Josh Dean MP: speeches

Speeches

• 24 Jun 2025 · Mental Health Bill [ Lords ] (Ninth sitting) · Hansard source

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  My hon. Friend is making a fantastic speech. In the really dire circumstances of a death in detention, we are dealing with the most difficult and, for family members and loved ones, the most devastating circumstances. Given that, does she agree that it is important to make sure that the circumstances are reviewed thoroughly and independently?

• 24 Jun 2025 · Mental Health Bill [ Lords ] (Ninth sitting) · Hansard source

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  We touched earlier on the safeguards around electroconvulsive therapy. Does my hon. Friend agree that when someone with an eating disorder is restrained, particularly in circumstances that involve the administration of nasogastric tube feeding, such safeguards are really important because of the invasive nature of the treatment and the potential restraint used in delivering it?

• 19 Jun 2025 · Mental Health Bill [ Lords ] (Eighth sitting) · Hansard source

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  It is a pleasure to serve under your chairship once again, Mrs Harris. The Minister has set out in detail the function of clause 54, so I will not cover that in detail for reasons of time. I welcome the clause, which represents a step forward in regulating the placement of children and young people in adult treatment settings, and in ensuring their safeguarding. I welcome the fact that it recognises the need to review the existing safeguards available to young people. The independent review of the Mental Health Act made recommendations in this area, including that when an under-18 is placed on an adult ward, the CQC should be notified within 24 hours, and that the reasons for and the proposed length of the placement should be recorded. I would be grateful if the Minister would set out what consideration the Government have given to those recommendations, and whether they will form part of the review. I turn to the important matter of children and young people who are under 18 placed in adult treatment settings. I think we all recognise the extremely difficult context in which these detentions take place. We know that there is a serious shortage of specialist in-patient beds for children and young people, which means that places are often full or may not be available at a time of urgent crisis. When someone under 18 is placed in an adult treatment setting, they are more likely to witness or even experience high levels of restraint, be denied support from their peers, and lack access to educational opportunities. These placements can actually cause further harm to children and young people’s mental health, and therefore be detrimental to their recovery. I will be grateful if the Minister can assure me of the actions that the Government will take to further safeguard those children and young people who hit crisis point and find themselves in adult treatment settings because of the shortage of beds. How will we ensure that they are protected from being placed in inappropriate treatment settings? I do not wish to test your patience, Mrs Harris, but before I conclude I want to examine the point about children and young people a little further, given the interaction of clause 54 and associated new clauses with their treatment. I welcome the Government’s consistent restatement of the importance of getting the Bill right for children and young people. I know that the Minister takes such matters incredibly seriously, and I have listened carefully to what he has said this afternoon and throughout the Committee. The Minister has stated that a number of the reforms relating to children and young people will be addressed in the code of practice, but that contrasts with the approach of many of the welcome safeguards set out for over-18s in the Bill. Will the Minister clarify why these issues are being addressed differently when it comes to children and young people, compared to adults? Children and young people are a uniquely vulnerable group. On the point about the code of practice, I note that any deviation from that would need to be justified, but my understanding is that the code cannot impose duties on practitioners or require them to exercise their functions under the Act. I am concerned that putting safeguards for under-18s on a different footing from those for adults could make it harder for young people to access those safeguards. I welcome much of the work being done by the Bill, and I want to make sure that children and young people can also access its safeguards. I will be grateful if the Minister can address those points in his response. In conclusion, I welcome the step forward that clause 54 represents, because it addresses an important issue that we need to get to grips with. I look forward to the Minister’s response.

