Date: 2023-04-24
Alison McGovern: I thank my hon. Friend and constituency neighbour for making that point. We could have another Adjournment debate on mental health support services for children and the role that education should play. I will not focus on children and young people today, but I share her concerns and I thank her for putting them on the record. When trying to find out more about exactly what is going on in the Wirral, it was pretty frustrating and challenging to get clarity on mental health waiting times. That is a big inequality with physical health, partly because our traditional way of measuring waiting times in the NHS is referral to a consultant for treatment. But in mental health, the big focus is on services in which someone, hopefully, will not need to see a consultant. Expanding access to talking therapies, which were previously known as the improving access to psychological therapies service, is not about getting a referral to see a consultant, so I do not think there is the same political eye on mental health waiting times. Will the Minister say what plans the Government have to structurally change that and to try to figure out a way for us to track mental health waiting times more effectively? As constituency MPs, we need to be much more aware of what services are being provided to our constituents and in what timeframe. I mentioned the NHS focus on talking therapies and the IAPT service. Having prepared for the debate, the Minister may know that unfortunately in the Wirral we have a significant backlog in waiting times for the IAPT service. Through asking questions, I have discovered a significant failure against one of the key measures. As of December 2022, the "number of individuals accessing IAPT services as a percentage of prevalence in the borough" was just less than 10%, but the national target is 25%. In my view, that is a big failure. It represents a significant number of people who ought to be accessing talking therapies who are not. What more can the Minister tell me about the oversight that central Government have of that? The talking therapies staff in the Wirral are brilliant. Having inherited the backlog as a new provider, they have worked incredibly hard to try to get on top of the situation. They are doing significant and important work, but the delays have big consequences for my constituents. Some people who have come to my constituency surgeries have experienced challenging situations but not had the kind of support they needed. Looking at the figures from NHS Cheshire and Merseyside more closely shows that unfortunately the issues get worse. Within the talking therapies service, the waiting time for the more significant level of counselling support can be up to eight to nine months, and there are nearly 700 people waiting for that counselling support. If I needed counselling and I was told that the waiting time was nine months, I would be really desperate. How is anybody supposed to deal with that wait, when they already know that they need help and support to face a life challenge? That is not fair. If the waiting time related to physical rather than mental health, I think a lot more attention would be paid to it. Unfortunately, things are even worse in the Wirral. We know that early intervention is important, but the backlog and what was historically going on within our talking therapies service has been mirrored in the community mental health scheme. I have spoken to constituents whose loved ones have experienced significant mental health problems, and they have asked me what is going on with our community mental health team. Unfortunately, there are long waits there, too. This is really problematic because those people may have experienced in-patient care and may need support after that. The aim may even be to prevent in-patient care. Those people should be supported in the community, but there is an average wait of 11 weeks. I worry that that situation will escalate. We know that we have real problems across our NHS, whether that is access to A&E or other parts of primary care. If people with a mental health condition are not supported as would be expected and given the care they need to improve their situation, they will end up in crisis. That is just how it is, and it will mean a knock-on for our A&E staff. It is a really frustrating situation, and I ask the Minister what the Government's plans are for resolving it. Do they have a strategy that could support improvement in the Wirral? As my hon. Friend the Member for Wirral West (Margaret Greenwood) said, we could have the same debate all over again--I will not suggest we do so tonight, because our staff may be hoping for a bit of an early night--about services for children and young people. Waiting times for them in the Wirral and across the rest of the country are really bad. The consequences of not getting support early are often worse for children and young people, who may be realising for the first time that they have a mental health condition. We need a strategy from the Government that includes children and young people, for all the reasons that I am sure the Minister is well aware of. The gaps in performance and the poor quality of service across the Wirral and, I am sure, across the rest of the country are exacerbating inequality. Somebody who realises how long the wait on the NHS is for talking therapies or counselling, and who is in a well-paid or well-supported job may be able to access support almost immediately through their work plan, particularly if their job comes with an employee assistance programme. That is a good thing, because those people need help, but someone in a less secure job--on a zero-hours contract, perhaps, or on the minimum wage, as many social care staff and other key workers are--cannot access that support, so the situation is exacerbating inequality in our borough. I could say as much again about the structural causes of mental ill health, poor employment, poverty and other things, but I am sure the Minister is as concerned as I am about the exacerbation of structural inequality.