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Jacqui Smith: No. [Interruption.] There is a limited amount of time left, and I want to make progress.
The hon. Member for Oxford, West and Abingdon rightly emphasised that mental health legislation needs to strike a careful balance between the protection necessary for patients and the public, and the safeguards that are in place. I can reassure him that we will continue to develop services in the community to ensure that the provision exists and is covered by modernised legislation.
I do not understand where the claims by the Royal College of Psychiatrists about the extra consultants needed for tribunals come from, but I am willing to work with the royal college to ensure that the tribunal plans work effectively.
My hon. Friend the Member for Wakefield (Mr. Hinchliffe) rightly emphasised the need for closer integration of the NHS and social services departments. I am sure that, like me, he welcomes the fact that three out of four of the first care trusts in the country are focusing on mental health services.
My hon. Friend the Member for Wakefield also emphasised the need to move out patients who no longer need to be in high-security hospitals. We are making progress on our target to move 400 patients out of special high-security hospitals and into more appropriate care.
My hon. Friend also raised the important point about the tension between non-stigmatisation and the Bill's efforts to deal with the most severely ill. When hon. Members look at the Bill in more detail, they will see that it balances its broad definition of mental disorder with tight conditions, and that it massively increases the safeguards for patients. I believe that the Bill strikes the correct balance between the protection of patients and the need to safeguard their rights.
Several hon. Members spoke about the need for greater user involvement. I agree with them, and massive advances are taking place around the country in user involvement in the development of services.
The hon. Member for Caernarfon (Hywel Williams) spoke about the principles underlying the Bill. The code of practice will set out the principles and their application.
Mr. Heald: Will the Minister give way?
Those principles will be that patients will be involved in decisions about their care, that the decision maker will have to demonstrate the minimum level of intrusion, and that decisions need to be taken in a fair and open way. I can assure the hon. Member for Caernarfon also that the role of the approved mental health professional will be covered in the necessary training.
The hon. Member for East Devon (Mr. Swire) and others raised the issue of suicide. My hon. Friend the Member for Leeds, West highlighted the high incidence of suicide among young men. The Government are undertaking consultation on a national suicide strategy, with active proposals to tackle the problem. I agree with my hon. Friend the Member for Leeds, West about the emphasis on primary care.
The hon. Member for Gosport (Mr. Viggers) rightly emphasised the wide spectrum of mental disorders, and spoke about child and adolescent mental health services, which were also mentioned by my hon. Friend the Member for Bristol, West (Valerie Davey). I agree that we need to ensure that the extra £105 million invested in child and adolescent mental health services develops those very specialist services. I can also assure my hon. Friend the Member for Bristol, West that the work that the Department is carrying out already with the Department for Education and Skills continues. We aim to ensure that the links between professionals to support young people are forged at school level and at local level. My hon. Friend the Member for Birmingham, Selly Oak (Lynne Jones) rightly recognised the progress made, and also emphasised the need for more staff. Users have a particularly important role to play, especially as support, time and recovery workers.
Mental health is at the heart of the Government's investment and reform in the health service. All of us will have been touched by mental health problems in ourselves, in our families and in our friends. As my hon. Friend the Member for Birmingham, Selly Oak pointed out, many will successfully recover and help to challenge the stigma and discrimination that have too often blighted patients' experience and service development.
Today, the Opposition have pledged plenty of sympathy and even some contrition, but no policy and no money. That is why they can never deliver better mental health services, and why they can never be trusted to support the ill and the excluded in our communities: only this Government can, and only this Government will. I commend our amendment to the House.
Question put, That the original words stand part of the Question:—
The House divided: Ayes 187, Noes 317.
