Dr Rosena Allin-Khan
MP for Tooting · Labour · United Kingdom
“I hope my hon. Friend’s mum is making a swift and healthy recovery, and I am sorry to hear that that was her family’s experience. I agree that prioritising care for the frailer, elder population can often be dealt with more effectively before someone comes to hospital.”
“My hon. Friend and I are not performing a double act today, but he leads me on perfectly to the next part of my speech, as I go on to say that “corridor care” is something of a misnomer.”
“We cannot have a debate like this without recognising the terrible inequalities that scar our healthcare service—we have to work to reduce the disproportionate burden of long waits on deprived communities, older patients and people with mental health needs.”
“The hon. Member is right, but I know that the Government care deeply about this. This is not something on which I am in tension with the Government in any way.”
“By healthcare staff I do not just mean doctors such as myself, but nurses, porters, healthcare assistants and cleaners—we are one big family in the NHS, and no one job is more important than any other. We are unable to do any of our roles without all the others, and for that we are truly grateful.”
“As I have just outlined, this unacceptable and dangerous situation is shared not just by patients, but by their families and NHS staff, who are trying to do their best in a difficult situation.”
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“The overhaul of the Mental Health Act has been long awaited. People have to be at the heart of the legislation, and that includes staff. The promises that the Secretary of State has made rely on a workforce: our fantastic frontline mental health staff, of which there are simply too few at present. I asked him last month to outline when we would get the workforce settlement and what reassurance he could give on filling the training places. We are still waiting for an answer. Would the Minister like to answer now?”
“There is still so much that is unknown about this virus and how it affects us, but one thing that is certain is that long covid should be a matter of serious concern, and without concerted action by the Government we may be living with the consequences of this for many years to come. We are still learning so much more about the impact of covid-19 on our communities, our bodies and our wellbeing. There are thousands of people out there currently suffering with long covid. They are relying on us, and on the Government, to get it right for them.”
“She said: “For people to seriously deny our experiences has been soul-destroying.” We have to get this right. It is also essential that healthcare professionals at every level of the NHS are properly trained to treat long covid, distinguishing between the different conditions that fall under the term. This includes frontline mental health workers, as the mental health implications of long covid can be severe. Within an acute crisis, it is far too easy to push longer-term concerns to the periphery. Should the Government continue to do this with long covid, they do so at their peril. Throughout this crisis, far too many people have felt that their voices have been silenced. For the sake of the health and wellbeing of all those living with long covid, please do not silence them.”
“Will the Minister outline what measures the Government will take to ensure that people do not miss out on much needed treatment, particularly if they fall into the category of people who were unable to have a covid test in the first wave? The Government have to step up and show leadership. There has to be clear messaging to the public to ensure that they are sufficiently informed about the condition and about where to seek help if they need it. That messaging needs to combat the misinformation about covid that is out there presenting it as a myth or similar to the flu. I would like to pay tribute to the former MP for Leigh, Jo Platt, who, along with LongCovidSOS and support groups on Facebook, is campaigning tirelessly on this issue. As Jo told me, there are no words to describe how covid deniers have made her feel.”
“Could the Minister please outline what progress has been made on setting up long covid clinics, and what plans the Government have to extend this programme in 2021? There simply cannot be a postcode lottery of service provision for long covid sufferers. No one person’s life is more valuable than another’s, and the Government must ensure that that is reflected in access to treatment. Some long covid patients are being denied referral because they never had a positive covid test. For the many people who suffered with covid in the first wave back in March and April and were not eligible for testing at the time, that is proving incredibly frustrating.”
“Many people with long covid do not know when or if they will return to work. Without action from the Government, the long-term social and economic consequences of this could be grave. Key workers have an increased risk of catching covid. NHS workers in particular are at least three times more likely to contract it than the general population, and this could wreak havoc on our frontline workforce. What steps are the Government taking not only to protect the NHS workforce further but to ensure that staffing levels are such that patients continue to be treated and the population continues to be vaccinated? The availability of treatment and care for individuals experiencing long covid must be a matter of immediate concern to the Government, and I urge them to adopt a patient-led approach.”
