← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Judith Cummins

MP for Bradford South · Labour · United Kingdom

IN THEIR OWN WORDS

(2) The report under subsection (1)(b) must include— (a) an assessment of the current burden of musculoskeletal conditions in England including— (i) waiting times, (ii) emergency admissions or unplanned care, (iii) variation by integrated care board area, (iv) impact on work and economic inactivity, (v) outcomes, (b) the evidence of poten…

HEALTH BILL · 2026-09-08 · READ IN HANSARD

(2) The report must include an action plan to address gaps in dementia data across prevalence, the health and social care interface, the dementia care pathway, experience of care, and workforce.

HEALTH BILL · 2026-09-08 · READ IN HANSARD

(3D) The health and social care integration plan must include— (a) a description of the structural and operational arrangements for joint working between NHS bodies and local authority social care services following the abolition of NHS England; (b) proposals for how the transfer of NHS England's functions to the Secretary of State will a…

HEALTH BILL · 2026-09-08 · READ IN HANSARD

(2) The conditions are that— (a) the Health Services Safety Investigations Body (or, if its functions have already been transferred under section 63 of this Act, the Care Quality Commission exercising those functions) has laid its final report on Advice and Guidance services before Parliament, and (b) the Secretary of State has published…

HEALTH BILL · 2026-09-08 · READ IN HANSARD

(3) A report under subsection (1) must include— (a) an assessment of variation in dementia services and outcomes between Integrated Care Board areas, (b) information on workforce capacity, capability and training standards relevant to dementia care, (c) information on access to ongoing post-diagnostic support services, including support f…

HEALTH BILL · 2026-09-08 · READ IN HANSARD

(2) The report under subsection (1)(b) must include— (a) an assessment of the current burden of respiratory disease in England including— (i) emergency admissions, (ii) variation by integrated care board area, (iii) outcomes; (b) the evidence of potential for rapid and significant improvements in quality of care and productivity that a re…

HEALTH BILL · 2026-09-08 · READ IN HANSARD

The complete record

Every one of 653 lines we hold for Judith Cummins, in date order, each linked to its source. Free to read, in full, without an account. Page 13 of 14.