AYES
Ainsworth, Peter (E Surrey)
Allan, Richard
Amess, David
Ancram, Rt Hon Michael
Arbuthnot, Rt Hon James
Atkinson, Peter (Hexham)
Bacon, Richard
Baker, Norman
Baldry, Tony
Barker, Gregory
Baron, John
Barrett, John
Beggs, Roy
Bellingham, Henry
Bercow, John
Beresford, Sir Paul
Blunt, Crispin
Boswell, Tim
Brady, Graham
Brake, Tom
Brazier, Julian
Breed, Colin
Brooke, Mrs Annette L
Burns, Simon
Burstow, Paul
Burt, Alistair
Butterfill, John
Calton, Mrs Patsy
Cameron, David
Campbell, Rt Hon Menzies
(NE Fife)
Carmichael, Alistair
Cash, William
Chope, Christopher
Clappison, James
Clifton–Brown, Geoffrey
Conway, Derek
Cormack, Sir Patrick
Cotter, Brian
Curry, Rt Hon David
Djanogly, Jonathan
Dorrell, Rt Hon Stephen
Doughty, Sue
Duncan, Alan (Rutland & Melton)
Duncan, Peter (Galloway)
Duncan Smith, Rt Hon Iain
Evans, Nigel
Ewing, Annabelle
Fabricant, Michael
Fallon, Michael
Field, Mark (Cities of London)
Flight, Howard
Flook, Adrian
Forth, Rt Hon Eric
Foster, Don (Bath)
Francois, Mark
Gale, Roger
Garnier, Edward
George, Andrew (St Ives)
Gibb, Nick
Gidley, Sandra
Goodman, Paul
Grayling, Chris
Green, Damian (Ashford)
Green, Matthew (Ludlow)
Greenway, John
Grieve, Dominic
Harris, Dr Evan (Oxford W)
Harvey, Nick
Hawkins, Nick
Hayes, John
Heald, Oliver
Heath, David
Hendry, Charles
Hoban, Mark
Hogg, Rt Hon Douglas
Holmes, Paul
Horam, John
Howard, Rt Hon Michael
Howarth, Gerald (Aldershot)
Hughes, Simon (Southwark N)
Jack, Rt Hon Michael
Jackson, Robert (Wantage)
Jenkin, Bernard
Johnson, Boris (Henley)
Jones, Nigel (Cheltenham)
Keetch, Paul
Key, Robert
Kirkbride, Miss Julie
Knight, Rt Hon Greg (E Yorkshire)
Lamb, Norman
Lansley, Andrew
Laws, David
Leigh, Edward
Letwin, Oliver
Liddell–Grainger, Ian
Lidington, David
Lilley, Rt Hon Peter
Llwyd, Elfyn
Loughton, Tim
Luff, Peter
McIntosh, Miss Anne
MacKay, Rt Hon Andrew
Maclean, Rt Hon David
McLoughlin, Patrick
Malins, Humfrey
Maples, John
Marsden, Paul (Shrewsbury)
Mates, Michael
Maude, Rt Hon Francis
Mawhinney, Rt Hon Sir Brian
May, Mrs Theresa
Mercer, Patrick
Mitchell, Andrew (Sutton Coldfield)
Moore, Michael
Moss, Malcolm
Murrison, Dr Andrew
Oaten, Mark
O'Brien, Stephen (Eddisbury)
Öpik, Lembit
Osborne, George (Tatton)
Ottaway, Richard
Page, Richard
Paice, James
Paterson, Owen
Pickles, Eric
Portillo, Rt Hon Michael
Price, Adam
Prisk, Mark
Pugh, Dr John
Redwood, Rt Hon John
Reid, Alan (Argyll & Bute)
Rendel, David
Robathan, Andrew
Robertson, Angus (Moray)
Robertson, Hugh (Faversham)
Robertson, Laurence (Tewk'b'ry)
Roe, Mrs Marion
Rosindell, Andrew
Ruffley, David
Russell, Bob (Colchester)
Sanders, Adrian
Sayeed, Jonathan
Selous, Andrew
Shephard, Rt Hon Mrs Gillian
Simmonds, Mark
Simpson, Keith (Mid–Norfolk)
Smith, Sir Robert (W Ab'd'ns)
Soames, Nicholas
Spelman, Mrs Caroline
Spicer, Sir Michael
Spink, Bob
Spring, Richard
Steen, Anthony
Streeter, Gary
Stunell, Andrew
Swayne, Desmond
Swire, Hugo
Syms, Robert
Tapsell, Sir Peter
Taylor, Ian (Esher & Walton)
Taylor, John (Solihull)
Taylor, Sir Teddy
Thomas, Simon (Ceredigion)
Thurso, John
Tonge, Dr Jenny
Tredinnick, David
Trend, Michael
Turner, Andrew (Isle of Wight)
Tyler, Paul
Tyrie, Andrew
Viggers, Peter
Waterson, Nigel
Watkinson, Angela
Webb, Steve
Weir, Michael
Widdecombe, Rt Hon Miss Ann
Wiggin, Bill
Wilkinson, John
Williams, Hywel (Caernarfon)
Williams, Roger (Brecon)
Willis, Phil
Winterton, Ann (Congleton)
Winterton, Sir Nicholas
(Macclesfield)
Wishart, Pete
Yeo, Tim
Young, Rt Hon Sir George
Younger–Ross, Richard
Tellers for the Ayes:
Dr. Julian Lewis and
Mr. David Wilshire.