“With better data collection and further research, and by listening to those living with long covid, we can begin to effectively treat the condition. Will the Minister please outline what work the Government are doing to close this gap in knowledge? What we do know for certain is that the symptoms of long covid can be severe, completely debilitating and utterly crippling, preventing people from living their normal lives. This impact can have a detrimental effect on people’s mental health, their wellbeing and, as we have heard today, their physical wellbeing. It leaves many unable to return to work months after their initial battle with the virus and causes a great deal of uncertainty in already anxious minds. It is crucial to understand that this stress and anxiety can cause relapses in the condition, as sufferers themselves have told me.”
“At this stage, we cannot say with any real certainty what exactly long covid is. Nor we can accurately predict the true number of people suffering symptoms of long covid. The Office for National Statistics has published estimations suggesting that the proportion of people displaying symptoms for a period of over 12 weeks could be as many as one in 10. Let us be clear, this is not a syndrome being experienced by a small minority of people. There is also finite evidence on the best way to treat the condition, which has vastly varied symptoms. Without a clear understanding of exactly what the condition is, this makes it far more difficult for health professionals to manage and support those who are affected by it.”
“I would like to begin by thanking the hon. Members for Oxford West and Abingdon (Layla Moran) and for Central Suffolk and North Ipswich (Dr Poulter) and my hon. Friend the Member for Denton and Reddish (Andrew Gwynne) for securing the debate, and I thank all Members for their very personal contributions. For thousands, covid-19 is something neither succumbed to nor overcome in a matter of days. For many, it has lasting mental and physical impacts that affect the body many months after initial infection. It is nearly a year since the first case of coronavirus was recorded in the UK, and still very little is known about the debilitating post-covid syndrome. I pay tribute to the LongCovidSOS group and all the online support groups that work tirelessly to raise this issue and support one another.”
“We all know how rare these pieces of legislation are; this is a once-in-a-generation opportunity to get it right for some of the most vulnerable in our society. We simply must get this right for everyone who depends on these services.”
“What reassurance can he give on filling training places? It has already taken so long to get to this point—it was the former Prime Minister who started this process, back in 2016—so will the Secretary of State provide some clarity on the timeframe going forward? Given the complexities of the legislation and the need for it to be robust, what are the plans for a joint prelegislative Committee? It is vital that the blueprint that Sir Simon Wessely’s report sets out is implemented in full. I would like to take this opportunity to thank him and everyone involved for all the work they have done on this review. We must act, and quickly. Covid has shown us how all the pressures on mental health are building. We need action now.”
“We need to advance the mental health equality framework, and there must be culturally appropriate services and freedom for local areas to look at their specific population in order to have the most suitable approaches. Mental health staffing levels are crucial to ensuring that mental health services are fit for purpose. The proposals set out by the Secretary of State go well beyond what has been committed in the long-term plan. We need to see true understanding from the Government that mental health is not about promising fancy equipment; it is about people. The promises in the White Paper rely on the workforce—our fantastic frontline mental health staff, of whom there are simply too few at present. Will the Secretary of State please outline when we will get the workforce settlement?”
“It is in our communities that we witness the harsh reality of health inequalities, which so desperately need to be addressed. Social inequalities and adverse childhood experience are the drivers of mental ill health, and they cannot be ignored. Children from the poorest 20% of households are four times more likely than those from the wealthiest 20% to have serious mental health difficulties by the age of 11. That will not be solved simply by mental health legislative changes; there must be a commitment to addressing the vast chasm of health inequalities across the country. At present, black people are over four times more likely to be detained.”
