Mental Health and Wellbeing Plan

Debate between Daniel Kawczynski and Maria Caulfield

Wednesday 15th March 2023 Westminster Hall

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

It is a pleasure to serve under your chairmanship, Mr Twigg. I thank the right hon. Member for North Durham (Mr Jones) for bringing forward the debate and for all his work in this space. He is absolutely right that mental health affects us all, and for those who have a poor experience with mental health the impacts can be life-changing. He is also right that debates in this place have broken taboos and challenged stigmas around mental health, and have helped with the national conversation about mental health and why it is so important. In one sense, I violently agree with all that he said. The difference is about how we get to that place where we are looking at mental health, rather than just mental illness, and treating people sooner when they need help and support.

I believe that in the last 10 years we have seen a seismic shift in the way that we look at mental health—a shift to parity with physical health, and towards early intervention and community support, rather than waiting for someone to reach a crisis and then intervening. It has been a shift to look at mental health as well as mental illness; the two are very different, but support each other. If we get mental health right, we are much more likely to deal better with mental illness. Parity between mental health and physical health is why the major conditions strategy has mental health in it.

Huge progress is being made. We have committed to funding increases each year, from almost £11 billion in 2015 to £15 billion in the current financial year. Such a level of funding has not been seen in mental health services before, and it is making a difference. The additional £2.3 billion a year to transform mental health services in England has the aim of getting in as early as possible when people need help, and moving to community mental health services as the first port of call for people who need support.

I have seen in practice the difference that the funding and change of emphasis are making. I recently visited Hammersmith and Fulham Mental Health Unit, where community and in-patient mental health teams are working together. If someone is struggling in the community they get input from the in-patient setting, and, when someone is an in-patient, the community team are making sure they are getting the help and support they need for discharge. It is working extremely well.

I have met with police chiefs and talked about the Humberside model, which means that patients are not being taken to A&E or police cells as a first point of refuge, but are instead seen by community support teams. That frees up police time, and is a better experience for patients to quickly receive more appropriate care. That would not have been possible 10 years ago. Of course, there is work to be done, and we get huge numbers of patients who need services and want referrals, but a huge amount of progress has been made.

We recently announced £150 million to support crisis centres in local communities up and down England, so that someone who is not well has easier access to teams and support. Up to 90 mental health ambulances are being rolled out, which means that if someone is going into crisis, it is a mental health support team that responds to them, and not necessarily a paramedic, who would normally be the first responder. That is making a difference, keeping people out of hospital and making sure they are getting the right support as quickly as possible.

[Daniel Kawczynski]

The Minister will recall a conversation we had some time ago, when I was very keen for her to meet a constituent of mine from Shrewsbury who has a daughter experiencing mental health problems. They are not happy with the level of service we receive in Shropshire. I hope the Minister will commit to meet my constituent.