Mental Health Support: Frontline Staff

Owen Thompson Excerpts

Thursday 8th October 2020 Westminster Hall

[Owen Thompson (Midlothian) (SNP)]

It is a pleasure to serve under your chairmanship, Mr Paisley. I congratulate my hon. Friend the Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) on securing the debate. It is important to focus on mental health, and today we have a great opportunity to do that. I know that my hon. Friend brings a wealth of invaluable professional experience to the topic, which I cannot begin to understand.

In mental health, as with other aspects of health, time needs to be dedicated to caring for and looking after people, to reduce the chances of someone becoming seriously unwell. If we relentlessly push our bodies every day we soon pick up physical ailments, stresses and strains, and they can develop into something more serious if they are not given time to recover. Our bodies will send signals telling us to stop before we collapse, and the same goes for our minds. Downtime is not a luxury. It is essential, and we all need to be able to read the signs before reaching breaking point. The brain is an unbelievably complex organ, and is constantly processing something even more complex—human experiences and emotions. I am amazed that it does not go down, and that something does not go wrong with it, more often.

On the frontline, our carers and health staff have faced the brunt of the pandemic response. We may moan about working from home, or not being able to go to the pub or to see friends, but they see people scared, alone and in pain, gasping for breath. They see families unable to get close enough to offer their loved ones the most basic human comfort—a hug. Dealing with that every day takes its toll.

[Siobhain McDonagh in the Chair]

The World Health Organisation reported a recent review of healthcare professionals finding that one in four was suffering from depression and anxiety and one in three had insomnia during the coronavirus outbreak. There was also an appalling rise in verbal harassment and discrimination and physical violence. No wonder they are battle-scarred.

Switching off from work is made even harder by the fear of being a spreader, which leads to increased isolation when what we need is social comfort and community. Like all of us, frontline staff cannot access the habitual escape routes that we used to take for granted, whether that might be going out for a drink with friends, to the theatre or to live music, or experiencing the warmth and excitement of the crowd at a football match. Those things just are not possible just now. With NHS resources cut by years of austerity, staff were already working at or beyond capacity before the pandemic, so they had to find a whole new superhuman reserve of energy when the crisis struck. Sheer willpower, determination and dedication keep the staff going and I cannot thank them enough for that, but after eight months with no end in sight more and more of our critical staff are getting to breaking point, traumatised, running on empty, and mentally as well as physically exhausted.

In those serious circumstances it is essentially the responsibility of Government to make sure that there are adequate levels of professional mental health support in place. We need more than a website, an app and a few choicely worded paragraphs in a staff handbook, although all sources of information are very welcome. Any port in a storm, I suppose we could say. We need more trained psychologists and counsellors available to provide tailored support—human faces with experience and expertise in their field. We need to make sure that people are able to talk and share experiences with others, to be listened to, get a bit of breathing space, and be guided to get more help and treatment whenever they cannot cope.

I know that NHS England, like the Scottish Government, brought in helplines to help staff dealing with covid-19. I welcome those efforts. The Scottish Government also established the national wellbeing hub in May for health and social care staff, which takes a psychological first-aid approach, with resources on self-care and 1,000 hours of coaching for staff to maintain health, wellbeing and resilience. I believe that it is the first of its kind in the UK and I know from the feedback that I have had that it has been a welcome move.

I am pleased to see that the national wellbeing hub includes a section for unpaid carers, because the Carers Trust found that 68% of young adult carers in Scotland said their mental health was worse as a result of coronavirus, and 85% were worried about their own future. Those 12 to 17-year-olds, who already have responsibilities beyond their years, are living in an age of anxiety unimaginable when all of us in the Chamber were their age. I recently hosted a virtual meeting with young people in Midlothian to talk about their lockdown experiences and concerns, and it was deeply worrying to hear how many issues they raised, including those related to their mental health, and how little they felt listened to by many of those in power.

Health & Safety Matters reports that a survey

“into the mental health of frontline staff and healthcare professionals has revealed that over 90% believe there is not enough mental health support available for the general public to deal with the aftermath of the pandemic and 66% felt there is not enough workplace support for healthcare professionals and frontline staff.”

We rightly call our frontline workers heroes, and we admire their courage and dedication, but those in Government need to look after them and not just praise them.

It is good to see carers, who have insultingly been called “low-skilled” by some in the Government, getting the recognition they deserve, but most key workers do not have a choice but to keep going. They would rather not risk their mental or physical health for a care badge or a clap. They should be proud of their jobs, but pride does not pay the bills or keep them and their loved ones safe. I suggest the best thing the Government could do is to find an appropriate way of honouring those heroes in our NHS, care sector and essential services who work tirelessly day after day to defeat coronavirus and look after all the rest of us.