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Mesh implant patients challenge government over surgery delays

Women requiring the surgical removal of mesh implants have said "very little" has happened since a landmark Scottish government announcement in the summer.

The pledge means patients can now receive free treatment from specialists in America and England. But campaigners said initial assessments in Glasgow were taking up to two years.

The Scottish government said it was working with NHS Specialist Services to improve waiting times.

Implant use was stopped in Scotland after hundreds of women were left with painful, life-changing side effects. In July, the Scottish government announced surgery and travel costs to Spire Health Care in Bristol and the Mercy Hospital in Missouri in the United States would be covered. The cost of each procedure is estimated to be £16,000 to £23,000.

Marian Kenny, who is waiting on surgery to remove a mesh implant. joined the protest outside the New Victoria Hospital and admitted she felt "deflated" by the lack of progress in recent months.

She told BBC Scotland: "For so much of this fight, we have been fighting to get it stopped and this is the only time we have been fighting for ourselves. We don't want to be guinea pigs any more."

Health Secretary Humza Yousaf acknowledged the pain, suffering and distress mesh survivors have been through.

He said he hoped to finalise contracts with the clinics in Bristol and Missouri "as quickly as we possibly can".

Mr Yousaf added: "I would hope to have an update relatively soon.

"I know they have been waiting too long and I promise them I don't want them to be waiting any longer than they have to."

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Source: BBC News, 24 November 2021

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Mesh campaigners claim Scotland's Health Secretary, Humza Yousaf has 'refused' requests to meet group

Mesh campaigners claim Scotland's Health Secretary Humza Yousaf refused to meet them to hear their concerns. Patients blame surgical mesh products for leaving them disabled and in chronic pain and want the Scottish Government to hold an independent review into the use of the products.

However, followihttps://www.dailyrecord.co.uk/news/mesh-campaigners-claim-humza-yousaf-29075491ng a debate in the Scottish Parliament earlier this month, the Health Secretary denied their request.

Campaigner Roseanna Clarkin, of the Scottish Global Mesh Alliance, said Yousaf has refused several requests for meetings with campaigners spanning nearly two years.

Roseanna, who has been left with crippling pain after mesh was used on her umbilical hernia in 2015, has blasted him for “ignoring” those affected by mesh procedures.

From the late 90s until 2018, women in Scotland were treated with polypropylene mesh implants for stress urinary incontinence and pelvic organ prolapse. In some, it caused severe pain and life-changing side effects.

While the Independent Medicines and Medical Devices Safety Review called for a pause in use of vaginal mesh, the products are not banned for all procedures.

The Scottish Global Mesh Alliance were behind the petition calling for an independent review which was debated at Holyrood. They want to suspend the use of all surgical mesh and fixation devices while a review is carried out.

Roseanna said: “Why do they assume mesh in another part of the body would respond differently and not cause extreme pain and serious infections?”

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Source: Daily Record, 29 January 2023

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Mesh campaigners call for compensation

Women harmed by pelvic mesh implants are still waiting for government compensation a year after a major report called for urgent action. Patient safety commissioner Dr Henrietta Hughes, who made that recommendation, called it "an injustice" for the thousands of lives destroyed. 

5 News hears from Kath Sansom, campaigner and founder of Sling the Mesh.  Listen at 24 minutes.

 

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Mesh bowel patients call for publication of Bristol Spire Hospital report

Patients whose lives were damaged by surgery for bowel problems are calling for a long-awaited report to be published.

More than 200 patients underwent mesh bowel operations in Bristol that they might not have needed.

The surgery was carried out by Tony Dixon at Southmead Hospital and the private Spire Hospital, in Redland.

A review by North Bristol NHS Trust was published in May 2022, but patients are still waiting to hear from Spire.

Jill Smith, 69, from Westbury-on-Trym, paid privately to go to Spire. She said she is still in severe pain following her surgery.

"Emotionally it has affected me big time. It is just horrible," she said. "The stress and panic I get going anywhere, is, 'will I have an accident or something?'."

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Source: BBC News, 18 August 2023

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Mesh and sodium valproate scandal victims need payouts soon, report says

Families of children left disabled by an epilepsy drug and women injured by pelvic mesh implants should be given urgent financial help, England's patient safety commissioner has said.

