Mental Health Treatment and Support

Rachel Hopkins Excerpts

Wednesday 7th June 2023 Commons Chamber

[Rachel Hopkins (Luton South) (Lab)]

The Conservative cost of living crisis is causing a mental health crisis. People living in poverty or, as we are increasingly seeing, under financial stress and in personal debt are more likely to develop mental illness, as so many hon. Friends have already said. Sadly, children from the poorest 20% of households are four times more likely to have serious mental health difficulties by age 11 than the wealthiest 20%, and after 13 years of Conservative Government our mental health services are at breaking point and patients are being failed. It is important that we talk about mental health in this place because it is a key issue. Like many other Members, I have constituents who are struggling to get the support they and their children need; that is their lived experience and it is right that we hold the Government to account on it.

For children, recent research shows the average CAMHS waiting list in February rocketed by two thirds, and the 400,000 children on mental health waiting lists are waiting an average of 21 weeks for a first appointment. Data from December 2022 shows that children in a mental health crisis spent 7,034 hours in A&E in my Bedfordshire Hospitals NHS Foundation Trust area. That is in the context of our Bedfordshire, Luton and Milton Keynes Integrated Care Board area having over 15,000 children on mental health waiting lists. This is distressing for both the children and their families.

Turning to adults, Royal College of Psychiatrists research from last October found that 43% of adults with mental illness said that long waiting times had worsened their mental health: 23% had to wait more than 12 weeks to start treatment and many end up turning to A&E departments. Indeed, data from December 2022 shows that adults in the Bedfordshire Hospitals NHS Foundation Trust area, including the Luton and Dunstable NHS Hospital, spent over 11,000 hours in A&E.

It is right that I mention the many volunteers who operate in the mental health sphere. It is the end of Volunteers’ Week 2023 so I want to make that shout out, particularly to the brilliant volunteers with the Luton, South Beds and Harpenden Samaritans, who are committed to supporting people struggling to cope or struggling with their mental health through the listening service the Samaritans offers 24 hours a day. If anyone listening to this debate needs support, they should call 116 123 for free from any phone 24 hours a day.

Finally, I want to state my support for Labour’s community-focused preventive plan for mental health so that people will be guaranteed to be seen within one month, there will be 8,500 new mental health staff, with open access mental health hubs in each community and a mental health professional in every school. We need this bold plan; we need it now, and we need a Labour Government to deliver it.

World Menopause Day

Rachel Hopkins Excerpts

Thursday 27th October 2022 Westminster Hall

[Rachel Hopkins (Luton South) (Lab)]

It is a pleasure to serve under your chairship, Mr Hollobone. I thank my hon. Friend the Member for Swansea East (Carolyn Harris) for her continued work in this area, together with the right hon. Member for Romsey and Southampton North (Caroline Nokes). I also thank the Backbench Business Committee for agreeing to this debate.

Approximately 13 million women in the UK are peri or postmenopausal. Ten per cent of women over 50 quit jobs due to menopause symptoms. Ninety per cent. of women get menopause symptoms, yet women get inadequate support due to the taboo around menopause in work, society and home life, as well as medically. The cost of HRT creates socioeconomic divides in access to support for the menopause, and I reiterate the point made so well about the fact that the Government’s commitment to securing the cost of HRT will not come into place until April 2023. Given the current cost of living crisis, that has a real impact on working-class women in my constituency of Luton South, particularly as the menopause is not a choice.

Similarly to the hon. Member for North Devon (Selaine Saxby), I want to focus on menopause in the workplace. As our workforce age year on year, studies show that around 75% to 85% of menopausal women are in work. It is hugely important to tackle attitudes and policies relating to the menopause in the workplace, to ensure that women are supported and do not feel forced into leaving their positions. We have heard how nearly 1 million women leave the workplace due to menopause every year, and that just exacerbates gender inequality in the workplace and the gender pay gap. There are many employers who are still failing to consider menopause as a proper health condition and who lack supportive policies that help those going through the change.

