argyrotsipi/train-dataset huggingface dataset:
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Jacqueline Doyle-Price (Conservative, Centre-right): I totally agree. Feeling empowered and in control of one’s own care is quite a big part of the journey towards getting better. We are very concerned that we are still finding cases in which people are being detained under the Mental Health Act without being properly apprised of their rights under the Act, and without the support of advocates to represent them. Dealing with that is very much a priority as we drive improvement forward.
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Caroline Elizabeth Johnson (Conservative, Centre-right): As a doctor, I know how carefully doctors and other health professionals consider individuals before resorting to detention under the Mental Health Act. Does the increase in detentions under the Act reflect a general increase in mental health problems in the population, or can it be better explained by a greater proportion of people becoming so unwell that they need to be detained in order to support their care? What research is the Minister doing to determine which is the better explanation, and to ensure that we identify those people who are going to become severely ill in time to treat them?
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Jacqueline Doyle-Price (Conservative, Centre-right): Clearly, if we can determine the causes of the increase in mental health detention, that will become part of the toolkit that we use to tackle the issue. This is one of the things that we are asking Sir Simon Wessely to look at. There are anecdotal examples of why this might be happening, but the fact that we are seeing higher rates of detention among the black community and among women raises some interesting questions that will bear further examination. I recognise my hon. Friend’s point completely. Good medical practitioners will use detention under the Mental Health Act only as a last resort, and we must ensure that that good practice is spread as far as possible.
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Jacqueline Doyle-Price (Conservative, Centre-right): Generally, I would say that local facilities were better, but there is also a tension between a local facility and a good facility. It is better that patients should get the best possible support rather than the closest possible support to them. That is a balancing act, and it is something that needs to be determined by local commissioners.
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Jacqueline Doyle-Price (Conservative, Centre-right): We absolutely should do that. I often think that when we are challenging each other in this place about things that are poor, we end up talking our services down, but it remains the case that the NHS is the best health service in the world, and we should always celebrate that fact. Also, the fact that we are putting mental health services under such scrutiny is in itself driving an improvement in performance, because, as we all know, sunlight is the best disinfectant.
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Jacqueline Doyle-Price (Conservative, Centre-right): I would say to the hon. Lady that this report represents sunlight, not clouds. It is very transparent, and these are exactly the things that I will be holding myself and NHS England to deliver to address these points.
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Helen Olivia Bicknell Whately (Conservative, Centre-right): It is very worrying to hear the CQC’s judgment that there has been limited or no improvement, especially relating to the failure to involve patients in planning their care. The Government’s review of the Mental Health Act is therefore timely, and it rightly considers evidence from people who have experienced being sectioned. The report mentions significant variation in performance. Will my hon. Friend be looking into the performance of specific organisations? Can we have more transparency about the failures, down to specific organisation level? What steps are being taken to intervene earlier and to care for people better in order to avert crises and reduce the need for sectioning in the first place?
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Jacqueline Doyle-Price (Conservative, Centre-right): My hon. Friend will be aware that, in addition to this annual review of how the Act operates, the CQC is also involved in inspections at individual provider level. Those institutions that are not performing to the standards that we expect are under close scrutiny by the CQC. In fact, I have had exchanges on the Floor of the House about some of them. I repeat my point about the spirit in which we embrace the challenges offered in the report. We have asked the CQC to undertake this annual report precisely so that we can ensure that the Mental Health Act is operating properly, and I actually welcome its frankness. I do not run away from the criticisms in the report, because it highlights exactly where we need to take action.
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
John Luther Mercer (Conservative, Centre-right): My hon. Friend the Minister is right to highlight some of the concerning figures in this report, but there are some encouraging ones too, and does she agree that those who get a mental health problem in the United Kingdom today have a higher chance of being diagnosed, treated and making a recovery than ever before in our history, and that this is largely due to the brilliant staff up and down this country in tackling this fight?
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Jacqueline Doyle-Price (Conservative, Centre-right): The hon. Gentleman gives a very powerful example, which highlights better than any other we have heard today the challenge we face. Not only was that person failed at the time of having his brain injury, but it was not subsequently picked up as he went through the criminal justice system, and I often say that we can deal with one weak link in a chain of events, but when we have a succession of them, things go horribly wrong. It is very much top of my list to make sure we have better integration of services between health and the criminal justice system, to pick up precisely those situations.
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Jacqueline Doyle-Price (Conservative, Centre-right): The hon. Lady is right to highlight that point, and that is exactly why we have brought forward the children and young persons Green Paper, recognising that the earlier we intervene, the more likely we are to delay and prevent any long-term mental health issues. We are working with the Department for Education, and we are going to be rolling out 8,000 mental health support staff to work in schools to identify precisely that early intervention. The point the hon. Lady makes about Childline raises more questions about why the number of such calls have increased, and we need to do more to understand that. We know some of the social causes that lead to poor mental health, such as domestic violence and other kinds of trauma; they have been with us for a long time. We also need to look at whether there are other environmental factors contributing to that.
