Monthly Archives: January 2025

The government and mental health – what has happened so far?

Around two million adults and children are currently stuck on NHS waiting lists seeking mental health support. NHS England estimates the cost of untreated mental health to the UK economy to be £117.9 billion every year, taking into account those who are unfit to work because of their condition. Previous administrations have attempted to address this issue, in particular former Prime Minister Theresa May’s commissioning of the Wessely Review, but seemingly little substantive progress has taken place.

In opposition, Labour’s journey to office set off to a questionable start on mental health. The Party’s dedicated shadow mental health minister Rosena Allin-Khan resigned in September 2023 citing Starmer’s decision to remove the mental health portfolio from the shadow cabinet.

Since then, the Party has made no secret of its intention to overhaul what has been described as a mental health system in crisis. Labour leader Sir Keir Starmer vowed in his Party’s manifesto to reform and modernise the outdated Mental Health Act 1983, recruit 8,500 new mental health staff, and place mental health professionals in schools. Seven months on from Labour’s landslide general election victory, how can progress be described?

In the King’s Speech, the government brought forward the Mental Health Bill which seeks to address unnecessary detentions for people with a learning disability or autism and end the use of criminal justice cells to detain those who need care under the Mental Health Act. Ministers have said that the Bill, which is currently being scrutinised in the House of Lords, will ensure that all patients have a care and treatment plan tailored to their needs.

In addition, the autumn budget committed £26 million of investment in new mental health crisis centres to help ease pressure on A&E departments. This is due to the increase in patients presenting in hospitals because of a lack of accessible mental health services.

While these initial measures are targeted at the most severe and urgent cases of poor mental health, the government’s wider ambition for mental health looks to incorporate its overarching focus on health prevention. The government’s 10-year health plan, due to be published in spring 2025, will be underpinned by “treatment to prevention” as a core pillar. It is also likely to contain further details on how mental health prevention will be included within this shift towards preventative care.

There is evident cross-party support for improving mental health services, and parties of all colours recognise the devastating impact that maintaining the status quo will have, both on individuals and wider society.

The Liberal Democrat-chaired Health and Social Care Select Committee announced in December 2024 the launch of a new inquiry into community mental health services.  This is likely to reveal further improvements required in the system which will help shape the government’s approach to reform.

It is vital that providers and businesses engage with the committee’s inquiry which will be vital in shaping the development of policy in this area. The government must get mental health care right if it hopes to see any pressure on the NHS reduced or make a dent in the ever-growing list of workers signed off due to long-term sickness.

Will Higher Education be left behind by Labour?

The welcoming of international students to study in the UK by Education Secretary Bridget Phillipson in her first two weeks of office was a change of tone, and one that was well received across the higher education sector. With Labour’s manifesto promising little in terms of concrete measures for the sector, and only a broad commitment  to create “a secure future for higher education”, this early emphasis gave some much needed hope that the funding pressures on UK universities would be addressed as a priority.

In further signs that higher education policy was a focus for the new administration,  Labour  announced a review of the UK’s international education strategy during its party conference in September. The strategy was last reviewed in 2019 and set a target to increase the total number of international students undertaking higher education in the UK to 600,000 each year. Subsequent political pressures on the then Conservative government over net migration numbers led to a pivot in approach that shifted from celebrating the contribution of those coming to study in the UK, to something that required political scrutiny.

The sector will be looking for this government to be more receptive than the previous administration to shoring up universities’ financial health and embracing and promoting the benefits they bring to the UK economy, however, recent net migration data could cause pause for thought. Home Office figures show that net migration fell by 20% in the year to June 2024. Stricter rules for international students bringing their families to the UK have been cited for the drop. With Reform UK on the Labour Party’s shoulders for the first time ever in the polls, it means Labour, like the Conservative government before it, will not be immune to calls for further crackdowns.

Away from international students, the government has confirmed tuition fees will rise after universities called for financial support. However, with Universities UK arguing that funding per student would need to rise to £12,500 to meet universities’ tuition costs, the medium to long term funding pressures for many remain. The increase in employer National Insurance Contributions has not helped matters. The sector will also be feeling disappointed that the spending envelope for the DfE at the budget, which will increase by £11.2 billion up until 2026, focused on funding uplifts for schools and early years provision.

Despite an uncertain first few months for the sector regarding Labour’s plans, the next few months will be critical for determining its fortunes. A Comprehensive Spending Review in June will set out departmental budgets for the rest of this Parliament. Having missed out at the budget, the sector will be determined to have its voice represented and a slice of the cake.

The window of opportunity at the start of 2025 will demonstrate whether the government is committed to bringing forward meaningful policy, regulatory and funding reform that will put the sector on a more sustainable footing. Higher education providers should be doubling down on outlining the positive case universities have on shaping young minds and creating financial benefits for UK plc.