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Mental Health Bill [Lords] 2025-05-19
19 May 2025
Lead MP
The Secretary of State for Health and Social Care
Debate Type
Ministerial Statement
Tags
NHS
Other Contributors: 46
At a Glance
The Secretary of State for Health and Social Care raised concerns about mental health bill [lords] 2025-05-19 in the House of Commons. A government minister responded. Other MPs also contributed.
How the Debate Unfolded
MPs spoke in turn to share their views and ask questions. Here's what each person said:
Government Statement
I beg to move, That the Bill be now read a Second time. I want to place on record my thanks to Baroness Merron for her leadership of the Bill’s progress in the House of Lords, and to thank Members on both sides of that House for their contribution to scrutiny of it. In doing so, we are providing a once-in-a-generation opportunity to profoundly transform the way in which we view and support people with serious mental illnesses. The measure of a society is how it treats its most vulnerable citizens, and when it comes to the treatment of people with serious mental illnesses, we are falling well short of the humane, compassionate society that we aspire to be. Patients live 15 to 20 years less than the average, and they are often accommodated far away from their families and loved ones. The facilities in which they are housed can be completely unsuitable. During his investigation last year, Lord Darzi found nearly 20 patients in a mental health facility who were forced to share two showers and live among an infestation of rats and cockroaches. Patients are denied the basic choice and agency that is awarded to NHS patients with physical illnesses. People from ethnic minority communities, especially black African and Caribbean men, are more than three times as likely to be sectioned. Although they are very different conditions, people with a learning disability and autistic people are often lumped in with those who have mental illness, reflecting an outdated lack of medical understanding. The Mental Health Act is designed to keep patients and the public safe, but it is clear that it does so in an outdated and blunt way that is unfit for the modern age. It is too easy for someone under the Act to lose all sense of agency, rights and respect. We need to get this right and give these patients a voice.
Jeremy Hunt
Con
Godalming and Ash
Question
The Health Secretary will have been briefed by the Minister for Care about the tragic murder of Christopher Laskaris, the son of my constituent Fiona Laskaris, and the lack of a voice for parents, who know their own children extremely well, in very difficult situations like this. Have the Government considered whether they might table an amendment to make things like Christopher’s tragic murder less likely in the future?
Minister reply
I am extremely grateful to the right hon. Gentleman for his intervention and I place on record my thanks to Fiona for her campaigning work... We are carefully considering the arguments that have been made, and looking at what we can do in this Bill to advance things in the way that Fiona and others like her would like to see.
Peter Swallow
Lab
Bracknell
Question
My right hon. Friend is touching on ways to strengthen this Bill even further... Will he arrange for a meeting with members of the Committee and the relevant Minister to discuss our findings?
Minister reply
I wish I could correct my hon. Friend and say that I have already read in detail the feedback from the Joint Committee on Human Rights, but he is right: I have not yet had a chance to do that... We would be very happy to meet members of the Committee to discuss in further detail their findings and recommendations.
Peter Prinsley
Lab
Bury St Edmunds and Stowmarket
Question
Does my right hon. Friend agree that while we are seeing record levels of mental health problems in our young people, investment in community services for people with mental health problems must be a priority?
Minister reply
I wholeheartedly agree with my hon. Friend... We want to see a shift in the centre of gravity in the NHS out of hospitals and into the community as one of the three key shifts that will underpin our 10-year plan for health, which we will be publishing in the not-too-distant future.
Jim Shannon
DUP
Strangford
Question
I commend the Secretary of State for bringing this Bill before the House... Will the Secretary of State share all the ideas in the Bill with Mike Nesbitt—the Health Minister back home—so that Northern Ireland can also benefit?
Minister reply
I am happy to reaffirm that we have a really strong working relationship with Minister Mike Nesbitt and the Northern Ireland Executive, and we are keen to share insight wherever we can... We need to focus on prevention, attacking the social determinants of ill health, including mental ill health, of which poverty is a key driver.