“That is especially true for children and young people who find themselves in these most difficult of situations, whose voices often are not heard when decisions are being made. It is an important step that learning disabilities and autism will no longer be grounds for detention under the Act, and I am sure that we all welcome that. It is also very welcome that the recommendation on nominated persons has been included. The best way to reduce coercion and detention is to have alternatives to admission. Will the Secretary of State please outline how that will be achieved? Community provision is vital for mental health services that are truly joined-up and, crucially, work well for patients, so will he also give reassurances on community care?”
“I thank the Secretary of State for an advance copy of the statement. This overhaul of the Mental Health Act has been long awaited, and we welcome the White Paper and the fact that the Government have accepted the majority of the recommendations from Sir Simon Wessely’s independent review of the Mental Health Act. Without a doubt, people need to be at the heart of this legislation. Service users must be involved in framing the legislation going forward, and when we talk of numbers and statistics, we must remember that these are real people with real lives and real families. There is a web of individuals who are affected when things go wrong. Deprivation of liberty and the use of coercion can cause lasting trauma and distress.”
“Last night, I finished a shift in a busy east London hospital, sharing difficult news with hopeful families. The resilience of staff on the frontline can never be matched, but across the country morale is on a cliff edge. A decade of cuts to beds, services and staff, combined with pay freezes, has left NHS workers undermined and undervalued. Without our incredible staff, a hospital bed is just that —a bed. So does the Health Minister regret how the Government have made frontline workers feel, and can he promise to change that?”
“What assurance can she offer the millions living in London and the south-east of England who will be under the tier 3 rules on Wednesday that the measures taken will actually halt the spread of the virus and keep them and their families safe over Christmas?”
“Is the Minister aware of the advice of Professor Andrew Hayward, director of the University College London Institute of Epidemiology and Health Care and a member of the Scientific Advisory Group for Emergencies, who told the BBC that allowing people to meet up over Christmas amounted to “throwing fuel on the Covid fire” and that it would “definitely lead to increased transmission” and was “likely to lead to a third wave of infection, with hospitals being overrun, and more unnecessary deaths”? Is the Minister confident that the Government have done everything possible to avoid a third wave in the new year? With today’s announcement that London will be moved into tier 3 just a week before rules are relaxed, is the Minister confident that the Government can effectively communicate these three rule changes to the public in the next week?”
“This is a Government who have stretched the procurement rules to breaking point, overseen a bonanza for chancers, spivs and Del Boys, and wasted millions on the cronies and chums of Government insiders. Doctors and nurses were sent to the frontline without working PPE while profiteers lined their pockets. The truth will come out. The public will get the answers they demand, and the guilty men and women—the hard-faced men who have done well out of the pandemic—will be called to justice. Now, we face the first Christmas alongside covid-19. Ministers must do more to explain the science behind their current plans for the tier system and their plans to relax the rules during Christmas. The PM says we must be “jolly careful”, but are his Government?”
“One such supplier was PestFix, a vermin control company valued at just over £19,000, which was given a contract worth £108 million for PPE that had not been properly tested. The House has heard of the case of Mr Gabriel González Andersson, who was awarded more than £20 million as a middleman between the UK Government and a PPE business founded as the pandemic took hold by Michael Saiger, a Florida-based jewellery designer. And the NAO showed that Stroud Conservative councillor Steve Dechan, who ran a small, loss-making firm, signed a £156 million deal to import PPE from China. Those are just a few instances of a procurement scandal that will only grow as more of the truth emerges. The Prime Minister says over and again that any Government would have done the same. He is wrong. He must not judge others by his own standards.”
“On 18 March 2020, the Cabinet Office issued guidance on public procurement of personal protective equipment and other equipment to tackle the pandemic. That guidance noted that public bodies were permitted “to procure goods, services and works with extreme urgency.” By 31 July 2020, more than 8,600 contracts had been awarded, with a value of £18 billion. Of course we recognise that there was a need for speed, but the National Audit Office reported that there was “a high-priority lane to assess and process potential PPE leads from government officials, ministers’ offices, MPs and members of the House of Lords”. Many suppliers with connections to the Government and Ministers obtained lucrative contracts.”