  1. (3) A child is not to be regarded as unable to understand the information relevant to a decision if he is able to understand an explanation of it given to him in a way that is appropriate to his circumstances (using simple language, visual aids or any other means). (4) A person determining a child’s ability to make a relevant decision under this section must— (a) have due regard to Article 12 of the United Nations Convention on the Rights of the Child, and (b) be able to show reasonable grounds for their belief that the child is or is not able to make a relevant decision.” This new clause inserts a competency test for determining a child’s ability to make a relevant decision. New clause 26— Duty to establish carer liaison service — “(1) The Mental Health Act 1983 is amended as follows.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  2. New clause 25— Determination of competency for persons under 16— “(1) For the purposes of this Act, a person aged under 16 (referred to in this section as a child) is able to make a relevant decision if they can— (a) understand the information relevant to the decision; (b) retain that information; (c) use or weigh that information as part of the process of making a decision; and (d) communicate their decisions (whether by talking, using sign language or any other means). (2) Where a child is able to make a relevant decision in accordance with paragraph (1) above, that child will be competent for the purposes of this Act.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  3. (3) For the purpose of this section— (a) “specialist mental health services for patients aged under 18” means— (i) inpatient mental health services specifically designed for individuals aged under 18 years, including specialist eating disorder services; (ii) community-based mental health services specifically designed for individuals aged under 18 years as an alternative to inpatient care. (b) “resources to deliver mental health services” include— (i) finances; (ii) appropriate trained medical professionals; (iii) appropriate facilities for patient care.” This new clause would require the Secretary of State to review and report on the availability of specialist mental health services for patients under 18.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  4. (2) The report under subsection (1) must include an assessment of— (a) the number of patients aged under 18 receiving specialist mental health services; (b) the availability of specialist mental health services based outside of hospital settings; (c) any gaps in care and support experienced by patients aged under 18; (d) the Secretary of State’s conclusions as to whether there are sufficient resources to deliver mental health services for patients aged under 18; (e) the views of children, young people and families with experience of receiving specialist mental health services.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  5. (2) Interim support under this section must include at least one of— (a) regular contact with a family support worker; (b) access to GP appointments; (c) regular contact with a school nurse or equivalent healthcare professional; or (d) access to a peer support group, youth group, or youth club offering appropriate emotional support.’” This new clause would ensure adequate interim support for children at risk of detention under Part II the Mental Health Act while awaiting an appointment with Child and Adolescent Mental Health Services (CAMHS). New clause 24— Report: Mental health services for children and young people — “(1) The Secretary of State must, within 18 months of passing this Act, prepare and lay before Parliament a report on the provision of specialist mental health services for patients aged under 18.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  6. (2) After section 33, insert— ‘ 33A Interim support for child and adolescent patients (1) Where a child or young person (“P”) is referred to Child and Adolescent Mental Health Services and— (a) P has not yet attended their first appointment, and (b) P is at risk of detention under this Part, in the opinion of a family member or close associate, the responsible authority must ensure that interim support is available.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  7. (3) In this section— “veteran” refers to a person who has served or currently serves in the armed forces of the United Kingdom or a Commonwealth nation; “relevant health authority” includes NHS England, regional NHS boards, or their successors.’” This new clause introduces a dedicated oversight role for veterans within the framework of the Mental Health Bill, recognising that service personnel have unique needs and experiences that need to be considered in mental health care and detention decisions. New clause 23— Mental Health Act: interim support for a child or adolescent at risk of detention— “(1) The Mental Health Act 1983 is amended as follows.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  8. (2) The Officer shall— (a) oversee the cases of veterans who are— (i) at risk of detention under this Act; (ii) currently detained under this Act; or (iii) following detention under this Act, subject to community or outpatient treatment or other post-discharge mental health provisions; (b) advocate for mental health assessments and care tailored to veterans' service-related experiences; (c) collaborate with mental health professionals, veterans' services, legal representatives, and third-sector organisations to safeguard veterans' rights and well-being within relevant treatment settings; (d) promote diversion from detention where clinically appropriate, including the use of veteran-specific support services; and (e) submit an annual report to Parliament detailing— (i) detention rates of veterans under this Act; (ii) outcomes and recidivism rates for veterans detained under this Act; (iii) recommendations for service improvement.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  9. (2) The Secretary of State may by regulations make further provision under this section.’” This new clause would prevent a patient from being assessed to be detained by a doctor under investigation by the GMC or hospital trust, or subject to a complaint, in relation to their care of that patient. New clause 22— Veterans’ Mental Health Oversight Officer — “After section 142B of the Mental Health Act 1983 insert— ‘ Veterans’ Mental Health Oversight Officer 142C Veterans’ Mental Health Oversight Officer: establishment (1) The Secretary of State shall appoint a Veterans’ Mental Health Oversight Officer ("the Officer") to oversee the treatment and care of veterans under this Act.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  10. New clause 21— Assessment for admission: clinicians with outstanding complaints— “(1) The Mental Health Act 1983 is amended as follows. (2) In Part II (Compulsory Admission to Hospital and Guardianship), after section 6 insert— ‘ 6a Assessment for admission: clinicians under investigation (1) For the purposes of the written recommendations required under sections 2(3) or and 3(3) of this Act, a recommendation may not be made by a medical practitioner who is, at the time of the assessment or written statement— (a) under investigation by the General Medical Council or the hospital due to concerns relating to the medical practitioner’s care of the patient being assessed; or (b) subject to a complaint to the General Medical Council or the hospital by the patient or the patient’s close associates.