Dr Henrietta Hughes has called on the government to act quickly to help victims of the two health scandals.

It follows a review which found lives had been ruined because concerns about some treatments were not listened to.

It is estimated that, since the early 1970s, about 20,000 babies have been born with disabilities after foetal exposure to sodium valproate, which can harm unborn babies if taken in pregnancy.

Scientific papers from as early as the 1980s suggested valproate medicines were dangerous to developing babies, yet warnings about the potential effects were not added to some packaging until 2016.

Some families affected have been campaigning for decades to raise awareness of the potential effects of the drug, with some calling for compensation and a public inquiry.

Dr Hughes was asked by the government to look into a potential compensation scheme for those affected by that scandal, as well as the one involving some 10,000 women who were injured by their pelvic mesh implants - a treatment for pelvic organ prolapse (POP) and incontinence.

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Source: BBC News, 7 February 2024

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Mersey Care to launch mental health research data platform

Mersey Care NHS Foundation Trust will establish a Secure Data Environment (SDE) for mental health research to improve understanding of mental health conditions and treatments.

The trust is working in partnership with the University of Liverpool through the Merseyside-based Mental Health Research for Innovation Centre (M-RIC) and has received more than £2.7 million funding from the National Institute for Health and Care Research (NIHR).

The funding allows Mersey Care to work with DATAMIND, the UK’s national data infrastructure for mental health research, to establish a SDE for NIHR’s Mental Health Translational Research Collaboration (MH-TRC).

The secure data platform will receive, store and analyse patient data from the MH-TRC, and support linkage of MH-TRC data with other health-related datasets such as the NHS SDE networks (regional NHS research hubs), making it easier for researchers to access data to better understand mental health conditions and improve treatments.

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Source: Digital Health (13 November 2025)

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Merging watchdog into CQC will ‘destroy’ independence

The influential MP who first proposed setting up a safety investigations watchdog for the NHS has warned health and social care secretary Wes Streeting that merging the body into the Care Quality Commission would be “fundamentally wrong”.

Sir Bernard Jenkin, who says he has cross-party support from senior MPs and royal colleges on this, said the move would “destroy” confidence in the independence of the Health Services Safety Investigations Body (HSSIB).

The long-standing MP and former committee chair delivered a highly critical verdict on the review by NHS England chair Penny Dash that proposed the merger – which he told HSJ “gets some things really badly wrong”.

Sir Bernard told HSJ  that Dr Dash’s review highlighted many problems in the management of healthcare safety systems, but also “reveals a profound misunderstanding of safety system management and of the role of HSSIB”.

He added: “It should remain an independent statutory body precisely because there must be a distinction between learning and regulatory enforcement.

“Dash says that HSSIB has expanded its scope beyond what was intended. That is completely wrong. Dash says it’s meant to look at incidents of ‘severe harm’, not whole system investigations. That is completely wrong.

“The remit of HSSIB is set out in the [Health and Care Act 2022], and it is doing precisely what the Air Accidents Investigation Branch would do in aviation or the Rail Accidents Investigation Branch would do in rail – making systemic recommendations from systemic investigations, and that is precisely why it is so effective.”

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Source: HSJ, 26 February 2026

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Mentally unwell children put through ‘torture’ on wrong NHS wards, watchdog warns

Children with mental health illnesses are forced to stay in wards not fit to care for them with patients warning these hospital stays are like a “form of torture”, an NHS safety watchdog has found.

Children with mental health conditions were admitted to general hospital wards, not intended for mental health care, nearly 44,000 times in 2021 and 2022, the Health Services Safety Investigation Body has warned.

These wards which are “noisy, busy and brightly lit” are not often appropriate for these children who require mental healthcare and are unable to keep them safe, HSSIB said in a report on Thursday.

The watchdog is calling for new guidance for hospitals on how to adapt their general paediatric wards for children who have mental health support needs.

In a new investigation, the watchdog said it found in some hospitals patients were placed in rooms with “little or no consideration of therapeutic elements” which are “stripped of everything” including window blinds and shower curtains. In one hospital, staff said even the mattresses are removed.

Between 2021 and 2022 11.7 per cent, or 39,926 admissions to paediatric wards, for physical health, were for children who had a mental health condition.