• 17 Jun 2025 · Mental Health Bill [ Lords ] (Sixth sitting) · Hansard source

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  It is a pleasure to see you in the Chair, Mrs Harris—when I wrote my speech, it said “this afternoon”, but it now says “this evening”. I rise to speak to clause 41 and schedule 3. I welcome the role that they will play in extending the right to access the services of an independent mental health advocate to voluntary patients in England not detained under the Mental Health Act, and ensuring that all detained patients are offered these services through an automatic referral, creating an opt-out system. Independent mental health advocates play an important role in supporting patients detained under the Act to understand their rights and participate in decisions around their care and treatment. Clause 41 and schedule 3 seek to ensure that the individual needs of each patient are taken into account, even where they may not be able to engage in decision making about themselves. In doing so, they recognise the patient as an individual. This provides for important safeguards for patients and reinforces the Bill’s principles of autonomy and least restriction, which is a crucial part of bringing mental health legislation into the 21st century. I similarly welcome Government amendments 42 and 43, which seek to further strengthen the important safeguards in the Bill. I hear the points that the Minister has made on children and young people admitted informally, but I would be grateful if he could address the matter further. As we know, informal patients are those who consent to an admission to a mental health hospital or whose parents consent to an admission on their behalf. Often, they are treated under the same or similar conditions as those detained under the Act. While detained patients will receive an automatic referral to advocacy services under the new opt-out scheme, my understanding is that that will not be the case for those admitted informally, meaning that informal patients would still be required to ask for the support of an independent mental health advocate. Children admitted informally are likely to experience the same conditions as another child detained under the Act, but without the parity of access to advocacy services through the opt-out system. Because a parent is able to consent to informal treatment on their child’s behalf, they are one of few groups, if not the only one, able to be admitted informally without their own consent. Therefore, there is a concern that children and young people admitted informally may continue to experience problems accessing the support of an advocate. I seek the Minister’s assurance that the Government have considered fully the provision of advocacy services for informally admitted children and young people, and how this gap might be addressed. I welcome how these parts of the Bill will embed those important principles of individuality, autonomy and least restriction, expanding the important safeguards offered by independent mental health advocates. I would be grateful if the Minister could touch on those points about children and young people in his response.

• 17 Jun 2025 · Mental Health Bill [ Lords ] (Sixth sitting) · Hansard source

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  Young people who have been through detention often report challenging circumstances following that detention. Rather than supporting them, that sometimes increases their trauma. Can the Minister assure me that, as part of the changes he just set out, we will still ensure that young people have the opportunity to feed their experiences back? What specific work will the Government undertake to gather those views from young people?

• 12 Jun 2025 · Mental Health Bill [ Lords ] (Fourth sitting) · Hansard source

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  It is a pleasure to serve under your chairmanship, Mr Vickers. I start by recognising the extremely difficult circumstances that the provisions deal with. I will speak to clauses 15, 17 and 18 and the Liberal Democrat amendment. I welcome the additional safeguards set out in these provisions by the Government, particularly clause 15 and the role it plays in ensuring that the approved clinician can decide whether a referral for a second opinion appointed doctor is required. I note that there is a slight contrast, as the Opposition spokesperson touched on, with 57A, but I believe that recognises the unique circumstances of ECT, and that is important. Clause 17 is important because of the way in which it—like these clauses generally—respects patient choice, embedding the central principles of choice and autonomy into this form of treatment and building on the framework set out earlier. I also note that clause 18 inserts a particular safeguard on certification that is really key to ensure that ECT therapy is administered according to strict safeguards. That is key in the context of the type of therapy that we are talking about. I commend the spirit of amendment 13 and the intention behind it, and I really welcome the positive cross-Bench engagement on this issue. It is one of the most challenging circumstances and types of therapy that a patient will experience, but I echo the Minister’s points that such provisions have been covered elsewhere, particularly the changes in some of these clauses. To make a brief point about invasive treatment generally, I note that we are talking specifically about ECT, but I would be very grateful if the Minister could set out what consideration the Government have given to additional safeguards on nasogastric tube feeding, for example, which is another type of extremely invasive treatment. While I would not seek to draw an equivalence between the two, I would be grateful if the Minister could touch upon that in his response.

• 12 Jun 2025 · Mental Health Bill [ Lords ] (Fourth sitting) · Hansard source

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  We have touched already on the stark racial disparities in the use of CTOs and the Mental Health Act more generally, so I welcome these reforms. I appreciate that we will come to this point later in the Committee, but can the Minister set out what interaction the advance choice documents will have in reducing the number of CTOs, particularly for those groups that have seen them used disproport-ionately?