NOES
Abbott, Ms Diane
Adams, Mrs Irene (Paisley N)
Ainger, Nick
Ainsworth, Bob (Cov'try NE)
Alexander, Douglas
Anderson, Janet (Rossendale)
Armstrong, Rt Hon Ms Hilary
Atherton, Ms Candy
Atkins, Charlotte
Austin, John
Baird, Vera
Barron, Rt Hon Kevin
Battle, John
Bayley, Hugh
Beard, Nigel
Begg, Miss Anne
Benn, Hilary
Bennett, Andrew
Benton, Joe
Berry, Roger
Best, Harold
Betts, Clive
Blackman, Liz
Blears, Ms Hazel
Blizzard, Bob
Borrow, David
Bradley, Peter (The Wrekin)
Brennan, Kevin
Brown, Rt Hon Nicholas
(Newcastle E & Wallsend)
Brown, Russell (Dumfries)
Bryant, Chris
Buck, Ms Karen
Burden, Richard
Burnham, Andy
Caborn, Rt Hon Richard
Cairns, David
Campbell, Alan (Tynemouth)
Campbell, Mrs Anne (C'bridge)
Campbell, Ronnie (Blyth V)
Caplin, Ivor
Casale, Roger
Caton, Martin
Cawsey, Ian
Challen, Colin
Chapman, Ben (Wirral S)
Chaytor, David
Clark, Paul (Gillingham)
Clarke, Rt Hon Charles
(Norwich S)
Clarke, Rt Hon Tom (Coatbridge)
Clarke, Tony (Northampton S)
Clelland, David
Coaker, Vernon
Coffey, Ms Ann
Cohen, Harry
Coleman, Iain
Colman, Tony
Connarty, Michael
Cook, Rt Hon Robin (Livingston)
Cooper, Yvette
Corston, Jean
Cousins, Jim
Cranston, Ross
Crausby, David
Cruddas, Jon
Cummings, John
Cunningham, Rt Hon Dr Jack
(Copeland)
Cunningham, Jim (Cov'try S)
Cunningham, Tony (Workington)
Dalyell, Tam
Darling, Rt Hon Alistair
Davey, Valerie (Bristol W)
David, Wayne
Davidson, Ian
Davies, Rt Hon Denzil (Llanelli)
Davies, Geraint (Croydon C)
Dawson, Hilton
Denham, Rt Hon John
Dhanda, Parmjit
Dismore, Andrew
Dobbin, Jim
Dobson, Rt Hon Frank
Donohoe, Brian H
Doran, Frank
Dowd, Jim
Drew, David
Drown, Ms Julia
Dunwoody, Mrs Gwyneth
Eagle, Maria (L'pool Garston)
Edwards, Huw
Efford, Clive
Ellman, Mrs Louise
Ennis, Jeff
Field, Rt Hon Frank (Birkenhead)
Fitzsimons, Mrs Lorna
Flint, Caroline
Follett, Barbara
Foster, Rt Hon Derek
Foster, Michael (Worcester)
Foster, Michael Jabez (Hastings)
Francis, Dr Hywel
Gapes, Mike
Gardiner, Barry
George, Rt Hon Bruce (Walsall S)
Gerrard, Neil
Gibson, Dr Ian
Gilroy, Linda
Godsiff, Roger
Goggins, Paul
Griffiths, Nigel (Edinburgh S)
Grogan, John
Hall, Mike (Weaver Vale)
Hall, Patrick (Bedford)
Hamilton, David (Midlothian)
Hanson, David
Harris, Tom (Glasgow Cathcart)
Havard, Dai
Healey, John
Henderson, Doug (Newcastle N)
Henderson, Ivan (Harwich)
Hendrick, Mark
Hepburn, Stephen
Heppell, John
Hesford, Stephen
Hewitt, Rt Hon Ms Patricia
Heyes, David
Hill, Keith
Hinchliffe, David
Hodge, Margaret
Hoey, Kate
Hood, Jimmy
Hoon, Rt Hon Geoffrey