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Jacqueline Doyle-Price (Conservative, Centre-right): As I have said, we have increased the amount of funding for mental health. That is separate, of course, to the commissioning decisions at local level by local authorities, who also have a role to play in this, as the hon. Gentleman knows. I am very conscious of the needs of people on the autism spectrum. We must give that support, and the things we are doing in terms of improving provision in schools will help identify people who are struggling with that. Planning for the future is great, but we are where we are now, and I join the hon. Gentleman in wholeheartedly congratulating staff up and down the country on their efforts in delivering a good service.
Mental Health Act: CQC Report — House of Commons, 2018-02-27
Topic: Health
Questions: To ask the Secretary of State for Health and Social Care to make a statement on the Care Quality Commission’s report, “Monitoring the Mental Health Act in 2016/17”.
Jacqueline Doyle-Price (Conservative, Centre-right): I disagree profoundly with the hon. Gentleman. This report shows that patients have increased access to advocates, that more attention is paid to the physical health of people with mental health treatment, and that there is better planning for aftercare and discharge, but we are being honest: we still need to do better, and I expect Members to hold me to the findings highlighted in the report.
Eating Disorders Awareness Week — House of Commons, 2018-02-27
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): Anorexia nervosa, a well-known eating disorder, has the highest mortality rate of any mental health condition. When eating disorders are not fatal, they can still lead to significant and long-lasting health issues. An estimated 1.25 million people in this country suffer from an eating disorder. Of course, it affects not just them but their families, yet eating disorders are all too rarely discussed in public We discuss with comparative ease physical illnesses that may devastate people’s lives, but when it comes to mental illnesses this is too often not the case. That is also true of eating disorders. Despite the ever-increasing pressures of daily life leading to increased instances of poor mental health, we still do not speak about these issues enough. These illnesses can thrive on secrecy. The longer they go unchallenged and unacknowledged, the harder it is to beat them. It is only by talking about them, bringing them out of the shadows that we can reduce the power they hold over those who suffer. To really improve the lives of those with eating disorders and prevent those at risk from falling victim to these illnesses, we must bring eating disorders, as with all mental health issues, to the forefront of the collective deliberations and consciousness of our society. That is why, in this Eating Disorders Awareness Week, I am very pleased to have secured this important debate so that we in this House, the centre of our national debate, can talk about it and play our part, however small, in raising awareness and making it that bit easier for others to talk about it. I am very pleased that this Minister is responding to the debate, because I know she is a lady of compassion, dedication and determination to improve people’s lives. May I also say, Mr Speaker, that with all the pressures on your time, I am pleased that you are in the Chair for the start of this debate, because I know the close interest you have taken in these issues as well?
Eating Disorders Awareness Week — House of Commons, 2018-02-27
Topic: Health
Alexander John Gervase Chalk (Conservative, Centre-right): Will my hon. Friend join me in commending the outstanding compassion and professionalism of the community team and other professionals at the Brownhill Centre in Cheltenham, who provide such a vital lifeline for those suffering with eating disorders?
Eating Disorders Awareness Week — House of Commons, 2018-02-27
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): I will. My hon. Friend is absolutely right to raise this issue. Indeed, my hon. Friend the Member for South Ribble (Seema Kennedy) highlighted earlier today the work of the SEED—Support and Education for Eating Disorders—organisation in Penwortham in her constituency. They are both absolutely right to highlight the work of such organisations As hon. Members may know, since my election to this House I have on a number of occasions raised health and mental health-related issues on behalf of my constituents and more widely. In this case, last year I accepted an invitation from Beat, the national eating disorder charity, to the launch of its important report, "Delaying for years, denied for months", which focuses on how long it takes from someone developing an eating disorder to their receiving treatment for it. It is a piece of research I will draw on extensively today.
Eating Disorders Awareness Week — House of Commons, 2018-02-27
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): The hon. Gentleman makes a very important point. This is one of those issues on which I would hope we can see the widest engagement across the UK, across all involved in government and the provision of services, to come up with a coherent and common approach to beating eating disorders.
Eating Disorders Awareness Week — House of Commons, 2018-02-27
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): My hon. Friend makes a very important point and if he will perhaps be patient for a few more minutes, I will turn to, among other things, exactly that point At the launch that I referred to, I met and heard from some impressive and inspiring people, who had grappled with eating disorders and who wanted to share their experience and raise awareness. I subsequently met Beat to discuss its work and what more needs to be done. The people I met at Beat’s launch event did something important and brave in speaking out, but they had already done something brave in seeking help for their illness in the first place.