Jen Craft
Lab
Thurrock
Question
Does the Secretary of State agree that a proper community treatment plan for those with learning disabilities and autism is not just reliant on the actions of his Department, but a cross-Government effort and an integrated care system at a local level?
Mid Sussex
Question
Has the Secretary of State given consideration to the Carers Trust proposal, which would amend the Bill so that when a parent has a mental health crisis, checks and safeguards are put in place to ensure young carers are suitably cared for?
Minister reply
The Department is happy to look at the Carers Trust proposal and will take representations on that and other issues as the Bill progresses through its Commons stages. The Government aims to provide practical care by ensuring children and young people's mental health and wellbeing are taken into account, considering their parents' mental health.
Richard Baker
Lab
Glenrothes and Mid Fife
Question
Does the Secretary of State agree that compulsory treatment should only be necessary when absolutely necessary? He mentions a young man who has been in a state hospital for 17 years under a compulsory treatment order, which is an infringement on his human rights.
Minister reply
The Government must ensure that the bar is set correctly for compulsory treatment and that both compulsory and voluntary treatment are within a reasonable distance of family and friends. The Government aims to do better on both sides of the border regarding the appropriate placement of people in mental health settings.
Samantha Niblett
Lab
South Derbyshire
Question
How will this new way of treating people and looking after the children of those impacted be measured over time to ensure it is successful?
Minister reply
The Secretary encourages her to share experiences with Ministers or through the passage of the Bill. The Government aims to provide the best possible support for people experiencing a mental health crisis and their loved ones who experience pain and anxiety.
Calum Miller
LD
Bicester and Woodstock
Question
Can the Secretary of State describe how either the Bill or the change in culture will improve the situation for people transitioning from youth and adolescent services to adult mental health services, especially with access to the same medication?
Minister reply
The Government is working to better join up data, information, and patient records, improving care planning and designing services around patients. This aims to help deal with some of the cliff edges experienced when transitioning from one part of the NHS to another.
Helen Morgan
LD
North Shropshire
Question
Would the Secretary of State consider looking at how the community supports people experiencing a mental health crisis who might have discharged themselves and how we can keep them safe in future?
Minister reply
The Bill deals with cases under the category she describes, through reforms to community treatment orders. However, for full coverage, technology could help predict risk using data, patient records, and analytics.
Iqbal Mohamed
Ind
Dewsbury and Batley
Question
Will the Secretary of State give way?
Minister reply
The Secretary of State, Wes Streeting, indicated that he was just concluding his statement.
Edward Argar
Con
Melton and Syston
Question
Thank you for bringing the Bill before Parliament. The Mental Health Act 1983 needs updating to reflect modern healthcare understanding, especially after the review by Sir Simon Wessely in 2018. We welcome some areas of the Bill but express concerns about patient rights and unintended consequences.
Minister reply
Wes Streeting acknowledged Edward Argar's comments and highlighted ongoing efforts to address mental health needs through increased investment and reforms.
Iqbal Mohamed
Lab
Question
The shadow Secretary of State raises an important point about resources. The updated impact assessment estimates that the cost of reform is £5.3 billion. With mental health spending falling as a share of NHS expenditure, does the shadow Secretary of State agree without legislative safeguards to protect mental health funding, the Bill may not achieve its aims?
Minister reply
The hon. Gentleman is right to highlight both the costs and investment needed but the cost does not detract from the importance of and need for measures set out in legislation. The Government will ensure that the legislation has resources behind it.
Edward Argar
Con
Question
The hon. Gentleman is right to highlight both the costs and investment needed, but does he agree with reducing mental health spending?
Minister reply
While the proportion of mental health spending has decreased slightly from 9.01% to 8.73%, this reduction does not take into account additional investments in elective backlog clearing waiting lists and general practice which will benefit people with mental ill health.
Neil Coyle
Lab
Bermondsey and Old Southwark
Question
The legislation will be crucial for the service professionals working on the frontline, as well as all those who need support. My borough of Southwark has additional help funded by a Labour council including direct access to help through online systems, drop-in hub for young people and I am glad this legislation adopts similar principles but despite this additional support, what steps are being taken to ensure there are sufficient services with sufficient capacity to properly support people with autism and learning disabilities?