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Read HSSIB investigation report – Keeping children and young people with mental health needs safe: the design of the paediatric ward (23 May 2024)

Source: The Independent, 23 May 2024

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Mental issues sparked by pandemic could be 'silent killer': Red Cross

The Red Cross called Friday for increased psychological support to health workers and others fighting the COVID-19 pandemic, warning of rising suicides as a result of pressure and isolation.

Countries around the world have taken dramatic measures to try to halt the spread of the virus, which first emerged in China late last year, with more than three billion people now living under lockdown.

The demand for psycho-social support has "increased significantly" since the start of the crisis, said Jagan Chapagain, the Secretary-General of the International Federation of Red Cross and Red Crescent Societies (IFRC).

In an interview with AFP, he said he understood that providing mental health support "may not be very high on the agenda as we are trying to contain the virus," but stressed that the issue is important and "impacts millions and millions of people."

"I think that could be the big silent killer if sufficient attention is not paid to psychosocial needs and mental health needs," he said.

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Source: Agence France-Presse, 28 March 2020

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Mental healthcare in England is a national emergency, say hospital bosses

Mental healthcare in England has become “a national emergency”, with “overwhelmed” services unable to cope with a big post-Covid surge in people needing help, NHS bosses say.

Care is so stretched that thousands of people undergoing a mental health crisis are having to be admitted every year to acute hospitals, even though they are not set up to deal with them.

Hospital bosses claim mental health in England has been “forgotten” by ministers who are giving priority to tackling the record 7.7m-strong care backlog, access to GPs and ongoing NHS strikes.

“Mental health has slipped down the government’s set of priorities and patients and services are being forgotten. This is a national emergency which is now having serious consequences across the board, not least for those patients in crisis,” said Matthew Taylor, the chief executive of the NHS Confederation.

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Source: The Guardian, 9 October 2023

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Mental health: North Wales A&E support scheme extended

A "life-changing" mental health service at three hospitals in north Wales is to be expanded to GP surgeries.

More than 2,500 people have used 'I Can' centres at Glan Clwyd, Gwynedd and Wrexham Maelor hospitals since the trial was launched earlier this year. The centres offer support to patients at A&E departments who may not require medical treatment or a bed. They employ both volunteers and paid staff, many of whom have experienced mental health issues themselves.

Betsi Cadwaladr University Health Board said the service allowed people to talk about mental health issues away from wards.

It hopes extending the scheme to GP surgeries and community hubs will allow people to get support close to home if they do not need medical treatment.

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Source: 9 December 2019

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Mental health: More help for new and expectant mothers in England

Mental health "hubs" for new, expectant or bereaved mothers are to be set up around England.

The 26 sites, due to be opened by next April, will offer physical health checks and psychological therapy in one building. NHS England said these centres would provide treatment for about 6,000 new parents in the first year.

Five years ago, 40% of areas in England had no dedicated maternal mental health services.

Things have improved since then with some specialist services available in each of the 44 local NHS areas in England. But in the NHS's Long Term Plan, published in 2019, the health service pledged to offer more "evidence-based" support, including to partners and families through these hubs or "outreach clinics".

The NHS hopes to offer services to people with moderate-to-severe difficulties, whereas earlier investment focused on the most acutely unwell mothers.

These clinics will "integrate maternity, reproductive health and psychological therapy for women experiencing mental health difficulties directly arising from, or related to, the maternity experience," NHS England said.

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Source: 5 April 2021

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Mental health: 'Urgent action needed over epidemic'

The new executive must act urgently if it is to "divert the current mental health epidemic among young people", Northern Ireland's children's commissioner has said.

Koulla Yiasouma said progress in implementing recommendations in a report on children and young people's mental health services, produced 12 months ago, had been "too slow". 

The stark read captured the scale of youth mental health problems in Northern Ireland. The report found that young people are waiting too long to ask for help and even longer to access the right support.

Health Minister Robin Swann said his aim was that young people do not wait longer than nine weeks to see a CAMHS (child and adolescent mental health services) professional."I take the mental health and wellbeing of our children and young people very seriously and I am committed to working with my colleagues in a new executive working group on mental well-being, resilience and suicide prevention," he said.

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Source: 6 February 2020

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Mental health unit death raises coroner fears

A coroner has raised concerns about how a family was allowed to bring a restricted item that contributed to a man's death into a mental health unit.

