Part of the debate – in the Senedd at 5:29 pm on 3 April 2019.
Diolch yn fawr, Llywydd. Can I thank the Conservatives for bringing forward this important motion? I welcome the opportunity to take part in this debate, and I'd like to associate myself with much of what Darren Millar has said. I think it was a very thoughtful portrayal of what is a very complex problem. I think, particularly, we can all agree that there is something really wrong with the waiting time targets. When somebody is seriously mentally ill, they need help immediately, and there is a real risk that, if somebody presents asking for help and they don't get it immediately, their condition will worsen. If it's got a comorbidity with drug and alcohol, as often is the case, you will have people whose self-medication may get out of control—that is one of the reasons I believe that we end up seeing such a high proportion of our prison population being people with mental health issues, because sometimes those mental health issues are not addressed in a timely way. And I say that in the co-operative spirit in which Darren Millar has put forward this debate. I think we would all aspire here for better and we have to look to the Minister to deliver that.
I won't repeat the comments that Darren has made. I just want to speak very briefly, Llywydd, to our two amendments and to begin by saying we won't support the Government amendment, because we think Darren Millar has made a very strong case for the need to have co-located emergency crisis teams in A&E departments. I have myself seen some very distressing situations, very busy A&E doctors trying to deal with young people, particularly, presenting with very serious mental health issues. They haven't got the capacity or the skills to do it and they need somebody to be able to come in straight away, somewhere where they can refer straight away. I can think of one particular case where I had to sit in A&E with a very, very highly distressed young person who was suicidal, and there was nowhere for her to be taken, except at that stage—and this was some years ago, thank goodness—potentially a police cell. You can imagine how awful that was for her but also for the medical staff that were dealing with her. So, we believe the case for co-located teams is made.
If I can turn to our own amendments and amendment 3, there is no doubt that successive changes in the social security system, which, of course, were begun by Lord Freud under Tony Blair—the work capacity assessments—have hit people with mental health issues very hard. It is easy to see if somebody has, say, a physical disability that means they need to use a wheelchair. It is much harder to see how debilitating a mental health problem can be. I have to say that, as an elected Member in this place, I have never failed to win an appeal, when I have supported a person with a mental health problem, from their original Atos test—where, of course, the tests are undertaken by people who are not qualified and they don't know, frankly, very often, what they're doing—and I'm sure there are many of us in the room who've been able to support successful appeals. But I am left with the question about people who do not know, who don't have somebody with them who can seek that kind of advocacy.
These tests were clearly designed by people who do not understand the experience of invisible disability; they don't understand fluctuating conditions. And the very process of forcing people with an ongoing mental health issue to repeatedly be reassessed is actually—and I can think again, and I'm sure others in this room—exacerbating mental ill health. We need to challenge this and one practical way in which we could do that here is to ensure that community mental health teams across Wales have really strong relationships with local benefits advice, so that those people who have to go through those assessments—much as we might like to see them gone—have some proper professional support. it isn't always possible for them—