Tag Archives: policy

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 Labour leader Sir Keir Starmer vowed in his Party’s manifesto to reform and modernise the outdated Mental Health Act 1983, recruit 8,500 new mental health staff, and place mental health professionals in schools.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.

London Underground

GK Launches New Podcast on Trending Policy Issues

Education with Edward Timpson MP

In the inaugural episode of the GK Strategy Podcast, David Laws, GK Strategic Adviser, spoke with the former Children & Families Minister, Edward Timpson MP, about the future of special educational needs and disability policy.

The lively discussion covered everything from SEND policy to social services, with Mr Timpson offering insight into the reform to SEND services and the current policy environment across social care.

Mr Timpson spoke specifically on the 2014 Children and Families Act which he helped push through Parliament. He noted that the legislation “still stands up to scrutiny” 10 years after it was passed and serves as a blueprint for joining up and improving services across education, health and social care. However, he also described some of the challenges associated with the legislation’s implementation, which has led to many parents having vastly different experiences with the SEND system.

During the episode, Mr Laws and Mr Timpson brought to light the “tough” spending environment across the education sector, highlighting the need for increased funding from central government. However, they also touched on other issues that have impacted SEND provision, including the capacity within the workforce, the importance of educational psychologists, SEND ‘deserts’ and out of area provision, and the extent to which mainstream settings should take on more responsibility for SEND provision.

You can listen to the full episode on Spotify here.

GK Insight - Perspective of Dr Iain Wilton, Director, Policy

GK Insight – Perspective of Dr Iain Wilton, Director, Policy

Whenever we have a Queen’s Speech, the focus is invariably on what it contains – rather than what’s missing.

Yesterday, however, was an exception. As well as the Queen herself being absent, for the first time in nearly 50 years, the sovereign’s throne was not merely empty but had been moved elsewhere.

In the monarch’s absence, the Prince of Wales moved off the substitute’s bench and into, in effect, the early stages of regency mode – so it was a field-day for historians in general and constitutional experts in particular.

Other conspicuous absentees, of course, included Government references to the ‘cost-of-living crisis’ which the Chancellor had sought, but failed, to adequately address in the last set-piece Parliamentary event – his Spring Statement.

Indeed, when Rishi Sunak sat down after delivering that speech, the immediate comments of Opposition backbenchers (“Is that it?”) caught the public and Parliamentary mood much better than the formal response from the Shadow Chancellor – Rachel Reeves.

It was also the moment at which the political fortunes of the Chancellor – previously famed for his “whatever it takes” approach – began their downward spiral.

It’s noticeable, however, that few people have been posing the same “Is that it?” question after yesterday’s Queen’s Speech – for two main reasons.

First, there’s a recognition (behind the rhetoric) that financial, tax and cost-of-living issues are addressed in Budgets, Spring Statements and Finance Bills, rather than a ‘Gracious Speech’.

Second, the Speech, although shorter than normal, contained much more political and legislative ‘meat’ than might have been expected – not only for a mid-term government but for a governing party that has been in power (either independently or in coalition) for the past 12 years. There is clearly much that it still wants and needs to do.

In part, it’s about playing catch-up after the statis of the Theresa May years, when the government lost its majority and became preoccupied with trying (but failing) to deliver on the result of the Brexit referendum. Since then, the challenge of handling the pandemic has been her successor’s overwhelming priority – to the exclusion, domestically, of almost everything else. More positively, though, there’s the ‘levelling up’ agenda that the Prime Minister regards as essential to retain the ‘Red Wall’ seats that he won so unexpectedly in 2019’s General Election.

Together, those delays, diversions and political imperatives explain why the Queen’s Speech outlined not only a surprisingly large number of Bills (38) but some measures of real significance.

For example: the Energy Security Bill will hasten the UK’s transition to cleaner electricity and greater energy independence; the Financial Services and Markets Bill will create a new regulatory regime, in conjunction with some upcoming and important reforms from the Financial Conduct Authority; and the Procurement Bill will have a low profile but could affect vast swathes of public expenditure – creating new commercial opportunities, in the process, for many small and medium-sized suppliers.

Above all, perhaps, housing, local government and levelling up, taken together, account for a sizeable proportion of the legislation outlined in Parliament yesterday. Perhaps that’s hardly surprising, in view of the political importance (especially to the Prime Minister) of levelling up and the extent to which many Conservatives fear that housing issues are becoming increasingly toxic for them, especially in London – as last week’s local elections seemed to confirm.

It means a bigger role for the Secretary of State for Levelling Up, Housing and Communities – Michael Gove. Inside Westminster and Whitehall, he’s renowned both for his radical ideas and his strong record on delivery. Elsewhere, however, he’s still best remembered as the person who sabotaged Boris Johnson’s original bid, in 2016, to enter 10 Downing Street. After yesterday’s Queen’s Speech, the Prime Minister has surely never been more reliant on his former foe.