Joshua Sahota, 25, died as a result of asphyxia and psychosis in Bury St Edmunds, Suffolk, on 9 September 2019.

Suffolk coroner Nigel Parsley said Mr Sahota's relatives were not told the item they brought in when visiting was on a restricted list.

The NHS trust which runs the unit said it had improved its internal processes.

Mr Sahota, from Kennett in Cambridgeshire, was taken to the Wedgewood Unit on the West Suffolk Hospital site three weeks before his death as his mental health had declined. 

Insufficient staffing levels contributed to his death, an inquest jury at Suffolk Coroner's Court concluded.

Other factors included insufficient observations and one-to-one processes, no clear and concise risk assessments, being slow to develop a care plan and the absence of a documented crisis plan.

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Source: BBC News, 21 September 2021

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Mental health unit 'failed' man who took own life

The father of a man who took his own life said the mental health unit where he was staying "failed him completely".

Joshua Sahota, 25, died as a result of asphyxia and psychosis at the Wedgewood Unit in Bury St Edmunds, Suffolk, on 9 September 2019.

Insufficient staffing levels at the unit contributed to his death, an inquest jury found.

Mr Sahota, from Kennett in Cambridgeshire, was taken to the unit three weeks before his death as his mental health had declined.

There was no psychologist in post and the jury at Suffolk Coroner's Court recorded this as having contributed to his death.

It also found that a plastic bag which contributed to his death was on a restricted items list, but this was "unclear" and there were "inconsistencies of understanding this" by staff and visitors.

Other factors that the jury said contributed to his death included insufficient observations and one-to-one processes, no clear and concise risk assessments, being slow to develop a care plan and the absence of a documented crisis plan.

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Source: BBC News, 10 September 2021

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Mental health trust failed to heed safety warnings, campaigners say

A mental health trust linked to thousands of unexpected patient deaths repeatedly failed to act on coroners' safety warnings, campaigners say.

BBC News has been given exclusive access to new evidence from coroners' reports gathered by a campaign group.

It wants a criminal investigation into why so many patients died at Norfolk and Suffolk NHS Foundation Trust - and has sent police the evidence.

Campaigners, including patients and bereaved families, claim it is failing to make vital safety improvements despite promising to do so.

Last summer, a report found more than 8,000 mental-health patients had died unexpectedly in Norfolk and Suffolk between 2019 and 2022. This is defined as the death of a patient who has not been identified as critically ill or whose death is not expected by the clinical team.

The new evidence, based on 38 coroners' prevention of future death (PFD) reports since 2013, suggests there were repeated warnings more patients could die unless safety issues were addressed, including:

  • dangerously poor record-keeping and communication
  • family concerns being ignored
  • unsafe levels of staffing at the trust.

And campaigners say the trust's failure to improve safety has led to more deaths.

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Source: BBC News, 12 March 2024

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Mental health sidelined in key waiting list policy

Only two mental health trusts are known to be using the advice and guidance (A&G) system, and it should be used “much more broadly” in the sector, Rebecca Gray told HSJ.

A&G was introduced under the last government, but the current administration is pressing for a big expansion this year, introducing payments to GP practices each time they use it from this month. 

Ms Gray, who joined Confed earlier this year from the Maudsley Charity, said it was a good policy but so far was mainly focused on physical health, and she wanted to work with the network’s trust members to expand it.

Mental health is largely not covered by the main referral-to-treatment waiting list, nor the government’s headline target to reduce RTT waits to less than 18 weeks. Data on MH waits is poor, but it suggests tens of thousands of children and adults are waiting longer than two years.

Ms Gray said: ”Mental health services can and should play a crucial role in these kinds of initiatives. We know that mental ill health is placing a huge demand on GPs and their teams. This can not only be difficult for services to manage but frustrating for patients, who can often be left facing long waits to get the support they need if their condition is not best managed in primary care.”

She said GPs should be incentivised to “reach out to specialist mental health teams to support people more quickly [which] could help tackle these issues before they get worse”.

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Source: HSJ,  22 April 2025

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Mental health sick days for NHS staff surge – and cost more than £460m in a year

Mental health sick days cost the NHS almost half a million pounds as staff anxiety and stress levels haved skyrocketed.