“Let us rebalance the system of wages and rewards in this country so that the most valuable people, such as care workers and nurses, are valued above shareholders and stockbrokers. I have mentioned our national character and our national health service. Both rose to the challenge admirably, but what about our national leadership? Her Majesty’s official Opposition have maintained a consistent position: we will support the Government in tackling this pandemic, but we reserve our right to scrutinise decisions and ask questions on behalf of the people. That is our proper constitutional role. We will be demanding a full public inquiry into the Government’s response to covid-19, and one particular area that will require forensic dissection is ministerial decision making on procurement.”
“I want to take this opportunity to praise workers across the NHS: our ambulance drivers, nurses, student nurses, doctors, health visitors, mental health professionals, midwives, pharmacists, porters, receptionists, radiographers, physiotherapists, admin staff and healthcare assistants. Not only that, but I want to praise the cleaners, the kitchen staff, the gardeners, the dispatch drivers, the record keepers, the chaplains, the volunteers and so many others. When I turn up for my shifts at St George’s Tooting as an A&E doctor, I know that I am part of an NHS family in which every part relies on the others—a complex web of care and compassion. We as a country rely on them, so let us do more than offer them applause.”
“Many more are left with the trauma of dealing with mass casualties. The latest absence figures from the NHS show that just under half a million days were lost to mental ill health in just one month alone. With infections continuing to rise throughout the country and the Christmas easing of restrictions imminent, how will the Government ensure that the NHS has capacity to cope in January? Staff are already burned out and exhausted by the virus. What plans do the Government have to support our NHS to deliver the care that patients need throughout January and prevent it from becoming so overwhelmed that the vaccination programme is affected? Staff across our health service are struggling, and they know that the adversity is not over yet.”
“I am thinking of workers in the social care sector—low paid and so often stigmatised—working at the sharp end of the pandemic in our care homes. These unsung heroes deserve real recognition. Perhaps next time we discuss low pay and minimum wage, we will remember how much we owe all these workers who make Britain tick. I want to give a special mention to Britain’s postal workers, who have played a special role in supporting our communities—not only delivering the post come rain or shine, but looking in on the vulnerable, raising the cheer of isolated and lonely people and being a friendly face amid uncertainty and fear. Britain’s posties, we salute you. Of course, we praise the 1.4 million of us who work for our national health service. So many NHS workers risked their lives to fight the pandemic, and so many have tragically died.”
“I am thinking of the people who queued down the street to volunteer to deliver food and medicine; people who donated to food banks and looked in on neighbours; and people such as Captain Sir Thomas Moore, who raised not just money, but our spirits and our sense of ambition. I am thinking of those who spearheaded the #WhatAboutWeddings campaign, supporting people whose wedding day plans were derailed and people in the wedding industry whose businesses disappeared. I am thinking of people in the Beauty Backed campaign, supporting workers—mostly women—in the multimillion pound beauty sector whose salons were closed and who could not work to feed their families. I am thinking of our refuse collectors, delivery drivers, shop workers, shelf stackers, cleaners and others who kept the country running.”
“Rates of depression doubled during the first wave, but referrals to mental health services dropped. Couple that with nine months of economic turmoil exacerbated by the Brexit shambles, with millions facing the dole or losing their homes and businesses, and people need assurances that their wellbeing will be protected. There are still 3 million freelancers and small business owners excluded from Government support and facing utter ruin, which takes a terrible toll on their mental wellbeing. Some of the 3 million excluded have even, tragically, taken their own lives. It is not too late for Ministers to do the right thing and support the 3 million excluded. What a year it has been. When the British people were called upon to stand together against a common enemy and to rise to greatness, they were not found wanting.”
