We recognise the importance of safe and well-planned discharge from mental health settings, and the need to ensure that people receive appropriate support as they move back into the community.

The statutory guidance on discharge from mental health inpatient settings, published in 2024, is clear that local areas and commissioners should cooperate with one another to ensure the right individualised support is provided post-discharge. This may include commissioning step-down services, specialist supported accommodation, or collaboration with the voluntary and community sector.

We are strengthening the legal framework for discharge through reforms to the Mental Health Act. Under the Mental Health Act 2025, the patient’s responsible clinician will be required to consult with someone else who has been professionally concerned with the patient’s treatment, whether that be in the hospital or in the community, who is from a different profession from them. This is to ensure a more rounded perspective on the patient’s readiness for discharge from the act. Furthermore, as part of the reforms, patients detained under the act will be required to receive a comprehensive statutory care and treatment plan, including a discharge plan.

More widely, NHS England has developed a personalised care framework which sets out the core principles of care that people should expect when accessing mental health services. This includes that every person should have an up to date care plan that is current and reflects their needs as well as a named worker who can support the discharge planning process and ensure continuity of care.

NHS England is considering the Health Services Safety Investigations Body’s report and will respond to the recommendation in the report in due course.

To reduce insulin related harm, the NHS Getting It Right First Time (GIRFT) programme published guidance in April 2025 to support trusts to establish Diabetes Safety Boards. GIRFT is also undertaking a pilot across 20 integrated care systems as part of a Community and District Nurse Insulin Programme, which works to empower community diabetes nurses and district nursing teams to support patients at home requiring insulin administration.

To further support services to provide high quality personalised care for all patients needing secondary mental health services, including those with diabetes, NHS England has shared new draft guidance with systems, the Mental Health Personalised Care Framework, sets out how services must effectively assess, plan, and manage people's care in collaboration with all relevant teams, including how they assess safety and risks of harm.

NHS England is considering the Health Services Safety Investigations Body’s report and will respond to the recommendation in the report in due course.

To reduce insulin related harm, the NHS Getting It Right First Time (GIRFT) programme published guidance in April 2025 to support trusts to establish Diabetes Safety Boards. GIRFT is also undertaking a pilot across 20 integrated care systems as part of a Community and District Nurse Insulin Programme, which works to empower community diabetes nurses and district nursing teams to support patients at home requiring insulin administration.

To further support services to provide high quality personalised care for all patients needing secondary mental health services, including those with diabetes, NHS England has shared new draft guidance with systems, the Mental Health Personalised Care Framework, sets out how services must effectively assess, plan, and manage people's care in collaboration with all relevant teams, including how they assess safety and risks of harm.

The Government recognises the vital role of unpaid carers, including those caring for people with mental ill-health, and is committed to ensuring they have the support they need.

We have raised the Carer’s Allowance earnings limit from £151 to £196 per week, the equivalent of 16 hours at the National Living Wage and representing the largest cash increase ever.

Through measures in the 10-Year Health Plan, we are equipping and supporting carers by making them more visible, empowering their voices in care planning, joining up services, and streamlining their caring tasks by introducing a new ‘MyCarer’ section to the NHS App.

The Government has not made a specific assessment of the need for additional recognition and support for unpaid carers of people with mental ill-health. Local authorities are required by the Care Act 2014 to undertake carer’s assessments to support people caring for their family and friends who appear to have a need for support, including those caring for people with mental ill-health, and to meet their eligible needs upon request from them.

The Government is making approximately £4.6 billion of additional funding available for adult social care in 2028/29 compared to 2025/26, to support the sector in making improvements. Local areas determine how the money is best used to support carers, depending on local need and with reference to their statutory responsibilities.

Informal carers with common mental health conditions such as depression and anxiety can self-refer to NHS Talking Therapies or be referred by their general practitioner. The 10-Year Health Plan sets out ambitious plans to boost mental health support across the country. This includes expanding Talking Therapies services and giving patients better access to 24/7 support directly through the NHS App.

The Government recognises the vital role of unpaid carers, including those caring for people with mental ill-health, and is committed to ensuring they have the support they need.