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  11. (3) Where a concern is raised under subsection (2)(d), the integrated care board must— (a) consider whether the individual meets criteria to be included on the register of persons at risk under section 125D of this Act; and (b) take reasonable steps to involve the family or nominated person in planning of subsequent support, subject to— (i) the person’s consent; or (ii) if they lack capacity, the person’s best interests. (4) The Secretary of State must publish guidance under section 125B of this Act on the format and provision of support under subsection (3)(b).’” This new clause would require the integrated care board, as part of the aftercare services offered under the Mental Health Act 1982, to offer support and advice to the family or carers of the person being discharged from treatment.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  12. (2) This support must include— (a) information about the person’s condition and recovery; (b) guidance on how to support their recovery at home and avoid relapse; (c) access to financial, housing, and social care advice services relevant to the situation of the person’s family; and (d) procedures for family members or nominated persons to notify the integrated care board of concerns that the person is at future risk of detention under Part 2 of this Act.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  13. 142G Regulations A statutory instrument containing regulations under sections 142E and 142F may not be made unless a draft of the instrument has been laid before and approved by a resolution of each House of Parliament.’” This new clause establishes the office of the Mental Health Commissioner and makes provisions for relevant duties and responsibilities. New clause 19— Duty to provide advice and support to families and carers — “(1) The Mental Health Act 1983 is amended as follows. (2) After section 117B insert— ‘ 117C After-care: provision of support and advice to families and carers (1) The responsible integrated care board must ensure that, as part of the provision of after-care services under section 117 of this Act, advice and support is offered to the family or carers of the person discharged where the person consents.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  14. 142F Examination of cases (1) The Secretary of State may, by regulations, make provision for the examination by the Mental Health Commissioner of the cases of those who are detained under this Act receiving treatment by authorised mental health care providers. (2) The Secretary of State may, by regulations, provide for the Office of the Mental Health Commissioner to access and examine relevant data on mental health treatment provision held by NHS England and any other authorities the Secretary of State considers appropriate.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  15. (5) This may include— (a) collaborating with health services, public authorities, charitable organisations, and other relevant entities, including NHS bodies, the Care Quality Commission, and the Parliamentary and Health Service Ombudsman; (b) ensuring enforcement authorities and public bodies under the Mental Health Act 1983 have the necessary capacity and resources to adequately discharge duties under the Mental Health Act 1983 and this Act. 142E Appointment, Tenure, and Remuneration of the Mental Health Commissioner (1) The Secretary of State may by regulation make provision for the appointment, tenure, removal, and general terms of appointment of the Mental Health Commissioner. (2) The Secretary of State may also by regulation determine the Commissioner’s remuneration, allowances, and pension entitlements.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  16. (3) In fulfilling their duties under subsection (1), the Mental Health Commissioner may review, and monitor the operation of, arrangements falling within subsection (1), (2) and (3) for the purpose of ascertaining whether, and to what extent, the arrangements are effective in promoting the principles in section 118(2B) of this Act. (4) Subject to any directions from the Secretary of State, the Commissioner may take action necessary or expedient in connection for the purposes of their functions.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  17. (2) The Mental Health Commissioner must publish an annual report on the use of functions discharged under this Act, which must assess— (a) the quality of mental health care treatment provided by relevant services; (b) the accessibility of mental health care treatment services; (c) the relationship between mental health and the criminal justice system; (d) inequalities of mental health care provision regarding protected characteristics under the Equality Act 2010; (e) the use and effectiveness of detention measures under this Act, including but not limited to Community Treatment Orders, for the purposes of therapeutic benefit outlined in section 1(2B); (f) challenges surrounding stigma of mental health conditions; (g) the accessibility of advice and support to mental health service users, their families and carers on their legal rights; (h) other issues deemed appropriate by the Mental Health Commissioner.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  18. (5) The Mental Health Commissioner may appoint staff to the Office of the Mental Health Commissioner they consider necessary for assisting in the exercise of their functions in section 142D. 142D Functions of the Commissioner (1) The Mental Health Commissioner is responsible for overseeing the implementation and operability of functions discharged by relevant bodies and persons under the provisions of this Act, the Mental Health Act 1983, and the Mental Capacity Act 2025 particularly regarding the provision of treatment, care, and detention of people with a mental disorder.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  19. New clause 18— Mental Health Commissioner — “After section 142B of the Mental Health Act 1983, insert— ‘ Mental Health Commissioner 142C Independent Mental Health Commissioner: establishment (1) There is to be an office known as the Office of the Mental Health Commissioner. (2) The Office in subsection (1) must be established by the Secretary of State three months after the day on which the Mental Health Act 2025 is passed. (3) The Office of the Mental Health Commissioner will be led by an individual appointed by the Secretary of State titled the “Independent Mental Health Commissioner”. (4) The role in subsection (3) is referred to as the “Mental Health Commissioner”.