Hope, Phil
Hopkins, Kelvin
Howarth, Rt Hon Alan (Newport E)
Howarth, George (Knowsley N)
Howells, Dr Kim
Hoyle, Lindsay
Hughes, Beverley (Stretford)
Hughes, Kevin (Doncaster N)
Humble, Mrs Joan
Hume, John
Hurst, Alan
Iddon, Dr Brian
Irranca–Davies, Huw
Jackson, Helen (Hillsborough)
Jamieson, David
Johnson, Alan (Hull W & Hessle)
Johnson, Miss Melanie
(Welwyn Hatfield)
Jones, Helen (Warrington N)
Jones, Jon Owen (Cardiff C)
Jones, Kevan (N Durham)
Jones, Lynne (Selly Oak)
Jones, Martyn (Clwyd S)
Jowell, Rt Hon Tessa
Joyce, Eric
Keeble, Ms Sally
Keen, Alan (Feltham & Heston)
Keen, Ann (Brentford & Isleworth)
Kemp, Fraser
Kennedy, Jane (Wavertree)
Khabra, Piara S
Kilfoyle, Peter
King, Andy (Rugby & Kenilworth)
King, Ms Oona (Bethnal Green)
Knight, Jim (S Dorset)
Kumar, Dr Ashok
Ladyman, Dr Stephen
Lammy, David
Lawrence, Mrs Jackie
Laxton, Bob
Lazarowicz, Mark
Lepper, David
Leslie, Christopher
Levitt, Tom
Lewis, Ivan (Bury S)
Lewis, Terry (Worsley)
Liddell, Rt Hon Mrs Helen
Love, Andrew
Lucas, Ian
Luke, Iain
Lyons, John
McDonagh, Siobhain
MacDonald, Calum
McDonnell, John
MacDougall, John
McFall, John
McGuire, Mrs Anne
McIsaac, Shona
McKechin, Ann
McNulty, Tony
MacShane, Denis
Mactaggart, Fiona
McWalter, Tony
McWilliam, John
Mahon, Mrs Alice
Mallaber, Judy
Mann, John
Marris, Rob
Marsden, Gordon (Blackpool S)
Marshall, Jim (Leicester S)
Marshall–Andrews, Robert
Martlew, Eric
Merron, Gillian
Michael, Rt Hon Alun
Milburn, Rt Hon Alan
Miliband, David
Miller, Andrew
Mitchell, Austin (Gt Grimsby)
Moffatt, Laura
Mole, Chris
Moonie, Dr Lewis
Moran, Margaret
Morgan, Julie
Morley, Elliot
Mountford, Kali
Mudie, George
Mullin, Chris
Munn, Ms Meg
Murphy, Denis (Wansbeck)
Murphy, Rt Hon Paul (Torfaen)
Naysmith, Dr Doug
O'Brien, Bill (Normanton)
O'Neill, Martin
Organ, Diana
Osborne, Sandra (Ayr)
Owen, Albert
Pearson, Ian
Perham, Linda
Picking, Anne
Pickthall, Colin
Pike, Peter
Plaskitt, James
Pollard, Kerry
Pond, Chris
Prentice, Ms Bridget (Lewisham E)
Prentice, Gordon (Pendle)
Primarolo, Dawn
Prosser, Gwyn
Purchase, Ken
Purnell, James
Quin, Rt Hon Joyce
Quinn, Lawrie
Rammell, Bill
Rapson, Syd
Raynsford, Rt Hon Nick
Reed, Andy (Loughborough)
Robertson, John
(Glasgow Anniesland)
Robinson, Geoffrey (Cov'try NW)
Roche, Mrs Barbara
Rooney, Terry
Ross, Ernie
Roy, Frank
Ruane, Chris
Ruddock, Joan
Russell, Ms Christine (Chester)
Ryan, Joan
Sarwar, Mohammad
Savidge, Malcolm
Sawford, Phil
Shaw, Jonathan
Sheerman, Barry
Sheridan, Jim
Short, Rt Hon Clare
Singh, Marsha
Skinner, Dennis