We have raised the Carer’s Allowance earnings limit from £151 to £196 per week, the equivalent of 16 hours at the National Living Wage and representing the largest cash increase ever.

Through measures in the 10-Year Health Plan, we are equipping and supporting carers by making them more visible, empowering their voices in care planning, joining up services, and streamlining their caring tasks by introducing a new ‘MyCarer’ section to the NHS App.

The Government has not made a specific assessment of the need for additional recognition and support for unpaid carers of people with mental ill-health. Local authorities are required by the Care Act 2014 to undertake carer’s assessments to support people caring for their family and friends who appear to have a need for support, including those caring for people with mental ill-health, and to meet their eligible needs upon request from them.

The Government is making approximately £4.6 billion of additional funding available for adult social care in 2028/29 compared to 2025/26, to support the sector in making improvements. Local areas determine how the money is best used to support carers, depending on local need and with reference to their statutory responsibilities.

Informal carers with common mental health conditions such as depression and anxiety can self-refer to NHS Talking Therapies or be referred by their general practitioner. The 10-Year Health Plan sets out ambitious plans to boost mental health support across the country. This includes expanding Talking Therapies services and giving patients better access to 24/7 support directly through the NHS App.

The Government recognises the vital role of unpaid carers, including those caring for people with mental ill-health, and is committed to ensuring they have the support they need.

We have raised the Carer’s Allowance earnings limit from £151 to £196 per week, the equivalent of 16 hours at the National Living Wage and representing the largest cash increase ever.

Through measures in the 10-Year Health Plan, we are equipping and supporting carers by making them more visible, empowering their voices in care planning, joining up services, and streamlining their caring tasks by introducing a new ‘MyCarer’ section to the NHS App.

The Government has not made a specific assessment of the need for additional recognition and support for unpaid carers of people with mental ill-health. Local authorities are required by the Care Act 2014 to undertake carer’s assessments to support people caring for their family and friends who appear to have a need for support, including those caring for people with mental ill-health, and to meet their eligible needs upon request from them.

The Government is making approximately £4.6 billion of additional funding available for adult social care in 2028/29 compared to 2025/26, to support the sector in making improvements. Local areas determine how the money is best used to support carers, depending on local need and with reference to their statutory responsibilities.

Informal carers with common mental health conditions such as depression and anxiety can self-refer to NHS Talking Therapies or be referred by their general practitioner. The 10-Year Health Plan sets out ambitious plans to boost mental health support across the country. This includes expanding Talking Therapies services and giving patients better access to 24/7 support directly through the NHS App.

The information requested for the latest available period (1 January to 30 June 2025) is in the table below. Counts below 5 are suppressed using an asterisk.

Data source: Mental Health Services Dataset, NHS England

¹ Bed type is the bed that the patient was in when they were discharged.

² The length of stay is the patient’s total length of stay during the hospital spell.

³ Where a patient’s bed type is not recorded or cannot be matched to a valid value, the bed type is recorded as unknown.

The following table shows the number of readmissions and the percentage of all admissions that were readmissions for children and young people’s mental health inpatient services, for 2022/23, 2023/24, 2024/25, and from April to August of 2025/26:

Source: Mental Health Services Dataset, NHS England.

A readmission is any admission which takes place within 90 days of a previous discharge, for the same patient.

The first statutory guidance on discharge from mental health hospitals, published in 2024 under the NHS Act 2006, emphasised the importance of communication and collaboration between responsible agencies to ensure the patient’s safe and timely discharge and continued care and support after hospital.

This is underpinned by the Community Mental Health Framework, which sets out a vision for new models of integrated primary and community mental health services to address longstanding challenges in mental health services, including maximising continuity of care. Neighbourhood mental health centres build on this model, bringing together a range of community mental health services under one roof, including crisis services and short-stay beds, ensuring people’s holistic needs can be met. To ensure that people are provided with the right support to live successfully and safely in the community after discharge, section 117 of the Mental Health Act places a duty on the National Health Service and local social services authorities to provide after-care to eligible patients who have been detained in hospital for treatment, under certain sections of the act.

