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Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Session 6: 13 May 2021 to 8 April 2026
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Displaying 3919 contributions

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Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

Those groups have said to us that a plan does not exist.

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

On that point, how do you respond to the evidence that we were given by Dr Srireddy from the Royal College of Psychiatrists in Scotland, who said:

“We made the shift, we shut the asylums and we have moved into the community—but then we kind of lost interest.”—[Official Report, Public Audit Committee, 16 November 2023; c 18.]

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

The Royal College told us about the reliance on locums and other members are going to ask about the workforce plan.

Dr Srireddy also said that governance has been a real challenge and spoke of fragmentation. You may not agree, but his view and his members’ perspective was that mental health was, in his words, an “afterthought”.

We also have a pretty clear message in the report from the Auditor General and the Accounts Commission, in which key message 3 says:

“The system is fragmented, and accountability is complex, with multiple bodies involved in funding and providing mental health services. This causes complications and delays in developing services that focus on individuals’ needs.”

Those are quite serious charges. How do you respond to those?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

Without batting in defence of homogeneity, we are looking for a bit of consistency, and there seems to be a very mixed picture across the country. That is why, as a committee, we wonder whether you have thought about some of the evidence that we took, in which there was a concern about the legal framework that integration joint boards, for example, operate in. Are you considering reviewing the governance arrangements to see whether they can be simplified, be made more effective, provide better value for money and be more accessible to the people who need the services?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

Is the Government looking at primary legislation or at making changes to the oversight and delivery model?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

This goes back to at least 2018; I remember raising the matter in Parliament back in the spring of 2018. The last time I spoke to families with lived experience, they were still perplexed, at best, that insufficient progress appears to have been made and that people are still not getting access to the services that they need. Do you recognise that picture?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

In the interests of time, I will move things on and invite Colin Beattie to put some questions to you.

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

You also spoke of financial challenges. We will get to those in more detail in the course of the meeting, but I have a question about the announcement in the past couple of weeks of another in-year budget cut to mental health services, which follows on from the in-year cut announced as a result of the emergency budget review last November, which was of the order of £38 million. The cut this year is £29.9 million.

The joint report states:

“Increasing the availability of mental health and wellbeing services in primary care could help to prioritise prevention and early intervention and decrease pressure on specialist services.”

How will the recently announced cuts, which include a reprofiling of mental health and primary care programmes, impact on those services?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

So, what spend has been postponed—I think that that was the expression used in the letter to the Finance and Public Administration Committee—from the mental health transformation fund?

Public Audit Committee

Section 23 Report: “Adult mental health”

Meeting date: 14 December 2023

Richard Leonard

Is there not a bit of an implementation gap? The Government’s stated position is that it will increase mental health funding by 25 per cent and that 10 per cent of all NHS front-line spending will be on mental health, but things seem to be going backwards, not forwards, on both fronts.