Minister reply
The NHS workforce plan will nearly double the number of mental health nurses by 2031-32. The Secretary of State intends to update the plan during the Bill’s passage to address any changes that may be necessary.
Marie Tidball
Lab
Penistone and Stocksbridge
Question
How can the Government ensure quick implementation of sufficient community support as per the Bill's requirements?
Minister reply
We will work closely with advocacy groups, autistic people, and those with learning disabilities to swiftly develop a comprehensive plan for adequate community support.
Ben Spencer
Con
Runnymede and Weybridge
Question
Can you explain the importance of having powers to regulate compulsory treatment in mental health cases?
Minister reply
These powers are essential to protect individuals who become unwell enough that they cannot recognise their own illness, ensuring timely intervention for their safety and well-being.
Sojan Joseph
Lab
Ashford
Question
Does the hon. Member not think that the deprivation of liberty safeguards, which help to hold those who lack capacity in a non-secure or locked environment such as a hospital, are useful and that bringing the two provisions together is unnecessary?
Minister reply
The hon. Member's background as a mental health nurse gives him valuable insight into this matter. I believe we should see in the Bill a provision setting out that, in order to detain someone for purposes of health or safety, they must lack decision-making capacity for the detention to be authorised.
Question
Would he concede that the focus on learning disability and autism is perhaps because these disorders have very specific features making hospital environments particularly challenging?
Minister reply
I thank the hon. Lady for her intervention. Sensory over-stimulation can indeed be a significant issue for those with autistic spectrum disorders, but I would argue this challenge applies broadly to anyone in a general adult ward irrespective of their diagnosis.
Dorking and Horley
Question
We are on the cusp of changing the law. I would like to honour Fiona Laskaris, who has worked tirelessly to change the law that prevented her from saving her autistic son, Christopher, from murder.
Minister reply
The Minister did not provide a direct answer but acknowledged the importance of such cases and the need for reform in the Mental Health Act. The Bill aims to address similar concerns raised by advocates like Fiona Laskaris.
Question
My hon. Friend is absolutely right to say that patients with challenging behaviours should not be detained in a mental health ward for many, many years. They should be in a different setting. Does he agree that we do not have enough support or accommodation for patients? We need to invest more in community settings for some of these patients with challenging behaviours.
Question
I very much support what my hon. Friend is saying about making sure that there is an active plan. One of my concerns is that implementation of this Bill will be delayed until community support is ready. Does he agree that it would be welcome if the Minister offered a reflection on what good looks like in this space, and what ready looks like, so that we know what we are aiming for?
Question
Sections 135 and 136 of the current Mental Health Act give the police the power to break into someone’s property or detain somebody in a public place where there is the possibility of the involvement of weapons. Does the hon. Member think that health professionals would be able to manage those kinds of situations? Would the police not be the best people to deal with those situations?
Minister reply
I am sorry if I was not clear for the hon. Gentleman. I thought I had made it very clear that I was talking about situations in which there was no risk to other professionals. Clearly, in the situations he describes, the police are entirely the right people to be involved.
Question
The hon. Member mentions support for the person needing help—to help themselves, and also to help society. Does he agree that more and more people are getting into situations where they do not feel that they are being helped, and that they just feel incarcerated and restricted?
Minister reply
Iqbal Mohamed's question is addressed by Gregory Stafford’s statement about the need for proper mental health services and support to prevent people from reaching crisis situations.
Minister reply
This Bill is essentially about the duty of care not only to those who have mental health issues, but to the public, including the family, friends, carers, public servants and everyone else who interacts with those individuals. The duty of care also exists to protect those individuals from themselves.
Penrith and Solway
Question
On the important issue of suicide and the extremely high rate in Cumbria, does my hon. Friend and constituency neighbour agree that it is extremely important that coroners work with, and provide information to, local authorities and local health services to ensure that we can deliver meaningful policies on anti-suicide strategies in areas like Cumbria?