Women who have experienced the menopause while at work have discussed their frustration at suffering from loss of concentration, brain fog, fatigue, anxiety, hot flushes, sweats or bleeding while they are at work. And the brain fog is real—I can assure the Minister of that.

Many of these symptoms of menopause are taboo, and they have a detrimental effect on women’s position and ability to advance their careers. Many women have said that they are unable to carry out their jobs to the best of their ability due to the impact of the menopause. Seventy-seven per cent. of women say that they experience one or more of its symptoms, which makes it very difficult for them. Sixty-nine per cent. experience difficulties with anxiety or depression due to menopause. Eighty-four per cent. experience trouble sleeping, and 73% experience brain fog, which I have experienced myself.

I urge the Minister to ensure that the Government update and promote guidance for employers on best practice policies on menopause at work and supportive interventions. That should include the economic justification and productivity benefits of doing so, and it should be tailored to organisations of different sizes and resources, to ensure that it is as effective as possible. What interaction has the Minister and his Department had with the TUC and trade unions on this key workplace issue regarding menopause?

Finally, I want to give a shout-out to the women who have supported me as we have all shared our menopause experiences. This is for my menopause massive: Trish, Sarah, Julie, Caz, Liz, Helena, Anne-Laure and Marie. We have all experienced different angles of the menopause and I have learned more from them than from a lot of the stuff that is out there.

East Kent Maternity Services: Independent Investigation

Rachel Hopkins Excerpts

Thursday 20th October 2022 Commons Chamber

[Dr Johnson]

I know my hon. Friend has campaigned hard as both a Minister and a Back-Bench MP for safety in the national health service. On safety at the East Kent trust, we have already talked about the regional team there. There is also a maternity safety support team in the trust working actively on the ground to ensure that lessons are learned and services improved. I have been given some figures that demonstrate that the outcomes are improving. As I said earlier, steps are in place to ensure the quality of service and to feed back the quality of service to ensure that no woman is spoken to in the way described in the report.

From a wider perspective, we are looking at both the workforce as described but also at how we ensure that problems are not just picked up, but developed and followed through. We are also looking at the Kark report that looked at how managers are held responsible. We will talk more about that in due course.

[Rachel Hopkins (Luton South) (Lab)]

Many of my constituents have raised the point that black women in the UK are four times more likely to die in pregnancy and childbirth. Can the Minister explain what action is being taken to end that scandal?

Edenfield Centre: Treatment of Patients

Rachel Hopkins Excerpts

Thursday 13th October 2022 Commons Chamber

[Will Quince]

On the hon. Member’s first question, I am a little cautious only because I am not the responsible Minister, but my understanding—I have not heard this at first hand—is that the first whistleblower complaint was made around Easter. I know that the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Sleaford and North Hykeham, will write to him on the specifics about the point at which the CQC was first notified.

Is this in any way acceptable? The answer is no. Do we therefore need to look at processes and how the CQC investigated, how it acts and its ability to identify? Yes, of course we do. But, in the same way, going back to my time as Children and Families Minister, I know that when people act in a way in which they know they should not, they deliberately hide that from the authorities and investigative bodies. So we do need to cut the CQC a little bit of slack, because this is often not in plain sight. Where it is, it is easier to identify. However, the hon. Member is right that where there is a whistleblower complaint, we must act, and we must act swiftly.

[Rachel Hopkins (Luton South) (Lab)]

We hear far too often of staff being completely overstretched, with far too many vacancies in mental health services. That was cited as one of the factors in the Edenfield scandal, but it is all too common. The Government were happy to clap for key worker staff, but they refuse to treat them with dignity and respect. Labour has pledged to invest in the NHS mental health workforce. We will recruit 8,500 extra staff. Why will the Minister not make the same commitment?

[Will Quince]

We are absolutely fully committed to attracting, training and recruiting the mental health workforce of the future. Through our plans set out in “Implementing the Five Year Forward View for Mental Health” and “Stepping Forward to 2020/21: the mental health workforce plan for England”, we have expanded and diversified the types of roles available. The hon. Lady asks us for our plans. Our aim is an additional 27,000 mental health professionals in the workforce by 2023-24 to deliver the transformation of mental health services in England that we all want to see.