Costs have almost doubled compared to before the pandemic from £279 million to £468 million.

The sickness data shared with The Independent by GoodShape, an employee well-being and performance analysis company, shows the number of staff sick days increased in 2022 to 12 million from 7.21 million in 2019. That is despite the overall number of people working in the NHS increasing from 1.2 to 1.3 million.

The overall cost to the NHS of absences for the five most common reasons – which includes mental health – increased to a “staggering” £1.85 billion from £1.01 billion between 2019 to 2022, according to figures from GoodShape.

Covid was still the most common reason for staff sickness last year, according to the analysis, accounting for 4.4 million lost days, while mental health was a close second driving 3 million days off due to illness.

Pat Cullen, chief executive and general secretary for the Royal College of Nursing said in response: “These figures are shocking but not surprising. With 47,000 vacant nurse posts in England alone, the pressures on staff are unrelenting.

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Source: The Independent, 8 February 2023

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Mental health services: CQC warns of “perfect storm”

A shortage of skilled staff, coupled with rising demand, has created a “perfect storm” for patients using mental health and learning disability services, England’s healthcare regulator has warned.

In its annual State of Care report for 2018-19, the Care Quality Commission said that although quality ratings across health and social care, including community mental health services, had been maintained overall, this masked “a real deterioration” in some specialist inpatient services over the past 12 months.

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Source: BMJ, 14 October 2019

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Mental health services to face surprise spot-checks after series of abuse scandals, watchdog warns

Unannounced and out-of-hours spot-checks on mental health services are set to ramp up following a string of abuse scandals, The Independent can reveal.

The Care Quality Commission’s new mental health chief Chris Dzikiti said he was “saddened” by “unacceptable” scandals in the last six months, warning the regulator “will use the powers [it has] to hold people to account.”

He said the organisation will be carrying out more unannounced inspections of providers, including inspections launched out of normal hours, with the aim to have the “majority” of spot-checks carried out this way.

In his first interview since joining the regulator in November Mr Dzikiti, who is mental health nurse by background, said: “I talk to chief execs of mental health services, I talk about [how] as a regulator, we will use the power we have, when [we] see poor practice, we will definitely hold people to account.

“In our inspection programmes, we are also increasing the unannounced inspections out of hours inspections, because we need to try and get really deep into the culture of mental health services, especially those areas where we think there’s a higher risk of poor practice.

“I will not rest until we get people safe.”

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Source: The Independent, 24 April 2023

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Mental health services that fail to improve could be shut, says watchdog

Failing mental health services that do not improve, whether run by private firms or the NHS, could be shut, a Care Quality Commission (CQC) chief has said.

It follows the watchdog judging as "inadequate" three child wards at the Priory Group's biggest hospital.

The wards at Cheadle Royal, near Manchester, "did not always provide safe care", the CQC found.

The unannounced inspection of Cheadle Royal took place earlier this year "in response to concerns about safety". BBC News first reported in January three women had died at the hospital last year, although not in the wards inspected for this report.

The CQC's new director of mental health services, Chris Dzikiti, said he was determined to drive up standards in all units and warned he will close services who fail to improve.

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Source: BBC News, 31 May 2023

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Mental health services in the England are being ‘Uberised’ – and that’s bad for patients and therapists

There is a mental health crisis in England, with rates of depression doubling since the COVID pandemic began. Strategies of “speaking up”, mindfulness sessions at work, and national “happiness” campaigns have been touted as an effective approach to tackling mental health at work, but therapists are unconvinced.

But what of mental health services offered by the state? This has been equally unconvincing. Over the past decade or so, mental health services in England have been undergoing a process of “Uberisation”. This refers to how services are effectively treated as commodities marketed through online platforms, changing the way they are delivered as well as making the jobs of the people delivering them more precarious – similar to the effect of ride-hailing apps on taxi drivers.

Specifically, this has happened through the introduction of a standardised and digitalised model of therapy called Increased Access to Psychological Therapies (IAPT). This Uberisation appears to be contributing to a mental health crisis within the therapy profession itself.

IAPT, which was introduced in 2008, provides psychotherapy for depression and anxiety to over a million people each year – the largest NHS programme in England. It uses a model of cognitive behavioural therapy – made up of short-term interventions of four to 12 sessions – that use techniques, such as relaxation exercises, to encourage positive mood and behaviour.