“I would like to start with a tribute to Dame Barbara Windsor. She holds a special place in the affections of the nation from her earliest days with the Joan Littlewood Theatre Workshop to being landlady of the Vic. Barbara Windsor asked us to make a stand against dementia, and we will. Our thoughts are with Dame Barbara’s friends and family. It is now nine months since the first British patient contracted covid-19—nine months that have tested our national character, our national health service and our national leaders; and nine months of terrible grief for tens of thousands of families who face a Christmas with an empty chair at the family dining table. Torn apart with anguish and united in pain, those families were robbed of their chance to say goodbye and robbed of the last hug or kiss, and they are still unable to sleep at night.”
“As we near the end of a terrible year, let us reflect on the strength, resilience and genius of our constituents, on the communities that came together, on the values of solidarity and compassion that unite us, and on our common resolve to make 2021 a better year for all—especially the bereaved, the lonely, the vulnerable and the people who saw their worlds turned upside down by this terrible disease. They deserve a Government on their side, yet millions feel let down and left on their own. In 2021, that must change.”
“What about those in tier 3—people in Derby, Leicester, Nottingham, Tyneside and Teesside, Lancashire, Manchester, Birmingham and the Black Country, Hull, Yorkshire, Bristol and, soon, London? Will they get the vaccine quickly and efficiently? What plans have the Government made to deliver the vaccine for tier 3? Can the Minister update us on the position of vaccinations for people in care homes? People were promised a vaccine, and they need reassurance that they were not given false hope.”
“We all have a duty now to explain that vaccines are safe, vaccines work, and if and when people are offered one, they must get vaccinated. When I am offered the vaccine, I will eagerly join the queue, not just because I am a doctor but because I have seen the tragic consequences of this disease up close. All of us in this House must speak up for the science and against irrational conspiracy theories and malign myth making, and we must get our people vaccinated. Is the Minister satisfied that the Government are doing enough to build public confidence in the vaccine? Is she confident that we have the infrastructure to roll out the largest ever mass adult vaccination programme?”
“Everything has to be evidence-based. We in the Opposition have been labouring under the misapprehension that the Government have control over the messaging that has been going out. The mixed messaging relayed day after day by this Government has left people utterly confused. That is why I am saying that we need assurances from the Minister and the Government that the millions of people living under these restrictions would in fact be safe over the Christmas period, were families still to mix. Finally, we turn to the bright light at the end of the darkest of tunnels: the prospect of a vaccine. I welcome the news of new vaccines, and I praise all the teams who delivered them and the Medicines and Healthcare products Regulatory Agency for its efficiency.”
“A system is not working properly if it takes so long to investigate such a tragedy, and yet answers are still not forthcoming. A grieving mother should not have to plead with people to sign a petition to get answers surrounding her son’s death. There should be no barriers to the truth. Inquiries and investigations should not be reserved for the most privileged and those who are most familiar with the system. On the point about time, I highlight that it has taken over a year to have this debate following Melanie’s successful petition. We all understand the mitigating factors that this year has brought, but I would like everyone to consider how every step of the process has been slow. Barriers have been put in place for the family at every single turn.”
“We have to learn from those tragic losses so that no other families are affected. I ask the Minister if she will please work with Melanie Leahy on this matter directly, as her predecessor promised to do. I had the honour of speaking to Melanie ahead of the debate. This is her day, Matthew’s day and a day for all who are still seeking answers about their loved ones’ deaths. The strength it takes to continue this fight after eight long years is commendable. My heart goes out to Melanie’s family and to all who have lost loved ones in similar circumstances, not just at the Linden Centre but in care settings across the country where they were meant to be safe. Many of those people have been mentioned in today’s debate, and I thank Members again for their contributions.”
“Essex police dropped a corporate manslaughter investigation into the deaths of 25 patients who were in the care of the North Essex partnership trust at nine separate establishments since 2000. The ombudsman investigated, and agreed that Matthew had not been responded to appropriately after reporting a rape, as well as that the Essex partnership’s investigation of Matthew’s death was inadequate. All this in eight years—the toll it has taken on this family. That is before we consider the prosecution of the Essex Partnership University NHS Foundation Trust by the Health and Safety Executive following the deaths of 11 patients in its care between 2004 and 2015. The loss of multiple lives and the tearing apart of families were devastating and, most tragically, utterly preventable.”
