Date: 2023-04-24
Maria Caulfield: I congratulate the hon. Member for Wirral South (Alison McGovern) on securing this important debate. I am always pleased to have the opportunity to talk about the progress that we are making with mental health services, not only locally but throughout England. Mental health affects us all, and for those of us who experience poor mental health, its impacts can be detrimental to the ability to live well, thrive and achieve  personal goals. That is why improving mental health outcomes, particularly for those who experience worse outcomes than the general population, is a top priority for me and, in particular, for the Government. As the hon. Lady said, mental health still has some way to go before it is put on a par with physical health in terms of expectations, help, support and treatment, but we are making progress, in the Wirral and across the country. The NHS long-term plan commits an additional PS2.3 billion a year to the expansion and transformation of mental health services in England by 2024, which means that that 2 million more people will be able to receive NHS-funded mental health support than were able to receive it in 2018-19. For instance, we will have invested nearly PS1 billion every year in community mental health care for adults with severe mental illnesses by the end of the current financial year, which will give 370,000 adults with such illnesses--including older adults--more choice and control over their care and support. Let us not be under any illusion. We have seen a tsunami of referrals as older adults, children and young people have sought help and asked to be referred. In a way we have been successful in breaking some of the taboos and stereotypes related to mental health, which means that people are willing to come forward and ask for help, but our challenge now is to ensure that the services are able to meet that growing demand. The hon. Lady mentioned targets as a way of being able to give people an indication of how long they should be waiting. Until fairly recently, mental health did not involve any waiting time standards, but we have introduced targets for children and young people with eating disorders. Let me give an example to illustrate the sheer scale of the current demand. The number of children and young people entering urgent treatment for eating disorders has increased by 11% in the last two years, and in the previous year it increased by 73%. A record number of people now need help, and our challenge is to provide the services that will provide it. NHS England is currently consulting on the introduction of five new access waiting time standards for mental health services, which we hope will address some of the concerns expressed by the hon. Lady. They include introducing a target for urgent referral to a community-based mental health crisis service that patients across all ages should be seen within 24 hours of referral. For very urgent referrals to a community-based mental health crisis service, a patient should be seen within four hours of referral across all ages. Patients referred from A&E should be seen face to face within one hour by a mental health liaison or equivalent children and young people's service. Children, young people and their families presenting to community-based mental health services should start to receive care within four weeks. Those are the standards we are trying to introduce, and I will commit to updating the House on the progress we are making, because the standards in the Wirral that the hon. Lady has talked about in her speech are the standards that we would like to see across the country.