14 Jan
Lords Chamber
Mental Health Bill [HL]

The House of Lords recently engaged in a comprehensive debate on the Mental Health Bill, particularly focusing on government amendments aimed at clarifying certain provisions within the Bill, especially regarding the after-care services under section 117 of the Mental Health Act 1983. Key amendments such as Amendment 7 and government amendments 14, 87-94, 127, 161, and 162 were discussed, which primarily involve the redefinition of services and commencement procedures for different parts of the Bill.

The government emphasized the necessity for clarity in service provision, tribunal processes, and Welsh Ministers' powers concerning legislative consequences. The discourse extended to other amendments, particularly those highlighting children and young people under 18 and emphasizing comprehensive community-based mental health support.

52%

NHS figures indicating the percentage of autistic people and those with learning disabilities who were not on the dynamic support register prior to hospital admission

Several members extended gratitude and agreement on the technical nature of most amendments but raised pertinent questions regarding the equitable application of the Bill's provisions across the UK, particularly in devolved administrations. Concerns were also anchored on ensuring adequate community services to reduce the need for more severe interventions like detention.

30 per million

Target set for the number of individuals per million admitted to specialist mental health services, with current achievement not aligning across integrated care systems

Outcomes of the session predominantly saw the agreed passage of government amendments, cementing crucial clarifications but simultaneously flagging discussions for further detailing on areas left ambiguous by existing provisions.

Outcome

The amendments discussed on the first day of the committee stage of the Mental Health Bill were largely agreed upon without opposition. However, the debate underscored the necessity for more exhaustive legislative language to prevent ambiguity in after-care service provision and to ensure equitable mental health service delivery across UK jurisdictions, thereby embedding further amendments for consideration in subsequent sessions.

Key Contributions

Lord CryerGovernment Whip
Labour
Lord KamallSpeaker
Conservative
Baroness Tyler of EnfieldSpeaker
Liberal Democrat
Baroness BrowningSpeaker
Conservative
Lord ScrivenSpeaker
Liberal Democrat
Lord CrispSpeaker
Crossbench
Original Transcript
Lord Cryer
Lab

I am grateful to the noble Lord and take his point about ensuring there are equal standards across the devolved Parliaments and Assemblies. However, nothing is guaranteed.

As he undoubtedly did when in government, we will endeavour to collaborate with Welsh colleagues—as well as others—to ensure that equal standards are applied across England and Wales. That includes regular contact with the Senedd and the Welsh Executive on a variety of matters, including health.

That may be a slightly vague answer, but at the moment it is the best I can do. I thank the noble Lord for his other comments. I have spoken about the need for these minor, technical and necessary amendments, and I hope noble Lords can support them.

Lord Kamall
Con

This raises another issue, which I know has been raised in other areas of healthcare, of families who live across borders—if the parents live in one part of the United Kingdom and the children live in another, or if someone who has lived away from home moves back.

I do not expect an answer now, as that would be unfair, but if the noble Lord could write to noble Lords on cross-border issues, where someone has commenced care in one area but then they or their parents have moved to another area, that would be satisfactory.

We had a number of issues around this in healthcare, particularly mental health care, and it is important to resolve them.

All content derived from official parliamentary records