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Written Ministerial Statements
Monday 14 June 2004
DEPUTY PRIME MINISTER
Mental Health and Social Exclusion
The Parliamentary Under-Secretary of State, Office of the Deputy Prime Minister (Yvette Cooper): In spring 2003, my right hon. Friends the Prime Minister and the Deputy Prime Minister asked the social exclusion unit to consider what more could be done to reduce social exclusion among adults of working age with mental health problems. The unit has looked in particular at promoting employment and job retention, and improving social participation and access to services for this group.
Adults with mental health problems are one of the most excluded groups in society. Fewer than a quarter of adults with long-term mental health problems are in employment, despite many having aspirations to work. Too often people do not have other activities to fill their days and spend their time alone. Stigma and discrimination against people with mental health problems remain widespread, and can have a greater impact on the quality of people's lives than the mental health problems themselves.
Depression, anxiety and phobias can affect up to one in six of the population at any one time, with the highest rates in deprived neighbourhoods. Severe mental health problems, such as schizophrenia, are relatively rare affecting around one in 200 adults each year. The costs of mental health problems can be high, both to individuals and society as a whole. In addition to medical costs, lost opportunities to work can lead to a negative spiral of debt, reliance on benefits and housing instability. Early intervention to keep people in work and maintain social contacts can significantly reduce these costs.
The social exclusion unit report, "Mental Health and Social Exclusion", is published today. For the first time, action will be taken across Government to address the full range of issues affecting people with mental health problems. Rather than focusing solely on medical needs, it addresses stigma and discrimination, employment, education, housing, family needs and community participation. At national level, over 20 Government Departments, agencies and other national organisations will be involved in driving forward the report's action plan in six key areas:
stigma and discrimination—a sustained programme to challenge negative attitudes and promote awareness of people's rights;
the role of health and social care in tackling social exclusion—implementing evidence-based practice in vocational services and enabling reintegration into the community;
employment—giving people with mental health problems a real chance of sustained paid work reflecting their skills and experience;
taking part in the local community—enabling people to lead fulfilling lives the way they choose;
getting the basics right—access to decent homes, financial advice and transport;
and
making it happen—clear arrangements for leading this programme and maintaining momentum.
The SEU report builds on action already taken by the Government to improve services for people with mental health problems, including the modernisation of NHS mental health services, improved civil rights for disabled people and more support to help disabled people back to work. It draws on examples of local good practice, often led by an expert and innovative voluntary sector.
Creating sustainable, inclusive communities is about everyone having a stake. Being in work and having social contacts is strongly associated with improved health and well-being. People with mental health problems have much to offer. If they are able to fulfil their potential, the impact of mental health problems on individuals, their families and society can be significantly reduced.
A copy of the social exclusion unit report, "Mental Health and Social Exclusion" and a summary document are available in the Libraries of the House.
CULTURE, MEDIA AND SPORT
Gambling
The Secretary of State for Culture, Media and Sport (Tessa Jowell): The Government have today published their response to the First Report of the Joint Committee on the Draft Gambling Bill. Copies have been laid before Parliament and also deposited in the Libraries of both Houses.
TRADE AND INDUSTRY
Regional State Aid Reform
The Minister for Industry and the Regions (Jacqui Smith): The European Commission has published proposals for amending the guidelines that govern regional state aid, which define assisted areas and aid intensities allowed within them for the period 1 January 2007 to 31 December 2013 and are seeking member states' views on their proposals. My Department will shortly be issuing a consultation document seeking the views of all interested parties on the Commission's proposals.
The Government remain committed to improving prosperity in all regions of the UK, and to reducing the gaps in growth rates between the regions and has introduced a range of measures to address regional disadvantage, such as measures to promote training to ensure that people in the region have the skills to fulfil the region's long-term economic strategy and to deal with the consequences of industrial change and measures to promote urban and rural regeneration.
The Government believe funding at EU level—the structural funds—should go to the poorest member states, where it will add most value. As these economies grow, so will prospects for UK exporters. The expansion
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of the EU will create a market of 450 million customers opening up opportunities for commercial activity for businesses in every region. However, the Government consider that richer member states should have more scope to use their own funds to tackle the causes of underperformance.
The Commission explains that their objectives in reviewing the regional aid guidelines are to tackle market failures, promote entrepreneurship and ensure less and better targeted State aid. The Commission's aim is to allow a better concentration of regional aid to investment in the least favoured member states and regions, while increasing the flexibility for other member states and regions to pursue local development policies that address specific regional problems or opportunities. The Commission proposals would reduce the areas in which regional aid can be provided in nearly all of the longer-standing member states including the UK. The levels of aid that could be given would also be reduced. Their proposals would at the same time increase levels of aid for capital investment allowed to small and medium sized firms outside the assisted areas. Plans to provide a completely new instrument permitting quicker approval of certain types of aid considered being less distorting would also introduce greater flexibility to provide lower levels of aid outside the assisted areas. Further reviews of other State aid guidelines, such as those permitting aid for research and development are planned.
The Government support an effective state aid regime, since state aid can distort competition between firms, which can, in turn, limit business performance, prosperity, and quality for consumers. An effective state aid regime helps create a level playing field for business across the EU. At the same time, the state aid regime needs to be flexible and Governments must be able to tackle the causes of underperformance where they arise.
As already noted, investment aid is only one way in which the Government work with business in the regions; most business support schemes do not depend on the regional aid guidelines.
The horizontal rules on aid for SMEs, research and development, environmental aid, training and employment aid, risk and venture capital will continue to allow aid to be granted anywhere post-2006. The Commission have indicated that they are open to further proposals from member states in terms of greater flexibility under these "horizontal guidelines" and the consultation document seeks views on this issue.
Regional aid nevertheless remains an important tool. The Government therefore want to ensure that under the new regional aid guidelines, regional aid can still be granted in the areas where it is most needed to help address regional disparities and local deprivation. The present proposals from the Commission do not deliver this effectively as they do not adequately allow for disparities within regions, given that poor areas exist side by side with rich areas. The consultation document therefore seeks views on potential alternative methods for determining the assisted areas; aid intensity levels allowed within them; and how best to provide for a suitable level of flexibility to give aid outside the assisted areas where it is needed.
The Commission has asked for member states' comments by 1 July. However, the Government expect to continue discussions with the Commission on this
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issue into the autumn. The Government's consultation document therefore requests responses by Monday 6 September 2004 but notes that if it is possible for respondents to provide early responses (or initial comments) by Monday 28 June 2004 these will help inform the Government's formal response to the Commission proposals in July.
Copies of the full consultation document will be placed in the Libraries of the House and will also be available on the DTI website at
www.dti.gov.uk/ewt/stateaid.pdf and at
www.dti.gov.uk/consultations/stateaid.pdf
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