• 5 Jun 2025 · Free School Meals · Hansard source

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  Today, I am thinking of the teacher from my constituency who told me that they had to keep cereal bars in their office for children who came to school hungry. That is the legacy of the Conservative party, and I am not surprised that Conservative Members have not turned up to face the music. Research shows that people living with mental health conditions are twice as likely to be living in food-insecure households. Does the Minister agree that this announcement will make a huge change to our young people’s mental health, and that that is exactly what people voted for when they voted Labour?

• 28 Apr 2025 · Topical Questions · Hansard source

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  T6. We know that young people are at the sharp end of the mental health crisis, so can the Minister update the House on the progress his Department is making on our manifesto commitment to put specialist mental health support into our schools, and tell us how gaps in support for neurodivergent pupils—as highlighted in the trailblazer programme—will be addressed?

• 1 Apr 2025 · Eating Disorder Awareness · Hansard source

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  It is a pleasure to serve under your chairmanship, Mr Stuart. I thank the hon. Member for Bath (Wera Hobhouse) for securing this important debate, and my hon. Friend the Member for Camborne and Redruth (Perran Moon) for his deeply moving and courageous speech. As with many mental illnesses, eating disorders often present first in children and young people. Like other hon. Members, I am alarmed by the NHS England statistics that show that in 2023, 12.5% of 17 to 19-year-olds in England were living with an eating disorder. According to YoungMinds, “Young people can use their behaviour around food and eating to try to cope with…difficult thoughts, feelings and experiences.” YoungMinds also states: “Over time, these kinds of thoughts and behaviours around food become very fixed and difficult to change—and may start to take over daily life.” Early intervention for a young person struggling with an eating disorder is clearly critical if we want to support them to live a healthy, fulfilling life. I was politicised at school by the disparities in the mental health support received by my peers, and we know that young people today are at the sharp end of the mental health crisis. I, too, have had friends who struggled with eating disorders and disordered eating, and during the general election last year I was contacted by a young woman who had waited four years for her first child and adolescent mental health services appointment. Sadly, that has become the norm, rather than the exception, for young people with mental illnesses. I welcome this Government’s commitment to cutting NHS waiting lists and investing in talking therapies. I also welcome the commitment this Government have made to getting mental health support into our schools and delivering a network of Young Futures hubs with trained youth workers and drop-in mental health support, so that we can address eating disorders and mental health conditions early, and support our young people. I have a few specific questions for the Minister, and I would be grateful if he could address them in his response. First, could he set out what the Government are doing to improve the early identification of eating disorders? For example, in 2023, Place2Be called for every professional working with children and young people, including in the healthcare workforce, to be trained to identify young people with potentially impairing eating behaviours. Has the Department had considered that? Given the huge impact of the pandemic on the mental health and wellbeing of young people, could the Minister further set out what action the Government are taking to specifically support individuals who developed an eating disorder or mental health condition during that time? Finally, could the Minister set out what cross-departmental work the Government are undertaking to ensure a joined-up approach to supporting young people with eating disorders? Those struggling with eating disorders deserve support and they need action, and we must treat eating disorders as the emergency that they represent. I was particularly moved by the words of the hon. Member for Bath, given her important work on the issue over a number of years, about the frustration of seeing things get worse, not better. I reflect on my experience as a young person going through school and watching my peers struggle with eating disorders and mental health conditions. Now I come into this place to represent my community, knowing that young people today are struggling so much more. That makes the urgency of the task even greater, so I thank the her again for her work and for securing the debate.