Minister reply
I thank my constituency neighbour for suggesting the types of solutions that we should look at. Some areas of the country have much higher rates of suicide than others, and we know far too little about why those areas have those trends.
Question
My hon. Friend has talked with real passion and expertise about children in care, and he makes some really important points. Does he agree that the mental health support we give to young carers—young people who support a family member—is equally important? They make such a huge difference to our communities and the NHS, and they too should be supported.
Minister reply
Absolutely. We need to support young carers and young people in care. One of the common challenges facing both of those populations is that services sometimes fail to look at what support can be provided to the whole family unit, so I take my hon. Friend’s point.
Question
Is my hon. Friend able to name an intervention for a diagnosis of mild autism that could be considered a medical intervention, not something to address one of the social issues he has identified, that could harm the individual?
Minister reply
Yes, in a number of schools we have seen a growing number of ADHD and mild autism diagnoses that do not come with any form of treatment. That is in a system where there is an expectation that education, health and care plans will be filled and met by multiple agencies, and the families are often left battling the system, having to fight for a diagnosis to get that label and then finding that the help is not there.
Question
As well as NHS funding for direct mental health services, does the hon. Lady agree that we should invest in preventive steps to help children to avoid the mental health anguish that they are suffering today?
Alison Hume
Lab
Scarborough and Whitby
Question
Does my hon. Friend agree that a three-year wait for an appointment with CAMHS, as my constituents are facing, is completely unacceptable?
Lola McEvoy
Lab
Darlington
Question
While funding is important, early intervention and preventive care in mental health services is also really good money, well spent?
Shockat Adam
Ind
Leicester South
Question
It has been humbling to be part of this debate and to hear powerful contributions from hon. Members who have so much knowledge, in particular the hon. Member for Runnymede and Weybridge (Dr Spencer) and the hon. Members for Dorking and Horley (Chris Coghlan) and for St Neots and Mid Cambridgeshire (Ian Sollom), who made emotive speeches. I welcome the Bill and the Government’s recognition that the current legislation is no longer fit for purpose. With over 54,000 people detained under the existing Mental Health Act, this is an opportunity to modernise a system that often fails to provide care fairly and effectively. We have heard brutal testimony of that today.
Andrew Cooper
Lab
Mid Cheshire
Question
It has been an absolute privilege to listen to contributions from Members with real expertise and experience. I wholeheartedly welcome the Government’s Mental Health Bill, and I am proud that this vital and, as we have heard, long-overdue Bill will modernise the woefully out-of-date Mental Health Act, which we know is linked to racial inequalities, poor care for people with learning disabilities and neurodivergence and which fails to give patients a proper voice. By modernising the Mental Health Act and making it fit for the 12th century, the Government are demonstrating that they have the ambition, compassion and determination to ensure that patients have greater choice, autonomy, rights and support, and that all patients are treated with dignity and respect throughout their treatment.
Jim Shannon
DUP
Strangford
Question
It is a real pleasure to speak in this debate, Madam Deputy Speaker. Thank you for allowing me the opportunity to make a contribution. I shall begin by saying that it is essential that we get this right. In his introduction, the Secretary of State outlined his case very well, and I welcome his policy, his strategy and his legal way forward here in Westminster. I also believe that that will set a trend for the rest of the regions of this United Kingdom of Great Britain and Northern Ireland, and particularly for Northern Ireland. I know that the Minister has direct contact every month with the Health Minister in Northern Ireland, Mike Nesbitt, and that a very constructive dialogue takes place between the Secretary of State here and the Minister back home. Hopefully, this will allow all the regions across the United Kingdom of Great Britain and Northern Ireland to ensure that we are all on the same page when it comes to mental health support and obligations. The Minister and the Labour Government have set a strategy in place that I welcome.
Chris Webb
Lab
Blackpool South
Question
He questioned whether the Bill goes far enough in its legal obligations for children's reviews on education and health, asking if there should be a statutory framework for assessing capacity in under-16s.