We know there are sometimes disagreements between local authorities over who should be paying for a persons’ after-care and what services should be provided. The Mental Health Bill seeks to address these issues and bring clarity, mitigating delays to the provision of aftercare services.

There is also the NHS Continuing Healthcare, which is a package of NHS-funded ongoing care for adults with the highest levels of complex, intense, or unpredictable needs, who have been assessed as having a primary health need, to meet needs that have arisen as a result of disability, accident, or illness.

In 2023, NHS England published guidance on the commissioning and delivery of acute inpatient mental health care for adults and older adults, which is available at the following link:

https://www.england.nhs.uk/long-read/acute-inpatient-mental-health-care-for-adults-and-older-adults/

This encourages integrated care boards and mental health providers to monitor the length of hospital stay, the number of people who are clinically ready for discharge and who have not been discharged, reasons for delayed discharges, and reasons for readmission within six months, in order to monitor the effectiveness of local discharge arrangements and to identify improvements.

NHS England is also delivering a universal culture of care improvement programme, which all National Health Service and major independent providers are participating in. The programme is based on co-produced standards for high quality inpatient care, which include commitments to improve discharge and follow up support.

Improving access to high quality community mental health care is critical to reducing the number of avoidable admissions to hospital and supporting people in community settings following a hospital spell. Since 2019, NHS England has invested significant additional funding to support services to transform and expand services in line with the vision set out in the Community Mental Health Framework. The new approach integrates community mental health services with primary care, whilst also improving partnerships with voluntary, community, and social enterprise organisations, local authorities, and other local organisations to offer people holistic and personalised care for both their clinical and social needs, with both a ‘need-led’ and ‘no wrong door’ approach.

NHS England continues to prioritise improving services for people with mental health problems, including through the development of new guidance on delivering personalised care and support, for instance the Personalised Care Framework: a Modern Care Programme Approach, the piloting and rollout of 24/7 Neighbourhood Mental Health Centres across the country, and the development of a new modern service framework for severe mental illness expected in 2026.

The following table shows the information requested for inpatients discharged between January 2024 and December 2024 in England:

Source: Mental Health Services Dataset, NHS England

Notes:

1. The age band is calculated based on the patient's age at the time of the previous discharge.

2. The number of discharges eligible for readmission covers all discharges from hospital in the reporting period that meet the following criteria:
   1. Method of discharge from hospital was NOT the patient dying, discharging themselves, or being discharged by a relative or advocate.
   2. Destination of discharge from hospital was NOT a high security of psychiatric hospital or accommodation, a medium secure unit, or an Independent Sector Healthcare Provider run hospital.

3. The number or readmissions within 30 or 90 days of discharge covers all next earliest admissions to hospital following a patient's eligible discharge. Number of days is calculated using the start date of the new admission and the discharge date of the previous discharge.

On 4 April 2025, NHS England published its ‘Staying Safe from Suicide: Best Practice Guidance for Safety Assessment, Formulation and Management'. This promotes a shift towards a more holistic, person-centred approach rather than relying on risk prediction, which is unreliable because suicidal thoughts can change quickly. Instead, it recommends using a method based on understanding each person’s situation and managing their safety.

The purpose of this guidance is to enable mental health practitioners to adopt best practice principles in working with people of all ages to stay safe from suicide. This guidance also has a section covering confidentiality and the law and refers to the consensus statement for information sharing and suicide prevention. The guidance is available at the following link:

https://www.england.nhs.uk/long-read/staying-safe-from-suicide/

Work is also underway to make training available to all mental health practitioners to incorporate the principles of this guidance into their practice. This training was recently launched and is available via an e-learning module. This complements existing local training on suicide prevention, and a number of other national e-learning products that are already available.

The National Confidential Inquiry into Suicide and Safety in Mental Health has been commissioned through the NHS England Culture of Care programme to support every provider of National Health Service commissioned inpatient services to move to personalised safety planning in line with evidence.

In addition to this, the Health Services Safety Investigations Body’s (HSSIB) investigation into mental health inpatient settings identified important concerns and safety recommendations that can help us to improve mental health care, protect patients and the public and create a safe working environment for staff. We are in the process of formally responding to all the recommendations for the Department made within these reports. NHS England will be publishing guidance in response to the HSSIB’s recommendations defining the therapeutic relationship and guidance on responding to the use of non-anchored ligature points.

