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Mental Health and Hoarding 2025-10-22
22 October 2025
Lead MP
Paulette Hamilton
Debate Type
Adjournment Debate
Tags
NHS
Other Contributors: 4
At a Glance
Paulette Hamilton raised concerns about mental health and hoarding 2025-10-22 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:
Lead Contributor
Opened the debate
I am grateful for the opportunity to raise the urgent and often misunderstood issue of hoarding disorder, which affects between 2% and 5% of the population in Britain. Hoarding is not a lifestyle choice but a complex mental health condition deeply rooted in emotional distress and underlying trauma. It poses public health and safety risks, requires better public awareness and education, adequate mental health support, and improved legal guidelines. The current legal framework is inadequate, leading to inconsistent responses that often worsen hoarding behaviours and risk exacerbating the condition further. I urge the Government to prioritise the development of national guidelines, an integrated multi-agency approach, investment in research, and early intervention to address this issue effectively.
Warinder Juss
Lab
Wolverhampton West
Hoarding not only disrupts the lives of individuals but also affects those around them.
Jim Shannon
DUP
Strangford
TV programmes have helped raise awareness and show solutions to hoarding disorder.
Rachael Maskell
Ind
York Central
Community Bees in York has developed strategies for supporting people affected by hoarding, and such initiatives should be part of the holistic model.
Rachael Maskell
Lab
York Central
My hon. Friend brings a great deal of experience in these matters to this House. I can certainly give her an assurance that as part of this Government’s 10-year health agenda, we encourage all commissioners to commission strategically on the basis of what will prevent ill health in the long term.
Government Response
The Government recognises the importance of addressing hoarding disorder as a mental health issue. We have provided funding to support local authorities in dealing with hoarding, and we are working on developing national guidelines for agencies that encounter hoarding. The Care Act 2014 provides a foundation by recognising vulnerability related to hoarding. However, we understand the need for specific guidance to ensure consistent and effective intervention. We will continue to work closely with local authorities, health services, housing providers, and emergency responders to provide compassionate support to those affected by hoarding disorder. Our goal is to establish clear pathways for specialist help, reduce risk through better understanding and management of mental health needs, and improve lives through a coordinated national strategy. My hon. Friend has been true to form in raising the issue of hoarding. This disorder is, by definition, kept from public view. Although it is often overlooked, it has a profound impact on the lives of the affected, their families and their carers, and, of course, on local services. Too many suffer in silence. I thank Hoarding UK, Clouds End and Clutterers Anonymous, to name just a few of the charities that do so much to support people up and down the country.
For too long, hoarding has been seen as something quirky, or perhaps even comical, but the disorder is neither a joke nor a rarity; it is a complex and often misunderstood condition that can have devastating consequences for people’s mental and physical health. Often, it is a portent to investigating further mental wellbeing and illness.
My hon. Friend asks whether the Government will introduce a national hoarding strategy. There are no plans for a specific strategy, but we absolutely recognise that people who hoard must have access to the right support. At the moment, that requires more co-ordination than is currently in place. As she knows better than anyone as a district nurse and an independent lay manager, mental health services have been decimated over the last 14 years. This Government are doing the hard yards of rebuilding those services while transforming our mental health system, so people can access the right support at the right time and indeed the right place.
Through our 10-year health plan, we have set long-term reforms to make mental health a core priority of the NHS and to move from crisis care to prevention and early intervention. This transformation will include: investing up to £120 million to expand the number of mental health emergency departments to 85 across England; a modern service framework for severe mental illness to support consistent high-quality and high-value care; recruiting 8,500 new mental health workers across the NHS.
We are already piloting six 24/7 neighbourhood mental health centres, which will bring together a range of professionals. The pilots are testing out mechanisms that will enable that whole-team approach to capture people who otherwise remain hidden. Digital social care records have been implemented by 80% of Care Quality Commission providers and we are investing in the development of a national infrastructure for social care.
People who hoard may be isolated, may not recognise their behaviour as a problem and may be reluctant to engage with services. That is why safeguarding plays such an important role. The Care Act 2014 makes clear that self-neglect, which explicitly includes hoarding, is a safeguarding concern. Where a local authority has cause to suspect that an adult appears to be at risk of self-neglect and is unable to protect themselves as a result, that authority must carry out a safeguarding inquiry.
One of the most effective treatments of hoarding disorder is cognitive behavioural therapy (CBT). CBT is a form of talking therapy that helps individuals to understand the thoughts and feelings that influence their behaviour. Through NHS talking therapies, people with a hoarding disorder can access evidence-based psychological interventions such as CBT.
This Government are expanding access to talking therapies this year and have committed to continuing this expansion over the coming years. We aim to increase the number of people completing a course of talking therapy by 384,000 by the end of this Parliament.
No one should face this condition alone. I want to end on a note of optimism. With love from families, patience from friends and the ongoing support of charities and third sector organisations, countless people with hoarding disorder have managed to live safe, healthy and fulfilling lives.
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