Mental Health Bill [Lords]

Laura Kyrke-Smith Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[Laura Kyrke-Smith (Aylesbury) (Lab)]

May I say how humbled I am to follow such powerful and personal contributions from many hon. Members? I welcome these long-overdue reforms of the Mental Health Act. I am extremely proud to be part of a Government who are moving so quickly to ensure that people who experience severe mental illness are given more autonomy and choice, are always treated with dignity and respect, and are given enhanced rights and support under the Bill.

Mental health is a theme of so many of the conversations that I have—and of the support that I try to provide—in my Aylesbury constituency, whether with Fay, Tyler, AJ and Dhwani, the young people who joined my recent work experience programme and devised the fantastic “Breaking the Silence” campaign to improve mental health understanding for young adults; with the residents at Bearbrook Place, which is run by Connection Support and offers supported accommodation for adults facing homelessness, who told me that their mental health challenges contributed to them becoming at risk of homelessness, and that it was their ongoing mental health recovery gave them the most confidence that they could live independently again; or with the people who go along to the fantastic drop-ins provided by the Space charity in St Mary’s church, many of whom experience mental challenges as a result of unexpected life events, health struggles or social isolation.

I could go on, but this evening I will focus on how the Bill should improve the experience of pregnant and new mums struggling with severe mental illness. That subject is particularly close to my heart, as I lost one of my best friends, Sophie Middlemiss, to suicide shortly after the birth of her little girl—her third child. I speak to many parents about it, including the fantastic Amy Scullard, who runs the PANDAS perinatal mental health group in Aylesbury. In this period of pregnancy and the year after birth, almost one in four people struggle with their mental health. For many people, their experience is relatively mild and they will recover, but some people, often without any prior mental health challenges and without warning, will experience extremely severe mental illness. Suicide, tragically, is the leading cause of death for women in that period from six weeks to a year after birth.

I wish to highlight three aspects of the Bill that will be important for people who experience serious mental illness at that stage of their lives, and who will end up falling within the scope of the Bill. First, the fact that patients will be able to choose a “nominated person” to represent them is a vital step forward. It is crucial. I have seen at first hand how, at the point at which people are severely unwell, they are unable to make the best decisions for themselves. Formalising the ability of someone to play that role on their behalf, and with more powers to challenge the system, could make a positive difference to their care.

Secondly, I am pleased that the Bill will make individualised care and treatment plans statutory. Every person is different—our attitudes to mental health have evolved a huge amount since the Mental Health Act was last updated—and ensuring that they have a personalised care plan that accounts for their particular circumstances is crucial. So too is the fact that the Bill creates a duty to inform and support patients in making advance choice documents before they become ill, from a place of good health.

Thirdly, I am pleased that the Bill aims to reduce the significant racial inequalities that exist under the current Act. Those inequalities also drive significant differences in perinatal healthcare outcomes more broadly. Black people are more than three and a half times more likely to be detained under the Mental Health Act than white people, and more than seven times more likely to be placed on a community treatment order. That has to change. The Bill introduces measures that should have a positive impact for people from ethnic minorities, for example through the introduction of advance choice documents, as well as by tightening the criteria for detention and compulsory treatment.

I am conscious of the time, Madam Deputy Speaker, but I wish to make a point about the implementation of the Bill. For people experiencing severe mental illness in the period after birth, mother and baby units can be a crucial part of their recovery, as well as having significant benefits for the parent-infant relationship. Too often, however, whether or not a mum can access one of those units remains a postcode lottery. I believe we must get to a point where all women who have given birth within the 12 months prior to compulsory admission are given the option of being admitted to a ward where they can remain with their baby.

I am so pleased to see the Secretary of State’s commitment to the mental health investment standard, and all the funding that will be needed properly to implement the measures in the Bill. I hope that provision for that group of women at severe risk of serious mental health illnesses will be considered. I will conclude by noting that for all those who experience milder struggles with their mental health, it is clear that there is a whole lot more we need to do beyond the Bill. I know Ministers are conscious of that, and a lot of vital work is under way, including more mental health support in schools, the recruitment of additional mental health support workers, and the roll-out of family and youth hubs. Such community provision and services are essential. The Bill is for those people who struggle with the most severe mental illness and require intensive, specialist support. For them, the Bill represents a crucial step forward, and I am proud to support it.