I thank the Chair of the Justice Committee for raising an important issue for his own constituents that also has wider significance. I will publish the full terms of reference and place them in the Libraries of both Houses very soon. Regardless of whether the review goes into the specifics of every other type of case, I am sure that it will make findings on how such cases, particularly involving people with mental health conditions, are properly managed. I am sure that those findings will be of interest not just to our Department but to others, and will be implemented by the Government in due course.

I thank the Lord Chancellor for establishing the inquiry into the Nottingham attacks, but freedom of information requests by the charity Hundred Families disclosed last month that at least 392 mental health patients in England committed or were suspected of murder or manslaughter between 2018 and 2023. The victims included Susan and Jeffrey Farrance, the elderly parents of my constituent. Will the inquiry consider cases like that of the Farrances so that we can learn all lessons necessary to prevent these tragic and avoidable crimes?

The statutory guidance on discharge from mental health inpatient settings makes clear that National Health Service mental health trusts should have a clear plan in place for the ongoing care and support that a patient requires after discharge from a mental health inpatient setting. This should cover their pharmacological, physical health, psychological, social, cultural, education, housing and finances, and any other individual needs or wishes.

Individual trusts providing mental health inpatient services are expected to closely monitor hospital discharge performance data to ensure discharge arrangements are operating effectively and safely across the system and are also subject to monitoring, inspection and regulation by the Care Quality Commission (CQC).

In response to the CQC’s review of the care and treatment provided to Valdo Calocane and of services provided by Nottinghamshire Healthcare NHS Foundation Trust, NHS England asked every provider of mental health services to review the care received by people with serious mental illness who require intensive community treatment and follow-up but where engagement is a challenge.

Alongside this, NHS England is also developing new core standards of care for community mental health services to support the continued improvement of care.

As part of our mission to build an NHS that is fit for the future and shift care from hospitals into the community by improving community and crisis services, NHS England is piloting new models of care in the community for those with the most serious mental illnesses. New mental health centres open in six neighbourhood areas from this spring and will provide people and their families with support 24 hours a day, seven days a week, if they are in crisis without needing to book an appointment, as well as provide housing or employment advice to support them to stay well. A key feature of the model is continuity of care whereby the same team will support people with serious mental illnesses throughout all stages of their interaction with services, including transitions between hospital and the community.

The Mental Health Bill, currently before Parliament, also aims to strengthen discharge arrangements for people detained in hospital under the Mental Health Act.

The statutory guidance on discharge from mental health inpatient settings makes clear that National Health Service mental health trusts should have a clear plan in place for the ongoing care and support that a patient requires after discharge from a mental health inpatient setting. This should cover their pharmacological, physical health, psychological, social, cultural, education, housing and finances, and any other individual needs or wishes.

Individual trusts providing mental health inpatient services are expected to closely monitor hospital discharge performance data to ensure discharge arrangements are operating effectively and safely across the system and are also subject to monitoring, inspection and regulation by the Care Quality Commission (CQC).

In response to the CQC’s review of the care and treatment provided to Valdo Calocane and of services provided by Nottinghamshire Healthcare NHS Foundation Trust, NHS England asked every provider of mental health services to review the care received by people with serious mental illness who require intensive community treatment and follow-up but where engagement is a challenge.

Alongside this, NHS England is also developing new core standards of care for community mental health services to support the continued improvement of care.

As part of our mission to build an NHS that is fit for the future and shift care from hospitals into the community by improving community and crisis services, NHS England is piloting new models of care in the community for those with the most serious mental illnesses. New mental health centres open in six neighbourhood areas from this spring and will provide people and their families with support 24 hours a day, seven days a week, if they are in crisis without needing to book an appointment, as well as provide housing or employment advice to support them to stay well. A key feature of the model is continuity of care whereby the same team will support people with serious mental illnesses throughout all stages of their interaction with services, including transitions between hospital and the community.

The Mental Health Bill, currently before Parliament, also aims to strengthen discharge arrangements for people detained in hospital under the Mental Health Act.