Part of the debate – in the Senedd at 4:29 pm on 22 January 2020.
Thank you, Deputy Presiding Officer. I wasn't a member of the committee during this inquiry, and I look forward to rejoining the committee as I undertake my role as shadow Minister for health once again. But I am very grateful to the committee for producing a report that is exceptionally interesting and teaches us a great deal. The specific issue and what we're trying to achieve here is something where there is quite clear consensus and there has been over a number of years. But the actions that need to be taken in order to achieve that aim is one area where we may disagree in terms of the approach.
Nobody truly believes that it is appropriate for vulnerable people experiencing mental health crises to be sent to police stations, but far too often in the past, that is what has happened, and that was because there was nowhere else for the police to take those individuals. I was very pleased to read in this report that no-one under the age of 18 experiencing a mental health crisis has been sent to a police station since 2015, and the numbers of adults who find themselves in police stations is also reducing.
But we also see in this report that the number of cases of imprisonment under section 136 has increased, generally speaking, and the police told the committee that they felt that they were still being called too often to deal with issues that, in reality, relate to health and care or social care. What’s highlighted, if truth be told, is the fact that the kinds of 24-hour, seven days a week mental health services that we would like to see don’t exist, and people are still required to use the services that are available 24/7 and, of course, they are the police and emergency departments at hospitals, and so on.
So, we return to a theme that has emerged a number of times in a number of inquiries—I can refer back to our previous debate on suicide, for example—the feeling and the evidence that our health and care services are not fit for purpose, out of hours, certainly, and that that then places pressures on other services that are available 24/7.
Another general theme that emerges in the report is the fact that communication is inadequate between services, particularly between services that are devolved and those that are non-devolved. We must tackle that issue.
So there are themes there that are very familiar to us, if truth be told, and they are themes that I feel haven't been given the attention that they deserve in terms of the Welsh Government’s response to this report. So, I will finish by asking the Minister how this Government is going to improve the provision of crisis care, out of hours particularly, so that people who do experience a crisis or those who are looking after them will know who to contact and, more than that, will know that support will be provided to them when they make that call.