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  20. New clause 17— Funding and reporting — “(1) For each financial year until all sections of this Act have come into force, of the total health service expenditure by the bodies (taken together) in subsection (2), the proportion which relates to mental health spending— (a) under the Mental Health Act 1983, and (b) under this Act or which, in future, would be made under provision inserted into the Mental Health Act 1983 by this Act, (taken together) must not decrease. (2) The bodies are the Department of Health and Social Care, NHS England and integrated care boards.” This new clause would require that mental health spending as a proportion of health service expenditure must not decrease in the implementation period of the Act.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  21. (3) Local authorities and commissioning bodies must publish an annual report outlining the steps taken to discharge their duty under subsection (1), including an assessment of— (a) progress in improving mental health wellbeing in their area for persons affected by the provisions of this Act, and (b) any barriers to promoting mental health wellbeing for such persons and proposed actions to address them. (4) The Secretary of State may issue guidance on the discharge of the duty under subsection (1), and local authorities and commissioning bodies must have regard to such guidance.’” This new clause would require local authorities and commissioning bodies to promote and report annually on mental health wellbeing, with regard to any guidance published by the Secretary of State.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  22. New clause 16— Duty to promote mental health wellbeing — “After section 142B of the Mental Health Act 1983, insert— ‘ Duty to promote mental health wellbeing (1) It is a general duty of local authorities and anybody in carrying out functions under this Act or the Mental Health Act 2025 to promote mental health wellbeing. (2) In carrying out the duty under subsection (1), local authorities and commissioning bodies must have regard to— (a) the prevention of mental illness, (b) the promotion of positive mental health, (c) the reduction of stigma and discrimination associated with mental health conditions, and (d) the provision of accessible and appropriate support services to individuals experiencing mental health challenges.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  23. New clause 15— Report: statutory competency test for under-16s — “Within 12 months of day on which this Act is passed, the Secretary of State must undertake a review of whether a statutory competency test for under-16s in determining their ability to make a relevant decision would be expedient for the purposes of this Act or the Mental Health Act 1983.” This new clause requires the Secretary of State to undertake a review of whether a statutory competency test for under-16s would be expedient for the purposes of this Bill and the Mental Health Act 1983.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  24. (3) Each Integrated Care Board must conduct an assessment of its resources every two years to evaluate its ability to deliver services in the community effectively. (4) Each Integrated Care Board must publish a report outlining its findings upon completing the assessment in subsection (3). The first reports must be published within one year of the passage of this Act.” This new clause places a general duty on integrated care boards to ensure that services in the community have the necessary level of resource to meet demand on services to ensure that the provisions of the Bill function as intended and to assess and report on this every 2 years.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  25. New clause 14— General duty to secure sufficient resources for services in the community— “(1) It is the general duty of integrated care boards to ensure, insofar as is reasonably practical, that services in the community responsible for delivering care, treatment, or detention provisions under the Mental Health Act 1983 and this Act have the necessary resources, including financial support, to meet service demands. (2) Additional forms of resource may be determined by integrated care boards in consultation with relevant local authorities or health care service providers and may include— (a) sufficient numbers of trained medical professionals; (b) purpose-built facilities for patient care; (c) community services responsible for out-patient care.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  26. (2) Having conducted a review under subsection (1), the Secretary of State must publish a report on the progress made in reducing inequalities in treatment outcomes and the use of detention measures in the use of this Act on people who have protected characteristics under the Equality Act 2010.’” This new clause requires mental health units and services to appoint a responsible person tasked with addressing racial disparities related to functions discharged under the Mental Health Act 1983.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  27. (6) In subsection (5) “refresher training” means training that updates or supplements the training provided under subsection (1). 120H Annual report by the Secretary of State (1) As soon as reasonably practicable after the end of each calendar year, the Secretary of State must conduct a review in consultation with relevant bodies with commissioning functions on the use of treatment and detention measures contained in the Mental Health Act 1983 broken down by race and other demographic information.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  28. (3) Subject to subsection (4), training must be provided— (a) in the case of a person who is a member of staff when this section comes into force, as soon as reasonably practicable after this section comes into force, or (b) in the case of a person who becomes a member of staff after this section comes into force, as soon as reasonably practicable after they become a member of staff. (4) Subsection (3) does not apply if the responsible person considers that any training provided to the person before this section came into force or before the person became a member of staff— (a) was given sufficiently recently, and (b) is of an equivalent standard to the training provided under this section. (5) Refresher training must be provided at regular intervals whilst a person is a member of staff.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  29. (6) The responsible person may from time to time revise any policy published under this section and, if this is done, must publish the policy as revised. (7) If the responsible person considers that any revisions would amount to a substantial change in the policy, the responsible person must consult any persons that the responsible person considers appropriate before publishing the revised policy. 120G Training in racial disparities and other disparities based on protected characteristics (1) The responsible person for each mental health unit or service must provide training for staff that relates to addressing racial disparities and other disparities based on protected characteristics in that unit or service. (2) The training provided under subsection (1) must include training on the topics covered in section 120F(2).