• 11 Mar 2025 · Anti-social Behaviour: East of England · Hansard source

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  I thank the hon. Member for raising that interesting point, which I will certainly consider. It is important that we tackle antisocial driving and speeding. We have a specific incident spot on West Street in Hertford, where residents have been campaigning to deal with antisocial driving and speeding not just since I was a councillor there a year ago, but for the past 25 years. I am sure Members will not mind me pointing out that that is longer than I have been alive. We know that antisocial behaviour takes many forms, often going hand in hand with crime, and that means that our police have to fight on multiple fronts, but they will always have my support when they take positive steps to tackle antisocial behaviour in our community. We know there is more to do, and I welcome this Labour Government’s commitment to cracking down on the antisocial behaviour that blights our communities, including through the tough new measures in the Crime and Policing Bill. Residents regularly disturbed by e-scooters and off-road bikes misused on our streets will welcome the removal of the requirement for police to issue a warning before seizing vehicles associated with antisocial behaviour. Ours must also be a Government who tackle antisocial behaviour at its roots, so in the time I have remaining I shall talk about antisocial behaviour among young people. Too often in semi-rural communities like mine, young people are driven to antisocial behaviour by lack of provision and support. The famous image of the loitering youth only exists because there is so rarely anywhere else for them to go, such was the decimation of youth services under the watch of the previous Government for 14 years. I pay tribute to the work of the charities and voluntary organisations filling gaps in youth services in our community, particularly the Thirst Youth Café in Bishop’s Stortford and FUTUREhope in Hertford, where I once volunteered. Their work not only deters young people from antisocial behaviour and the more serious crime it acts as a doorway to, but builds their confidence, so that they can find the path that is right for them and contribute positively to our community. I warmly welcome the work that this Government are undertaking to introduce a network of Young Futures hubs to support young people’s development in communities like mine, to improve their mental health and wellbeing and to stop them from being drawn into a life of crime and antisocial behaviour. I am also encouraged by plans to develop a new national youth strategy to deliver better co-ordinated youth services at the local, regional and national levels, and to help all our young people to reach their full potential.

• 6 Feb 2025 · Business of the House · Hansard source

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  I regularly hear from parents in my constituency whose children are struggling to access the mental health support that they deserve, in some cases waiting months or even years for their first appointment with child and adolescent mental health services. However, I know that they will be encouraged by this Labour Government’s commitment to cut waiting times, introduce mental health support in schools and open a network of Young Futures hubs. As we mark Children’s Mental Health Week, may I ask if the Leader of the House will allow time for a statement on the Government’s progress in improving mental health support for children and young people?

• 16 Oct 2024 · Carer’s Allowance · Hansard source

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  I thank hon. Members for their constructive contributions to this debate, on a topic that I know is important to all our constituents. The enormous contributions made to our communities by unpaid or family carers have rightly been recognised across the House. We know that our country would grind to a halt without them, but many today are pushed to breaking point caring for those they love, and that cannot be right. The treatment of unpaid carers, unknowingly overpaid their carer’s allowance under the previous Administration, was unacceptable. Having spoken to unpaid carers in Hertford and Stortford, I know that those failures have caused many of them stress, and shockingly even left some in fear of claiming the carer’s allowance to which they are rightly entitled. I know that local benefits advice has been invaluable to those residents, and I pay tribute to the work of Citizens Advice East Herts and other groups that offer a lifeline to those in need of support. I welcome today’s announcement from the Minister that the Government will launch a review into carer’s allowance overpayments. I am pleased that the review will look at not only what went wrong previously but, importantly, how we can prevent such problems in the future. I know that it will be welcomed by carers and unpaid family carers in my community. I am proud that the Government recognise the challenges faced by unpaid carers, and it is essential that we consider how we can provide them with the support that they deserve. I am heartened by our commitment to introduce flexible working as a right, to provide time away from work for caring responsibilities, and to join up services so that my constituents do not have to battle to get the care for their loved ones that they need. It is also important that we turn to the task of delivering much-needed reform in adult social care. The Government’s commitment to reform of the sector, with an ambition to build a world-class national care service, is something that I am sure we all support. It is right that the project will be undertaken in collaboration with care users and their families, sector partners and care organisations, to ensure that their lived experiences are at the heart of the social care system that we build. I look forward to working with those groups in my constituency to ensure that their voices are heard. We will all have received correspondence from constituents sharing their personal experiences of the social care system. Many of us will have relatives or friends who have struggled to access care themselves, and others will have caring responsibilities too. Now is our opportunity to fix unpaid care, and the social care system more widely, and deliver lasting change for the future. I warmly welcome today’s announcement and the Government’s programme for reform.