Eating Disorders Awareness Week — House of Commons, 2018-02-27
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): The hon. Lady is absolutely right. It is always true in any situation that someone who has been there can speak with much more power and in a much more compelling way than someone who has not, however empathetic they are. The reality is that the recognition of an eating disorder for what it is—an illness—and getting the help and treatment for it is, all too often, still too slow. With an eating disorder, as with illnesses generally, the earlier an intervention and treatment take place, the easier it is to treat and the better the outcome for the patient.
Eating Disorders Awareness Week — House of Commons, 2018-02-27
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): The hon. Gentleman makes a very important point. Mental health services, whether they are statutory mental health services or supported services from the voluntary sector, have to be able to address the needs of the individual as an individual. I will come shortly to funding and the provision of those services Beat’s report last year found that the average cycle of relapse and recovery could be six years, and that it took an average of three and a half years, or 176 weeks, between someone getting an eating disorder and their getting the treatment that they need. That average of 176 weeks goes across people who are under 19 and adults. For those under 19, the average is 130 weeks, and for those over 19, the average is 256 weeks Those statistics are worth unpicking a little. It is important to be clear that 91 of the 176 weeks come before an individual or those around them recognise that they have an eating disorder, and a further 58 weeks come after that point, before they seek professional help. Increasing awareness of the symptoms of eating disorders is vital. As a recent YouGov survey found, 79% of the people who were surveyed could not list a single psychological symptom of eating disorders, and 34% were unable to name any correct sign or symptom. Alongside that, however, it takes real bravery for someone to admit to themselves that they need help. It is incredibly hard for someone to talk about an eating disorder.
Eating Disorders Awareness Week — House of Commons, 2018-02-27
Topic: Health
Kirstene Janette Hair (Conservative, Centre-right): I congratulate my hon. Friend on bringing this important debate to the Floor of the House. He says that it takes a lot of encouragement for people to say that they need help, and I commend the Government for their four-week target of 95% of patients to be seen within four weeks of referral. Will he join me in urging the Scottish Government to reduce the number of weeks from 18 weeks to four?
Eating Disorders Awareness Week — House of Commons, 2018-02-27
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): I certainly join my hon. Friend in urging that. I daresay that were the Speaker to express a political opinion, he might, too, but of course, he cannot It will always take courage to talk about an eating disorder, but by talking about them in this House and in our communities, we can help to make it easier and to reduce the 149 weeks that I talked about. I hope that in the Minister’s response, she will set out what is being done to raise awareness and to help the national conversation to take place, working alongside charities such as Beat The remaining 27 weeks of the total come from an average of 11 weeks between someone first visiting a GP and receiving a referral, often with three visits to a GP taking place before that happens; eight weeks between referral and formal assessment; and eight weeks from assessment to receiving treatment. We can and should be able to further reduce this 27-week period Let me be clear: this is not, and should not be, a partisan or party political issue. Governments of different political colours have all made significant progress, but of course there remains more we can all do. When someone has made the important leap to talking about their illness and seeking help, it is at this time that they are most receptive to engaging with that help when offered. When they make that leap of faith, we must meet them with action.
Eating Disorders Awareness Week — House of Commons, 2018-02-27
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): My hon. Friend makes an important point. One of the key themes drawn out from this and related research is that it should not just be one symptom or factor that determines when someone needs help; there is a basket of factors and considerations that demonstrates when that need is there and when treatment is needed. He is absolutely right, therefore, to highlight that point As we know, GPs do an amazing job, but, as my hon. Friend the Member for Henley (John Howell) said, we need to ensure that doctors’ medical training gives them the tools they need in this area, as in others, to recognise all the symptoms of an eating disorder; and to ensure that that training is kept up to date and that medical professionals are familiar with and follow National Institute for Health and Care Excellence guidelines on eating disorders, including its guidance that single measures—this touches on the point my hon. Friend the Member for Boston and Skegness (Matt Warman) has just made—such as body mass index and duration of illness alone should not be used to determine whether to offer treatment or what treatment to offer The Government have made huge strides in focusing on reducing delays through investment and funding and waiting-time targets, but these targets are not always fully applicable to everyone. As my hon. Friend the Member for Angus (Kirstene Hair) set out, the Government have a target of 95% of non-urgent cases involving under-19s being seen for treatment within four weeks. I understand from the latest figures that that target is now being met in 79% of cases. That is good progress, but there is still more to do. It is vital, however, that these waiting-time standards for accessing treatment also apply to over-19s. I would welcome the Minister’s reflections on that, and, of course, I reiterate what my hon. Friend the Member for Angus said and hope that the Scottish Government will follow the very positive lead set in this respect More broadly, I would also highlight the waits experienced for child and adolescent mental health services and adult mental health services more generally. In some parts of the country—I have highlighted this in my county of Leicestershire—delays in treatment can have a profound effect on individuals and the families who care for them. I hope that the Minister will touch more broadly on that bigger picture.