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  30. (3) Where a responsible person is appointed in relation to all of the mental health units operated by a relevant health organisation, the responsible person must publish a single policy under subsection (1) in relation to those units or services. (4) Before publishing a policy under subsection (1), the responsible person must— (a) consult any persons that the responsible person considers appropriate; (b) have regard to the following matters— (i) the views, wishes and feelings of people from ethnic minority communities who have been detained; (ii) the views, wishes and feelings of people with other protected characteristics who have been detained. (5) The responsible person must keep under review any policy published under this section.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  31. (2) The policy published under subsection (1) must cover the following topics— (a) the application of the guiding principles to all aspects of operation of this Act; (b) staff knowledge and competence in connection with promoting equality and anti-discriminatory practice in relation to this Act; (c) workforce demographics, recruitment, retention and progression; (d) implementation of the patient and carer race equality framework (England only) and any other requirements of relevant national policies; (e) care planning and decision-making in the use of this Act including section 56A (making treatment decisions); (f) the availability of alternatives to detention and involuntary treatment; (g) take-up of independent mental health advocacy; (h) the cultural appropriateness of independent mental health advocacy; (i) access to and use of advance choice documents; (j) what steps will be taken to reduce racial disparities and other disparities based on protected characteristics in that unit or service.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  32. (3) Where a relevant health organisation operates more than one mental health unit or service, that organisation must appoint a single responsible person in relation to all of the mental health units or services operated by that organisation. (4) A patient is a qualifying patient if they are— (a) liable to be detained under this Act, otherwise than by virtue of section 4 or 5(2) or (4) or section 135 or 136; (b) subject to guardianship under this Act; (c) a community patient. 120F Policy on racial disparities and other disparities based on protected characteristics (1) The responsible person must publish a policy on how the unit plans to reduce racial disparities and other disparities based on protected characteristics in that unit or service.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  33. New clause 13— Addressing and reporting on racial disparities and other inequalities in the use of the Mental Health Act 1983 — “After section 120D of the Mental Health Act 1983, insert— ‘ 120E Mental health units and services to have a responsible person (1) A relevant health organisation that operates a mental health unit or community mental health service for qualifying patients must appoint a responsible person for that unit or service for the purposes of addressing racial disparities and other disparities based on protected characteristics related to functions discharged under the Mental Health Act 1983. (2) The responsible person must— (a) be employed by the relevant health organisation, and (b) be of an appropriate level of seniority.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  34. New clause 12— Mental Health Crisis Breathing Space — “(1) Any person detained under sections 3, 37, 41 or 47 of the Mental Health Act 1983 must be offered support from the mental health crisis breathing space debt respite scheme.” This new clause ensures that MHCBS, a debt respite scheme, is offered and available to patients detained under sections 3, 37, 41 and 47 of the Mental Health Act 1983.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  35. (2) The review under subsection (1) must include, but is not limited to— (a) an assessment of whether certain racial or ethnic groups are disproportionately represented among individuals subject to community treatment orders compared to their representation in the general population; (b) a review of the outcomes and effectiveness of community treatment orders across different racial groups, including health outcomes, and patient experiences. (3) The Secretary of State must lay a report of the findings of the review before Parliament within 18 months of the day on which this Act is passed.” This new clause seeks to gauge the Government’s view on prevalent racial disparities as they relate to the use of community treatment orders under the Act.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  36. (7) The Secretary of State must update the guidance under subsection (3) at regular intervals, and no less frequently than every three years.” This new clause would require the Secretary of State to review and report on the transition of patients from children's to adult mental health settings for treatment at age 18 and publish guidance for relevant bodies on improving provision and ensuring continuity of care during this transition. New clause 11— Reporting: racial disparities relating to community treatment orders — “(1) Within a period of 12 months following the day on which this Act is passed, the Secretary of State must undertake a review of racial disparities which relate to the use and administering of community treatment orders.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  37. (6) In preparing the report under subsection (1) and the guidance under subsection (3), the Secretary of State must consult— (a) young people with experience of transitioning between children and young people’s and adult mental health services, and their carers and guardians; (b) relevant professional bodies; (c) integrated care boards; (d) local authorities; (e) providers of mental health treatment; (f) such other persons as the Secretary of State considers appropriate.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  38. (4) The guidance under subsection (3) must include— (a) specific steps to guarantee continuity of care for patients transitioning between treatment in a hospital environment for children and young people and one for adults; (b) measures to identify young people requiring transition support at an appropriate stage; (c) provisions for joint working and information sharing between providers of treatment for children and young people and for adults; (d) requirements for the review and updating of care and treatment plans to reflect the needs of patients transitioning to a hospital environment for adults. (5) Integrated care boards, local authorities, and providers of mental health treatment must have regard to guidance published under subsection (3).

