Mental Health Bill [Lords]

Part of Orders of the Day – in the House of Commons at 5:46 pm on 16 April 2007.

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Photo of Andrew Lansley Andrew Lansley Shadow Secretary of State for Health 5:46, 16 April 2007

I am grateful to the hon. Lady for those points, and I am reminded of an occasion on which I sat with consultant psychiatrists a couple of years ago or more. They said that at the end of the day there are circumstances in which they are under obligations not just clinically to their patients but to the community. There is a point at which to meet those obligations they would either have to put a patient who is in the community into hospital, although they do not consider that they need to be there, or would have to seek additional powers, so they supported community treatment orders. We therefore do not object to the orders in principle, but we must be absolutely sure that we are creating safeguards in the legislation that make the measure a last resort, rather than a first resort.

Lynne Jones spoke about the right to assessment, but we must tread carefully. The Secretary of State made a point about age-appropriate services and assessment, and we must be sparing in the use of a legislative vehicle to mandate services. I do not think that we can go through mental health services trying to specify what they should do in the Bill but, as I shall explain in relation to age-appropriate services, it is sometimes necessary for legislation to express Parliament's firm intentions. I think that that is what the legislation currently does.