Julie Minns
Lab
Carlisle
Question
She asked about the implementation of community-based support workers, accessible mental health hubs and specialist professionals in every school, with funding being a critical factor. She also highlighted a case involving a young woman aged 15 with anorexia who was restrained and confined to a wheelchair.
Aylesbury
Question
She welcomed the reforms of the Mental Health Act, emphasising that people experiencing severe mental illness are given more autonomy and choice under the Bill.
Southend West and Leigh
Question
We know the shocking statistics associated with poor mental health, including a £300 billion annual cost to England. Men’s mental ill-health frequently goes unrecognised or untreated, leading to severe consequences. What measures are being taken to address these issues?
Minister reply
The Bill aims to reduce significant racial inequalities in perinatal healthcare outcomes and introduces measures such as advance choice documents and tightening criteria for detention and compulsory treatment. I welcome the involvement of patients in decision making throughout their care, increasing scrutiny of detention, and the first men’s health strategy focusing on mental health.
Michael Wheeler
Lab
Worsley and Eccles
Question
Thank you to everyone who has participated in this debate. As someone new to Parliament, I have learned a lot today about the importance of perinatal mental health and the steps being taken to address it.
Minister reply
The Bill represents a crucial step forward for those requiring intensive, specialist support during severe mental illness post-birth. It aims to reduce racial inequalities in perinatal healthcare outcomes and introduces measures such as advance choice documents and tightening criteria for detention.
Chris McDonald
Lab
Stockton North
Question
What do you think about the regulation of psychotherapists and its importance?
Minister reply
We are considering the inclusion of regulations for psychotherapists in the Bill to ensure quality of care and prevent harm from unqualified therapists. This will help restore confidence in the profession and address concerns raised by professionals like Chloe.
Simon Opher
Lab
Stroud
Question
How do you plan to address issues with mental health workers working alongside police?
Minister reply
We recognise the importance of close collaboration between mental health workers and police, especially for cases like those mentioned by my hon. Friend, where timely intervention can prevent unnecessary hospitalisation and ensure proper treatment.
Opher
Lab
Birmingham Yardley
Question
Does the hon. Member agree that prompt access to support in a crisis is vital to reducing the need for greater degrees of intervention covered by this Bill? Are resources the key issue rather than the Mental Health Act itself?
Minister reply
I acknowledge the importance of prompt access to support and confirm our commitment to recruiting 8,500 mental health workers into the system to improve patient care. We must be careful not to blur the lines between resource allocation and legislative reform.
Jim Dickson
Lab
Dartford
Question
Will the Minister provide reassurance about the future of the patient and carer race equality framework, which is vital for achieving equality of outcome?
Minister reply
I acknowledge the importance of this framework for achieving equality in mental health outcomes. We are committed to improving data on outcomes under community treatment orders and ensuring fair representation among affected communities.
Helen Hayes
Lab
Dulwich and West Norwood
Question
As the Minister is talking about the implementation of the Bill, I wonder whether he can reassure my constituents that this Bill will do the job of eliminating racial inequality from mental health services by committing to putting the patient and carer race equality framework on the face of the Bill.
Minister reply
We are already working to reduce inequalities under the Mental Health Act. The patient and carer race equality framework is now a contractual requirement for all providers of NHS-commissioned care, supporting trusts in improving interactions with racialised communities.
Question
The Minister is talking about the importance of implementation of legislation. She wrote to Ofcom about a platform promoting suicide and suicidal ideation linked to almost 100 deaths, urging rapid removal of such content.
Minister reply
We have the Online Safety Act addressing this issue, but my hon. Friend rightly urges urgency in dealing with this deeply troubling issue. We hope Ofcom will remove this kind of content rapidly.
Question
The Minister is explaining the implementation plan for the Mental Health Bill [Lords], discussing timelines and community support, acknowledging the independent review's contributions.
Minister reply
We have set out indicative timelines in the impact assessment. Local systems do not need to wait for legislative changes to start improving community services for people with learning disabilities and autism.
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Assessment & feedback
Summary accuracy
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