Women’s Health Strategy for England

Rachel Hopkins Excerpts

Wednesday 20th July 2022 Commons Chamber

[Steve Barclay]

I welcome the hon. Lady’s acknowledgement of the expertise that Professor Dame Lesley Regan brings as ambassador. I think she will be fantastic in that role. A key part of this strategy is addressing the fragmented health system and how that impacts on areas such as contraception. That is why we are having, for example, the women’s health hubs to provide a one-stop shop and centre of expertise so that we can better identify the services that people need.

[Rachel Hopkins (Luton South) (Lab)]

Black women are four times more likely to die during pregnancy and childbirth. What targeted preventive solutions will the maternity disparities taskforce apply to address this totally unacceptable position?

Draft Mental Health Bill

Rachel Hopkins Excerpts

Monday 27th June 2022 Commons Chamber

[Sajid Javid]

When it comes to resources for mental health, we have not been waiting for the Bill. Although the Bill is an important part of ensuring that people get the right treatment, the commitment to resources began with the NHS’s long-term plan, which means that an additional £2.3 billion a year will be going into mental health services by 2023-24. Alongside that, an additional £500 million at least has gone in to support people with mental health needs because of the pandemic.

[Rachel Hopkins (Luton South) (Lab)]

I refer to my entry in the Register of Members’ Financial Interests, as a vice-president of the Local Government Association.

Far too many people are sent to mental health and learning disability placements out of their area. In April 2021, the Government committed to end the practice, but in March 2022 some 670 people were in out-of-area placements and, most concerningly, 50 of them were more than 300 km away from their homes. When will the Government meet their target and end out-of-area placements? What discussions has the Secretary of State had with the Secretary of State for Levelling Up, Housing and Communities about the issue of commissioning?

[Sajid Javid]

This is a very important issue on which the Government have been working with people across the sector, including in the NHS. We will shortly publish information on how we will build in the right support in the community plan.

Government Contracts: Randox Laboratories

Rachel Hopkins Excerpts

Thursday 10th February 2022 Commons Chamber

[Maggie Throup]

The evidence that we produced in response to the Humble Address has been laid in the Library.

[Rachel Hopkins (Luton South) (Lab)]

The chief operating officer of the civil service requested the restoration of competitive tendering by March 2021. Will the Minister confirm that that did not happen, tell us how many more contracts were issued without tender after that date, and explain why the emergency procurement rules are still in use almost a year after the deadline?

[Maggie Throup]

There is a lot of detail in that question. If I may, I will write to the hon. Lady with answers.

Integration White Paper

Rachel Hopkins Excerpts

Wednesday 9th February 2022 Commons Chamber

[Edward Argar]

My hon. Friend knows, by virtue of the outcome, the persuasive and compelling case made by him and other right hon. and hon. Members from both sides of the Chamber in respect of Frimley ICS and its boundaries. As so often in this place, my view is, “If you ain’t broke, don’t fix it,” and his ICS is doing a fantastic job and other ICSs can learn from its success. Mechanisms and organisations through which chairs of ICSs get together and share best practice already exist, but we will continue to examine whether that could be better systematised, so that best practice can be disseminated more widely.

[Rachel Hopkins (Luton South) (Lab)]

We have heard already how budgets can be pulled, how place leaders can be appointed and, importantly, how shared outcomes can be set between health and care through our health and wellbeing boards with local authorities. Will the Minister assure me that accountability of the single accountable person will come through democratic structures, such as health and wellbeing boards or local authorities, to ensure that that if the public are unhappy, they can change things by voting them out?

[Edward Argar]

The hon. Lady will know from the debates on the Health and Care Bill that we are moving forward with opportunities for local authorities to be engaged not just at partnership level, as some are already, but more directly with the NHS at the ICB level. Health and wellbeing boards will continue to be a hugely important part of that.