“I want to raise some of the concerns that were found in the various reviews so that everyone here can get further understanding of the scale of the challenge that Melanie and her family have faced for the past eight years. At post-mortem, traces of the drug GHB were found in Matthew’s system. He had bruises just above both ankles and four to five unexplained needle wounds in his groin. Matthew’s paperwork was incomplete and a key worker was not assigned to him. Staff at the Linden Centre had not issued Matthew with a care plan, but after his death they falsified one and backdated it. A number of ligature points in the Linden Centre previously identified for removal were still there.”
“Just days later, Matthew was found unresponsive and hanged, in his room. He was transferred to Broomfield Hospital, where he was pronounced dead. Matthew was in the Linden Centre for just seven days. As a mother myself, I cannot comprehend what Melanie has had to contend with over the last eight years. Sadly for Melanie and the family, the struggle is not over. An inquest concluded with an open narrative verdict that Matthew was subject to multiple failings and missed opportunities over a prolonged period of time, by those entrusted with his care. Multiple investigations and reviews were carried out into the North Essex Partnership University NHS Foundation Trust, and into Matthew’s care, and they raised even more questions about the care that he received and the nature of his death.”
“Matthew Leahy was just 20 years old when he was admitted to the Linden Centre in November 2012 after being detained under the Mental Health Act 1983. While in the care of North Essex Partnership University Trust at the Linden Centre, Matthew phoned his parents on numerous occasions to express his unhappiness at being detained there. I know that I am speaking again of things that have already been mentioned, but it is important to give the details as many times as possible, to get what happened across as powerfully as is necessary to see the change we want. Two days after being admitted, Matthew phoned his father to tell him that he had been drugged and raped on the ward. Following a 999 call made by Matthew, the Linden Centre staff gave assurances to the family that he was indeed safe in their care.”
“It is a real pleasure to serve under your chairmanship, Mr Stringer, and an honour to respond on behalf of the Opposition in this profoundly moving and powerful debate. I thank my hon. Friend the Member for Hartlepool (Mike Hill) for securing the debate, but it goes without saying that every contribution today has been extremely powerful. Everyone who has spoken has stood up for their constituents and represented the issues very well. The points have been made clearly and concisely, and hon. Members have done Melanie Leahy and the other families very proud. We are here today because of a mother’s love for her son and her desire to receive some answers about his tragic and untimely death. It is fitting, then, that the debate should take place ahead of National Grief Awareness Week.”
“There is an opportunity here for the Minister to commit to providing a grieving mother with answers about her son’s death, and to learning lessons so that other families do not suffer in this way. We cannot, and must not, delay any further.”
“Yes, of course it would be in everyone’s best interests for the inquiry to take place as soon as possible. After all this time, Melanie deserves some answers. I support her call for a statutory public inquiry into Essex mental health services and for the appointment of an independent chair. It is crucial that lessons are learned from Matthew’s case. I will take this moment to read a few words from Melanie about why a statutory public inquiry is so important to her: “To come this far and then get fobbed off with a review or general inquiry…would simply take…us all back to square one.” She goes on to ask that the Minister do something real and meaningful that paves the way for truth, justice, accountability and change.”
“I urge the Government to not stop there. The next step must be to publish the long-awaited White Paper on the Mental Health Act and to stand by their commitment to reform the legislation to better support people who are subject to it. Only then can we be confident that those living with severe mental ill health will be properly supported by the system that is designed to protect them.”
