists and puts each patient and their individual circumstances at the centre of their care. Today, I can update the House that NHS England is launching an e-learning module as a practical resource to support the implementation of the guidance.
The whole country was horrified by the excellent portrayal of the issues currently affecting young men in the television show “Adolescence”. It is a work of fiction, but it shone a searing light on many of the struggles that young people face, including social isolation—ironically, in an age of social media and connectivity. That is why this Government are taking action by equipping a generation of young people with the tools to manage their mental health. By the end of this Parliament, every school in England will have access to a mental health support team.
But as we safeguard our children in schools, we cannot remain blind to the poisonous environment that children are exposed to online. As a father, I know that this is something that keeps every parent up at night. That is why we are promoting online safety and ensuring responsible media representations of issues relating to suicide and self-harm. Under the Government’s Online Safety Act, all in-scope services are now required to protect their users from illegal content, including illegal suicide and self-harm content. Beyond that, the strongest protections in the Act are for children who are now also protected from legal but harmful suicide and self-harm content.
We have seen too many tragic stories of children being bombarded with that content, often with fatal consequences. The onus is now on tech firms to recognise that that material has no place on their platforms or in our society. Ofcom is continuing to implement this regime, and it has recently published proposals regarding additional steps that should be taken to ensure that such content is not promoted in an algorithmic fashion, but we know that legislation is not enough.
I will now turn to the point made by my hon. Friend the Member for Doncaster East and the Isle of Axholme about first responder training. First responders play an important part in preventing suicides, as they are often the first port of call for someone in distress and experiencing suicidal ideation. We will work closely with first responders, including the police and ambulance staff, to support suicide prevention efforts. Sometimes the first response to someone experiencing distress is provided by Government frontline services. That is why the suicide prevention strategy includes the training of frontline staff in some Departments. The Ministry of Justice is rolling out mandatory suicide awareness training to prison staff, and Department for Work and Pensions frontline staff are receiving mandatory training. The NHS is committed to ensuring that all healthcare professionals receive the necessary mental health training to meet the need of patients.
I will now turn to the question of neighbourhood mental health services. The international evidence base is robust, and we are currently testing the extent of the benefits of the model here. There will be an external evaluation of these pilots to determine their impact, particularly in terms of patient experience, access, reductions in pressure on existing services, and economic impact. We will follow the evidence and make an assessment for future roll-out.
I will now turn to the research into gender differences in suicide. We agree that research is hugely beneficial for making good-quality policy. That is why the ambitions outlined in the suicide prevention strategy for England cover five years and includes research on national trends and suicide rates in specific groups. We will continue to look for ways to improve our national real-time suspected suicide surveillance system so that we can pick up on these trends and act on them faster. We will draw on experts from our advisory groups and listen to people with lived experience to help us understand why we see some of these patterns and what can be done to address them.
I want to end by thanking my hon. Friend the Member for Doncaster East and the Isle of Axholme for bringing forward this debate. I also thank all other colleagues who have contributed to it, but I want particularly to thank my hon. Friend the Member for Blaydon and Consett (Liz Twist) for her tireless campaigning since she was elected to this place eight years ago. In her maiden speech, she stood on the Opposition Benches and spoke very movingly about her husband. She then gave this House a call to arms, saying:
“I do not ask for sympathy; I ask for your support”.—[Official Report, 19 July 2017; Vol. 627, c. 907.]
She may not remember, but the Secretary of State for Health and Social Care, my right hon. Friend the Member for Ilford North (Wes Streeting), was sitting behind her on that day. He is delighted, as I am, that we are now in a position to be able to answer that call.