Select Committee on European Scrutiny Thirty-First Report


21 Mental health

(26932)

13442/05

COM(05) 484

Commission Green Paper: Improving the mental health of the population. Towards a strategy on mental health for the European Union

Legal base
DepartmentHealth
Basis of considerationMinister's letter of 8 June 2006
Previous Committee ReportHC 34-xiv (2005-06), para 5 (11 January 2006)
To be discussed in CouncilNo date set
Committee's assessmentPolitically important
Committee's decisionCleared

Previous scrutiny

21.1 In November 2005, we considered the Commission's Green Paper.[66] It invited comments on the following questions:

  • How relevant is the mental health of the population to the EU's strategic policy objectives for economic and social cohesion, growth and jobs and social justice?
  • Would the development of a comprehensive EU-strategy on mental health add value?
  • If it would, would the following be the right priorities for the strategy: creating a framework for co-operation and the exchange of information between Member States; helping increase the coherence of action across policies; and establishing a framework to involve the providers and users of mental health services and non-governmental organisations in finding and delivering solutions?
  • Would it be appropriate, for example, for the Council to adopt a Resolution on the promotion of mental health and a Recommendation on the reduction of depression and suicidal depression?

21.2 Late in 2006, the Commission will publish an analysis of the responses to the Green Paper and, if appropriate, proposals for an EU strategy on mental health.

21.3 We noted that the World Health Organisation and the Council of Europe are already active in this field. We asked the Minister of State at the Department of Health (Rosie Winterton) for her comments on why an EC strategy on mental health is needed in addition. We also asked her to send us a copy of the Government's response to the Green Paper.

21.4 In her reply of 20 December 2005, the Minister told us that the Government was consulting on whether an EC mental health strategy would add value and wished to consider the responses before reaching a firm view of its own.[67] She added, however, that the Government could see potential benefits for the UK from the sort of strategy envisaged by the Green Paper, which echoed current UK policy priorities. But an EC strategy would need to complement the WHO Helsinki Declaration and other planned activity, not duplicate it.[68] Moreover, it would need to be sufficiently flexible to recognise the differences between Member States' mental health services and the incidence of mental illnesses.

21.5 We agreed with the Minister that there are potential benefits from sharing information, evidence and good practice on mental health. We retained doubts, however, that a new EC strategy is needed in addition to the valuable work that is being done through the World Health Organisation and the Council of Europe. We decided to keep the Green Paper under scrutiny pending our consideration of the Government's response to it.

The UK's response

21.6 On 8 June, the Minister sent us a copy of the UK's response to the Green Paper. It represents the views of the Government and the devolved administrations. The Minister says:

    "To summarise, it [the response] generally concurs with the Green Paper's proposals subject to two clear principles:

    That any EU strategy that emerges must serve as a contribution to the Helsinki Declaration's implementation, not as an alternative to it; and

    That it must accommodate and support Member States' own local priorities (insofar as they are consistent with Helsinki and the strategy).

    The main extra points that [the response] makes are:

    the need for the strategy to address inequalities in mental health — this maintains consistency with the themes of last year's UK Presidency of the EU;

    the need for a strategy that integrates health and social care with other   policy sectors — for example, employment and education — that have a role in promoting mental health and social inclusion; and

    the need for the strategy to be clear about what specific action the EU will take and who will be accountable for it."

21.7 Finally, the Minister tells us that she expects that the Commission will make a proposal for an EC mental health strategy by the end of 2006.

Conclusion

21.8 We shall reserve further comment on the case for an EC mental health strategy until we see the proposal the Commission is expected to make later this year. We have no further questions to put to the Minister about the Green Paper. For these reasons, we are now content to clear it from scrutiny.


66   See HC 34-x (2005-06), para 10 (16 November 2005). Back

67   See headnote. Back

68   In January 2005 the Commission helped the WHO to organise a conference on mental health in Helsinki. The conference was attended by European Ministers and established a framework for action on mental health. The Commission was invited to help implement it. Back


 
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