Smith, Angela (Basildon)
Smith, Rt Hon Chris (Islington S)
Smith, Jacqui (Redditch)
Smith, John (Glamorgan)
Smith, Llew (Blaenau Gwent)
Soley, Clive
Southworth, Helen
Squire, Rachel
Starkey, Dr Phyllis
Steinberg, Gerry
Stewart, David (Inverness E)
Stewart, Ian (Eccles)
Stinchcombe, Paul
Stoate, Dr Howard
Strang, Rt Hon Dr Gavin
Straw, Rt Hon Jack
Stringer, Graham
Tami, Mark
Taylor, Rt Hon Ann (Dewsbury)
Taylor, Ms Dari (Stockton S)
Taylor, Dr Richard (Wyre F)
Thomas, Gareth (Clwyd W)
Thomas, Gareth (Harrow W)
Tipping, Paddy
Todd, Mark
Touhig, Don
Trickett, Jon
Truswell, Paul
Turner, Dennis (Wolverh'ton SE)
Turner, Dr Desmond (Kemptown)
Turner, Neil (Wigan)
Twigg, Derek (Halton)
Twigg, Stephen (Enfield)
Vaz, Keith
Ward, Claire
Wareing, Robert N
Watson, Tom
Watts, David
White, Brian
Whitehead, Dr Alan
Wicks, Malcolm
Williams, Rt Hon Alan
(Swansea W)
Williams, Mrs Betty (Conwy)
Wills, Michael
Winnick, David
Winterton, Ms Rosie (Doncaster C)
Wood, Mike
Woodward, Shaun
Worthington, Tony
Wright, Anthony D (Gt Yarmouth)
Wright, David (Telford)
Wright, Tony (Cannock)
Wyatt, Derek
Tellers for the Noes:
Jim Fitzpatrick and
Mr. Jim Murphy.
Question accordingly negatived.
Question, That the proposed words be there added, put forthwith, pursuant to Standing Order No. 31 (Questions on amendments), and agreed to.
Main Question, as amended, put and agreed to.
- That this House expresses its deep concern at the plight of those who suffer mental ill-health and notes that almost every family will have experience of some form of mental illness; notes the decades of under-investment which led to crumbling buildings, demoralised staff and inadequate treatment under the Conservative Government which left many of the most vulnerable in society without the care they need; supports this Government's investment in NHS mental health services to ensure better and faster care for people with mental health problems, including new community teams, more staff, improved acute care and new services for children; supports the full implementation of the Mental Health National Service Framework to ensure national standards are in place for the care and treatment of mental illness; recognises the massive contribution of carers and the Government's action to support them, and commends the Government's 'mind out for mental health' campaign to tackle stigma; and believes that improving mental health services should remain a key Government priority.
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