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  39. (2) The report under subsection (1) must include an assessment of— (a) the current pathways and outcomes for young people transitioning between hospital environments for children and for adults; (b) any gaps in care or support experienced by patients during this transition; (c) best practices for ensuring safe and effective transitions. (3) Following the report under subsection (1), the Secretary of State must publish guidance for integrated care boards, local authorities, and providers of mental health treatment on improving outcomes and ensuring continuity of care for patients transitioning to a hospital environment for adults.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  40. (7) The Secretary of State must update the guidance under subsection (3) at regular intervals, and no less frequently than every three years.” This new clause would require the Secretary of State to report on mental health outcomes and disparities for LGBT patients in treatment under the Mental Health Act 1983 and publish guidance covering training and safety for this specific group. New clause 10— Report and Guidance: Transition to Adult Mental Health Treatment — “(1) The Secretary of State must, within 18 months of passing of this Act, prepare and lay before Parliament a report on improving provision for patients transitioning from treatment in a hospital environment for children and young people to one for adults when they attain the age of 18.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  41. (6) In preparing the report under subsection (1) and the guidance under subsection (3), the Secretary of State must consult— (a) patients with a mental disorder who identify as LGBT; (b) the families or carers of patients with a mental disorder who identify as LGBT; (c) relevant professional bodies; (d) integrated care boards; (e) local authorities; (f) providers of mental health treatment; and (g) such other persons as the Secretary of State considers appropriate.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  42. (4) The guidance under subsection (3) must include— (a) provisions about updated training standards for staff regarding the specific mental health needs and experiences of LGBT individuals, including training on non-discriminatory practice and inclusive communication approaches; (b) steps to improve safety for LGBT patients in relevant mental health settings, with particular regard to addressing discrimination and harassment; and (c) a definition of ‘cultural competent mental health treatment’ for the purposes of subsection (2). (5) Responsible bodies and individuals working with patients under the Mental Health Act 1983 must have regard to guidance published under subsection (3).