With extremely high levels of depression and anxiety among therapists, there is a genuine question about patient safety that is being overlooked. If the mental health model itself is broken, are services deepening the mental health crisis, rather than solving it?

Read the full article here
Source: The Conversation

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Mental health racial bias in England and Wales is ‘inexcusable’, says report

Ministers must use legislation to address an “unacceptable and inexcusable” failure to address racial disparity in the use of the Mental Health Act (MHA), MPs and peers have said.

The joint committee on the draft mental health bill says the bill does not go far enough to tackle failures that were identified in a landmark independent review five years ago, but which still persist and may even be getting worse.

The committee says the landmark 2018 review of the MHA by Prof Simon Wessely – which the bill is a response to – was intended to address racial and ethnic inequalities, but that those problems have not improved since then “and, on some key metrics, are getting rapidly worse”.

Lady Buscombe, the committee chair, said: “We believe stronger measures are needed to bring about change, in particular to tackle racial disparity in the use of the MHA. The failure to date is unacceptable and inexcusable.

“The government should strengthen its proposal on advanced choice and give patients a statutory right to request an advance choice document setting out their preferences for future care and treatment, thereby strengthening both patient choice and their voice.”

A Department of Health and Social Care spokesperson said: “We are taking action to address the unequal treatment of people from Black and other ethnic minority backgrounds with mental illness – including by tightening the criteria under which people can be detained and subject to community treatment orders.

“The government will now review the committee’s recommendations and respond in due course.”

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Source: The Guardian, 19 January 2023

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Mental health policies for drug users not being followed in Scotland, say experts

Scotland’s health services are failing to tackle a mental health crisis affecting thousands of people with drug or alcohol problems because the right policies are not being followed, an expert body has found.

The Mental Welfare Commission for Scotland, a statutory body founded to protect the human rights of people with mental illness, said only a minority of health professionals were using the correct strategies and plans for at-risk patients.

Dr Arun Chopra, its medical director, said there had been a “collective failure” to act: few local services were using the correct procedures despite so much evidence about the scale of Scotland’s drugs and alcohol problems.

Nearly four in five of those professionals said their patients were not given the documented care plans required by national policy. Of the 89 family doctors interviewed, 90% had experienced difficulties referring patients to mental health services or addiction services.

In some cases, mental health services then rejected patients because they were addicts, without helping them find the right support.

The commission recommended far clearer policies, protocols, auditing and monitoring by health boards and the Scottish government, with better training for professionals. Health workers needed to stop stigmatising patients and see patients as people affected by trauma.

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Source: The Guardian, 29 September 2022

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Mental health patients with nowhere to go cost NHS £71m in England, report finds

A lack of supported housing was the biggest reason for delayed discharges from mental health hospitals in England last year, costing the NHS about £71m, according to a report.

Analysis from the National Housing Federation (NHF) found that in 2023-24 there were 109,029 days of delayed discharge because mental health patients were waiting for supported housing, and the number of people stuck in hospital as a result of housing-related issues had more than tripled since 2021.

In September 2024, waiting for supported housing was the single biggest reason mental health patients, fit for discharge, were unable to leave, accounting for 17% of all delays. This lack led to a strain on NHS capacity and a rise in patients being sent out of area for hospital admission, the report found.

Rhys Moore, director of public impact at the NHF, said: “Not only are tens of thousands of people, who deserve the opportunity to live a healthy, happy and independent life, being failed, but the shortage of these homes is increasing pressure on public services, increasing homelessness, and costing the NHS and ultimately the taxpayer more in the long run.”

A man in his 30s, who asked to remain anonymous, had struggled with drug addiction issues and was evicted shortly before he was admitted to a mental health hospital ward where he spent a number of weeks.

“I feel like I’m much better off in here than in hospital,” he said. “[The hospital] felt like I was all right. The way we were talking, I could tell they thought, you’re wasting my bed, you don’t need to be here. But I had been evicted, I had nowhere to go.

“I was really struggling in there, it was noisy and stressful at times. Living here, I feel like I can breathe and start getting myself back together again.”

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Source: The Guardian, 11 February 2025

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