“The impact that covid-19 has had on the wellbeing of the nation has been profound. The Centre for Mental Health found that approximately 10 million additional people will require some form of mental health support as a result of the pandemic. It is important that the Government recognise the additional need and have a strategy to address it during winter and beyond. We know that the best mental health strategies are proactive and preventive. Early intervention is key to addressing mental health concerns before they develop into something more insidious. The Government must ensure that services are prepared and have the resources to cope with any rise in demand. The expiration of the provisions today is a small but welcome step in ensuring that patients who rely on safeguards in the Mental Health Act are adequately protected.”
“Distrust should not come as a surprise to the Government, considering that in 2019-20 the rate of detentions in England under the Mental Health Act was more than four times higher for black or black British people than it was for white people. The racial disparity in detentions under the Mental Health Act underlines the need to address health inequalities and to ensure that provision is widely accessible and that support is suitable for all. I would be grateful if the Minister outlined what work is being done to address the inequality. We need to be clear that for many people, community support is the most effective way to improve their wellbeing, and that has to be a priority as we look to the recovery period. What work is being done to strengthen mental health support in the community at this time?”
“Will the Minister outline the measures that are in place to ensure that people in mental health hospitals will receive the best care available to them, despite ongoing pressures from the coronavirus? Entrenched inequalities in mental health treatment and access to services have existed for many years, but they are undoubtedly being deepened during the pandemic. The disproportionate impact of the virus on black, Asian and ethnic minority communities has put them at greater risk of developing mental health problems. That is especially concerning, because historical racism and experiences of inappropriate support have left many individuals from BAME communities distrustful of mainstream health services, highlighting the need for support in the community.”
“The Children’s Commissioner found that there was a great deal of resilience on those wards throughout the pandemic, with staff working exceptionally hard to ensure that the standard of care and support provided to the children did not drop, but significant challenges remained. Although staffing rates stood firm in many children’s wards, visits from external professionals dropped alarmingly throughout the pandemic. The disruption to mainstream education filtered its way into hospitals, with many teachers stopping all face-to-face teaching on the wards, which left untrained hospital staff to deliver teaching in addition to caring for patients. During this second spike of the virus, it is crucial that all mental health in-patients receive appropriate, high-quality care.”
“Although many people accept that digital solutions are necessary, their success in such settings has been mixed. In-patients have stated that when social contact was facilitated virtually, it made a positive difference to their experience; however, when treatment was provided through digital means, many felt that the standard of care dropped. It is important to remember that a large number of those who have lived in mental health wards throughout the pandemic are children who are living with severe mental health disorders, such as eating disorders or severe depression. They need a more intense level of care than would be possible in the community, but that does not make the experience any less traumatic for a child.”
“Will the Minister please outline why mental health trusts are excluded from this vital funding, and will she confirm what resources are being made available to trusts to support the safe discharge of patients and ensure that they receive ongoing care in the community? Concerns have also been raised about patients who were not discharged. Many mental health estates were not built with social distancing in mind, and that has affected treatment and access to visits on and off site. Reduced contact with family and friends has undoubtedly had an effect on in-patients. Staying in a mental health ward can already be an extremely lonely experience, but the extra restrictions on social contact mean that it can feel truly, devastatingly isolating.”
“In August, the Government announced a £588 million fund to support the safe discharge of patients in the event that it becomes necessary to free up space for coronavirus patients. That money is essential to prevent a repeat of the mistakes that were made in March, but I had it confirmed to me last week that mental health trusts are unable to access that funding. Similarly, alongside the announcement of that money guidance was published outlining the correct procedure for safely discharging patients from hospital settings. Again, mental health trusts were excluded from that, and there is currently no equivalent guidance for them.”
“Inevitably, the redeployment of staff to concentrate efforts on tackling the virus led to disruption to existing mental health services, with surveys from charities such as Rethink Mental Illness and Mind showing that many struggled to access support during the pandemic. That was especially true for those with existing mental health conditions, including many who were abruptly discharged. The needs of people who are living with severe mental illnesses are complex, and it is vital that they receive appropriate care in all settings. As the number of cases and hospital admissions related to covid-19 continue to rise, so too does the prospect of having to empty beds again.”