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  43. (3) Following publication of the report under subsection (1), the Secretary of State must publish guidance for responsible bodies and individuals working with patients under the Mental Health Act 1983, including but not limited to those working in— (a) mental health hospitals; (b) places of safety; (c) crisis accommodation; and (d) relevant community mental health services.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  44. New clause 9— Report and Guidance: Improving Outcomes for LGBT Patients — “(1) The Secretary of State must, within 12 months of the day on which this Act is passed, prepare and lay before Parliament a report on the mental health outcomes of patients who are treated under the Mental Health Act 1983 and who identify as lesbian, gay, bisexual, or transgender (LGBT). (2) The report under subsection (1) must include an assessment of— (a) any differences between non-LGBT patients and LGBT patients in— (i) the extent of the use of detention measures under the Mental Health Act 1983; and (ii) treatment outcomes following detention, and (b) the availability and accessibility of ‘culturally competent’ mental health treatment under the 1983 Act for LGBT patients.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  45. New clause 8— Report on the impact of this Act on patients with eating disorders — “(1) Within a period of 12 months following the day on which this Act is passed, the Secretary of State must publish a report on the impact of relevant provisions in this Act on patients with eating disorders. (2) In subsection (1), ‘relevant provisions’ include— (a) section 5 (Grounds for detention), (b) section 11 (Making treatment decisions), (c) section 17 (Urgent treatment to alleviate serious suffering), (d) section 21 (Care and treatment plans), and (e) section 47 (After-care services).” This new clause would require the Secretary of State to report on the impact of this Bill on patients with eating disorders within 12 months of the passage of this Bill.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  46. New clause 7— Children detained on adult wards — “(1) The Mental Health Act 1983 is amended as follows. (2) After section 131A (Accommodation, etc. for children), insert— ‘ 131B Children detained on adult wards (1) The Secretary of State must reduce to zero, within five years of the passage of the Mental Health Act 2025, the number of children detained on adult wards. (2) The Secretary of State must publish, within six months of the passage of the Mental Health Act 2025, a report to outline how the duty under this section will be met, including how provision for treatment under this Act will be increased.’” This new clause would require the number of children detained on adult wards to be reduced to zero within 5 years, and for the Secretary of State to produce a report on how this will be achieved.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  47. (2) After section 19 (transfer of patients), insert— ‘ 19A Transfer of patients: out of area placements (1) The Secretary of State must reduce to zero, within five years of the passage of the Mental Health Act 2025, the number of patients transferred to a hospital outside of the area in which the patient is ordinarily resident. (2) The Secretary of State must publish, within six months of the passage of the Mental Health Act 2025, a report to outline how the duty under this section will be met, including how provision for treatment under this Act will be increased.’” This new clause would require the transfer of patients to hospitals outside of their area to be reduced to zero within 5 years, and for the Secretary of State to produce a report on how this will be achieved.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  48. (3) The Secretary of State must, within 12 months of the publication of the review in subsection (1), publish a strategy to implement the recommendations of that review.” This new clause would require the Secretary of State to commission a review into the impact of relevant provisions in the Act in reducing the number of people detained, in particular the provisions relating to people with autism or a learning disability, on grounds for detention and for community treatment orders, medical treatment, care and treatment plans, and on after-care, and to implement any recommendations within 12 months of the publication of the review. New clause 6— Transfer of patients: out of area placements — “(1) The Mental Health Act 1983 is amended as follows.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  49. New clause 5— Review of impact of this Act on detention — “(1) The Secretary of State must, within a period of 12 months following the day on which this Act is passed, commission an independent review into the impact of relevant provisions on reducing the number of people detained under Part 2 of the Mental Health Act 1983. (2) In subsection (1), ‘relevant provisions’ include— (a) sections 4, 5 and 6, (b) section 8, (c) section 21, and (d) sections 46 and 47.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  50. for children) insert— ‘ 131B Adequacy of accommodation (1) The Secretary of State must, within 12 months of the passage of the Mental Health Act 2025, publish a review of the quality of accommodation for any patient who is— (a) liable to be detained in a hospital under this Act; (b) admitted to, or remains in, a hospital in pursuance of such arrangements as are mentioned in section 131(1) above. (2) The Secretary of State must, within six months of the publication of the review under subsection (1), publish a strategy to implement the recommendations of that review.’” This new clause would require a review of the quality of accommodation for people detained or admitted to hospital under the Mental Health Act 1983 and require the Secretary of State to publish a strategy to implement the recommendations of this review.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD