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To ask the Secretary of State for Health and Social Care, what steps he is taking to strengthen follow up support for self-harm patients once they leave emergency services care.
To ask the Secretary of State for Health and Social Care, what steps he is taking to strengthen follow up support for self-harm patients once they leave emergency services care.
NHS England expects all patients presenting to emergency departments following self-harm or suicidal ideation to receive a comprehensive biopsychosocial assessment by appropriately trained mental health professionals prior to discharge in line with National Institute for Health and Care Excellence guidance. This guidance is available at the following link:
https://www.nice.org.uk/guidance/ng225
The NHS Medium Term Planning Framework states that in 2026/27, mental health practitioners across all providers should undertake training and deliver care in line with Staying safe from suicide: Best practice guidance for safety assessment, formulation and management, which states that all care should be undertaken using the biopsychosocial approach.
Through the national mental health liaison programme, all Type 1 Emergency Departments now have access to 24/7 liaison mental health services, supporting timely assessment, safety planning, and onward care. Responsibility for clinical governance and safe discharge arrangements rests with local providers and integrated care systems, which are expected to have policies in place covering risk assessment, follow-up, and patient safety.
NHS England is also supporting systems to strengthen community based mental health support and wider urgent and emergency mental health pathways, including through Neighbourhood Mental Health Centres, crisis alternatives, NHS 111 option 2, and the rollout of Mental Health Emergency Departments. These developments aim to ensure people who self-harm or experience suicidal distress can access timely, compassionate, and therapeutic support both during and following a mental health crisis.
Motion, That this House has considered safety in prisons. Agreed to on question.
Motion, That this House has considered safety in prisons. Agreed to on question.
I beg to move,
That this House has considered safety in prisons.
It is a pleasure to serve under your chairmanship, Sir Jeremy. Since I was elected nearly two years ago, my office and I have been inundated with letters and calls from staff, prisoners and members of the public about the...
I beg to move,
That this House has considered safety in prisons.
It is a pleasure to serve under your chairmanship, Sir Jeremy. Since I was elected nearly two years ago, my office and I have been inundated with letters and calls from staff, prisoners and members of the public about the...
Does my hon. Friend agree that prison safety cannot be separated from mental health? When inmates are in crisis, they can self-harm and there is a potential risk of dying through suicide. It can affect the safety of staff and other prisoners, too. Does my hon. Friend agree that we...
Does my hon. Friend agree that prison safety cannot be separated from mental health? When inmates are in crisis, they can self-harm and there is a potential risk of dying through suicide. It can affect the safety of staff and other prisoners, too. Does my hon. Friend agree that we...
My hon. Friend is absolutely right. As Members will hear in my speech, mental health and safety need to go hand in hand.
My hon. Friend is absolutely right. As Members will hear in my speech, mental health and safety need to go hand in hand.
I congratulate my hon. Friend on securing this important debate. I agree with her analysis so far. The key point is that we must take some steps and have some initiatives to reduce prison violence. I am sure the Minister is aware that in the last Session I introduced a...
I congratulate my hon. Friend on securing this important debate. I agree with her analysis so far. The key point is that we must take some steps and have some initiatives to reduce prison violence. I am sure the Minister is aware that in the last Session I introduced a...
I absolutely agree. In fact, some of the accounts that I have been given by prison staff, particularly women prison officers, are deplorable.
The inspectorate notes:
“There had been two self-inflicted deaths in the previous two years and support for those at risk of self-harm was weak.”
The rate of self-harm had increased...
I absolutely agree. In fact, some of the accounts that I have been given by prison staff, particularly women prison officers, are deplorable.
The inspectorate notes:
“There had been two self-inflicted deaths in the previous two years and support for those at risk of self-harm was weak.”
The rate of self-harm had increased...
On Friday, I visited HMP Wandsworth with the Chess in Schools and Communities scheme. I saw its work to teach chess in prisons, which is also great for teaching resilience, patience and team working. May I send the hon. Member some information about what Chess in Schools and Communities does?...
On Friday, I visited HMP Wandsworth with the Chess in Schools and Communities scheme. I saw its work to teach chess in prisons, which is also great for teaching resilience, patience and team working. May I send the hon. Member some information about what Chess in Schools and Communities does?...
Absolutely. I thank the hon. Member for his intervention.
Access to appropriate healthcare is another shortcoming. Prisoners often do not have access to their prescription medication or mental health services, and their medical or religious dietary needs are not met. The inspectorate also raised concerns about
“prisoners with disabilities living in neglectful...
Absolutely. I thank the hon. Member for his intervention.
Access to appropriate healthcare is another shortcoming. Prisoners often do not have access to their prescription medication or mental health services, and their medical or religious dietary needs are not met. The inspectorate also raised concerns about
“prisoners with disabilities living in neglectful...
My hon. Friend is making an excellent speech. On the protection of prison officers, is it not correct that the last coalition Government got rid of almost 25% of prison officers? Every year I ask a question about how many prison officers have left the service, and each year the...
My hon. Friend is making an excellent speech. On the protection of prison officers, is it not correct that the last coalition Government got rid of almost 25% of prison officers? Every year I ask a question about how many prison officers have left the service, and each year the...
One would think my hon. Friend could read my speech over my shoulder, because that is the next thing I will talk about. There remains a staffing crisis across our prisons, with officer numbers falling and many leaving the profession after only one or two years. I therefore ask the...
One would think my hon. Friend could read my speech over my shoulder, because that is the next thing I will talk about. There remains a staffing crisis across our prisons, with officer numbers falling and many leaving the profession after only one or two years. I therefore ask the...
I thank my hon. Friend for securing this important debate. I, too, went to HMP Wandsworth not very long ago. There was an incident on the wing: something happened and the prison officers had to shut all the doors and run. That was a horrible example of what they deal...
I thank my hon. Friend for securing this important debate. I, too, went to HMP Wandsworth not very long ago. There was an incident on the wing: something happened and the prison officers had to shut all the doors and run. That was a horrible example of what they deal...
I absolutely agree. If the Minister has not been to Wandsworth, I ask him to go and see that model, which perhaps is something he can do going forward.
Offenders cannot focus on rebuilding their life if they are struggling simply to survive or are experiencing thoughts of ending their own...
I absolutely agree. If the Minister has not been to Wandsworth, I ask him to go and see that model, which perhaps is something he can do going forward.
Offenders cannot focus on rebuilding their life if they are struggling simply to survive or are experiencing thoughts of ending their own...
I thank my hon. Friend the Member for Sherwood Forest (Michelle Welsh) for securing this debate and for bringing attention to this very important subject, which she has raised on numerous occasions in the Chamber and elsewhere. She has spoken to Lord Timpson, the Minister for Prisons, and to me...
I thank my hon. Friend the Member for Sherwood Forest (Michelle Welsh) for securing this debate and for bringing attention to this very important subject, which she has raised on numerous occasions in the Chamber and elsewhere. She has spoken to Lord Timpson, the Minister for Prisons, and to me...
As I was saying before we were interrupted by votes, I want to put on record my thanks to my hon. Friend the Member for Sherwood Forest, her team, and her neighbour, my hon. Friend the Member for Gedling (Michael Payne), who has raised this issue with me. As my...
As I was saying before we were interrupted by votes, I want to put on record my thanks to my hon. Friend the Member for Sherwood Forest, her team, and her neighbour, my hon. Friend the Member for Gedling (Michael Payne), who has raised this issue with me. As my...
I know that the Minister is a huge champion of mental health, and of men’s and boys’ mental health in particular. In my constituency, I have the Moorland, Lindholme and Hatfield prisons. Will he join me in celebrating the amazing work being done by the Samaritans in those prisons to...
I know that the Minister is a huge champion of mental health, and of men’s and boys’ mental health in particular. In my constituency, I have the Moorland, Lindholme and Hatfield prisons. Will he join me in celebrating the amazing work being done by the Samaritans in those prisons to...
Absolutely, and I thank my hon. Friend for his intervention. I am a massive champion of Andy’s Man Club up and down the country, but especially in south Yorkshire. It does really important work with ex-offenders and indeed more generally. We have continued as a Government to fund the Samaritans’...
Absolutely, and I thank my hon. Friend for his intervention. I am a massive champion of Andy’s Man Club up and down the country, but especially in south Yorkshire. It does really important work with ex-offenders and indeed more generally. We have continued as a Government to fund the Samaritans’...
I thank the Minister for outlining the issues. One of the critical problems in prisons is the mental health crisis. People are coming in with complex needs, including complex emotional needs; sometimes they have addiction issues; and they may have experienced abuse in the past as well. Those things need...
I thank the Minister for outlining the issues. One of the critical problems in prisons is the mental health crisis. People are coming in with complex needs, including complex emotional needs; sometimes they have addiction issues; and they may have experienced abuse in the past as well. Those things need...
Absolutely. The NHS works in our prisons up and down the country every day, and it does incredible work. We have bolstered the approach to people identified as being at risk of suicide and self-harm. There is a comprehensive package of support for what is called “individualised case management process”....
Absolutely. The NHS works in our prisons up and down the country every day, and it does incredible work. We have bolstered the approach to people identified as being at risk of suicide and self-harm. There is a comprehensive package of support for what is called “individualised case management process”....