Children’s Mental Health

Rachel Hopkins Excerpts

Tuesday 8th February 2022 Commons Chamber

[Rachel Hopkins (Luton South) (Lab)]

Children’s mental health has been ignored by the Government for far too long, way before the covid pandemic, although over the past two years, sustained periods of isolation, academic stress and uncertainty have taken a further toll on our young people. It is shocking that a third of children in need of support find themselves turned away from mental health services, despite a referral from a professional. For others, the waiting times can be agonising.

Across England in 2020-21, three quarters of children were not seen within four weeks of being referred to children’s mental health services. In my area, covered by BLMK ICS—the Bedfordshire, Luton and Milton Keynes integrated care system—60% of children referred to children’s mental health services are not seen within four weeks. We expect, and our young people deserve, better.

Early intervention and preventive services are vital to giving every child a healthy start in life and support for their future emotional wellbeing and good mental health. Yet during the last 11 years, in response to huge Conservative Government cuts to our local public services, charities and the voluntary sector have had to step up to ensure that our children have access to support services.

Across Luton and Bedfordshire, the charity Chums provides mental health and emotional wellbeing services to children and young people, and their families. Active Luton has delivered a range of holiday schemes for children up to 16 who are on income-related free school meals, encouraging them to play sports, and engage in arts and crafts, and other enriching activities, as well as ensuring that they receive a nutritious meal. On Monday, I was pleased to visit the KidsOut charity in my Luton South constituency to hear how it supports children who have escaped domestic violence. The charity works with domestic abuse charities such as Women’s Aid to provide toys and games to children who may be living in a refuge or safe house.

While the work of local charities makes a huge contribution to our children’s mental health and wellbeing, they, too, are overstretched and underfunded. Parents and guardians rightly expect their Government to deliver the support their children need, when they need it and on an equitable basis. Mental health and wellbeing are key parental priorities for children’s education and schooling. Parentkind’s annual parent survey in 2021 found that children from less advantaged backgrounds or with additional needs or disabilities are much more vulnerable to mental health issues. Also, the most serious mental health issues in children are more likely to be reported by parents of black, Asian or minority ethnicities, compared with those of white ethnicities. That is shocking and demonstrates how the Government are neglecting inequalities that drive mental health issues in towns such as Luton, which are super-diverse and have pockets of deprivation.

Finally, in this Children’s Mental Health Week, I fully support Labour’s plans to ensure guaranteed mental health treatment within a month, the recruitment of 8,500 new staff, an open-access mental health hub in every community and the provision of specialist mental health support in every school. Labour is ambitious for every child. Through our recovery plan and long-term support for children’s mental health and wellbeing, every young person could receive the support that they need.

Oral Answers to Questions

Rachel Hopkins Excerpts

Tuesday 18th January 2022 Commons Chamber

[Edward Argar]

My hon. Friend is absolutely right to highlight the impact of yet another of Labour’s disastrous PFIs on the funding available to our NHS, and indeed to social care. We continue to work hard to deliver our manifesto commitment to improve on those disastrous PFI schemes. I am very happy to meet him to discuss the matter.

[Rachel Hopkins (Luton South) (Lab)]

Just last month, Luton lost an outstanding champion in the other place with the sad passing of Lord Bill McKenzie of Luton. Just 21 months previously, he had been diagnosed with pulmonary fibrosis.

Last week I met the chair of the Pulmonary Fibrosis Trust, one of my constituents in Luton South, who told me that there is no current cure for the disease and that for most people there is no known cause. Will the Secretary of State outline what steps his Department is taking to support research into a cure and to improve diagnosis, support and care for people living with pulmonary fibrosis?

[Sajid Javid]

I thank the hon. Lady for raising the matter in the House. Pulmonary fibrosis is a very serious condition. Far too many people suffer from it, and there needs to be more research globally—not just here in the UK, but working with our international partners. I will bring the matter to the attention of my officials and see what more we can do.