Norman Lamb MP writes…Another step forwards in achieving parity for mental health

It’s a bit of a cliché to say that mental health is the Cinderella service of the NHS but it’s essentially true. There is a real institutional bias against mental health. It loses out financially when budgets are tight for local commissioners and significant advances on choice and access for patients introduced by the Labour Government left out mental health.

In the time I have available to me as Care Minister, I am determined to do everything I can to combat this and the update of the Government’s Mandate – which sets out the Government’s priorities from the NHS – published yesterday, marks a significant advance in achieving that ambition.

First, it’s important to be clear that across the country there are many places where support and care for people with mental health problems is excellent. Recently, I visited a brilliant early intervention youth service in Accrington which provides talking therapies for people with severe mental illness. It was incredibly moving to hear the testimony of young people and their parents about the overwhelmingly positive impact that this service had on their lives.

I heard from the father of a young man treated there, who spoke of the temptation to not take mental illness seriously. Once he’d admitted his son had a problem and sought help, he’d allowed real – and once unthinkable – transformation to take effect. The smile now on his son’s face, and the glowing pride on his own, were testament to the life-changing work of these therapists.  Organisations like the service in Accrington show just what can be done.

But in too many parts of the country the situation is very different. The previous government introduced a standard that an NHS patient who needs treatment for a physical problem will be seen within a maximum of 18 weeks. But people who use most mental health services have no such access standards. So, for example, someone with an eating disorder has no idea how long they might have to wait for treatment. Waiting times are enormously variable around the country. We need to change this. We need to end this discrimination.

Mental illness is the biggest cause of disability in the UK – more than heart disease or cancer. Shockingly, people with a severe mental health illness on average die 15 to 20 years earlier than the general population.  But only about 11% of the NHS budget was spent on NHS services to treat mental health problems during 2010 to 2011 and the money spent on mental health doesn’t focus sufficiently on early intervention and preventing a deterioration of health.  As Liberal Democrats, we cannot stand by and allow this to continue.  This is a fundamental issue of fairness in our society.

So the update to the government’s Mandate marks a significant moment in ending the bias against mental health. In print, for patients, doctors, and nurses to see, it says that NHS England’s objective is to put mental health on a par with physical health and to close the health gap between people with mental health problems and the population as a whole.

The Mandate also includes our commitment to introduce for the first time new waiting time and access standards for mental health services from 2015. There is also a really important declaration that crisis services for mental health should be “at all times as accessible, responsive and high quality as other health emergency services”.

But we also need to create a cultural change in the NHS and care systems in order to remove the stigma which surrounds mental health across society.

For those who are still unconvinced by the urgent need for change and for mental health to be treated as seriously as physical health, let me finish with one sobering thought. One in four of us will experience a mental health problem in our lifetime. The truth is that this affects us all and we cannot afford to ignore it. For many years Liberal Democrats have campaigned to get a fair deal for those with mental health conditions.  As minister, I am glad to be working to deliver on that.

* Norman Lamb MP is Liberal Democrat Minister of State at the Department of Health

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6 Comments

  • James Moore 13th Nov '13 - 6:14pm

    Norman, I totally applaud the work you and Paul Burstow are doing here. It is so important, and I’m very proud we’re doing this in Government.

  • Well done!

    I am interested in why we have a mental distress and illness rate of one in four in the UK, when other countries have much lower rates of one in 10. These are EU countries so not that dissimilar to us, but why the big difference in rates of illness?

  • Norman Lamb 13th Nov '13 - 9:18pm

    Thanks, James and CP. Appreciate your comments. CP, I’m not sure whether there is such a gap in prevalence as the stats you quote might suggest. I will explore this further! Norman

  • You mention a service in Accrington and it’s heartening to hear that someone has been helped by this, however, as I live in the area, I can tell you about others who haven’t. Also, you write:” There is also a really important declaration that crisis services for mental health should be “at all times as accessible, responsive and high quality as other health emergency services”.
    In Accrington, as in the rest of East Lancashire, the Trust’s crisis service does not extend to young people or their families and for adults is only accessible in the form of a telephone service out of hours and this is the case in many other areas.
    Also, how can there be parity when due to cuts in service provision leading to an inpatient bed crisis nationally, many people who clinical staff assess as requiring admission are being sent home?

  • Leekliberal 14th Nov '13 - 7:08pm

    Well said Norman. More strength to your elbow!

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