Documents to download

This Library briefing provides information on mental health policy in England.

Section 1 of the briefing provides information on mental health and the Coronavirus pandemic. The Coronavirus Act 2020 provides for temporary changes to the detention and treatment of patients under the Mental Health Act 1983. The Government and NHS have published resources to support people’s mental health during the pandemic, including specific resources for health and social care staff. Studies are being developed which examine the emerging impact of the pandemic on the nation’s mental health, including for specific groups such as BAME communities. Additional funding has been provided to mental health charities to support people experiencing mental health problems during the pandemic. There have also been calls for the Government to establish a mental health renewal plan

Around one in four people in the UK suffer from a mental health problem each year. The NHS has set out that it wants to achieve “parity of esteem” between mental and physical health, in terms of access to services, quality of care and allocation of resources. While the achievement of parity of esteem has been a long term-policy goal, since 2010 this aim has increasingly featured in legislation and in Government and NHS policy statements.

In February 2016 an Independent Mental Health Taskforce published The Five Year Forward View for Mental Health. This made a series of recommendations for the NHS and Government to improve outcomes in mental health by 2020/21, including ending the practice of sending people out of their local area for inpatient care and increasing access to talking therapies. The Government and NHS England accepted the Taskforce recommendations and committed to support their implementation.

The NHS Long Term Plan, published on 7 January 2019, provided a number of further commitments to improve mental health services. On adult mental health services, the Plan committed to providing an additional 380,000 people per year with access to adult psychological therapies by 2023/24. It also stated that new services to support patients going through a mental health crisis would be introduced.

To support the ambitions within the Plan NHS England has made a renewed commitment that expenditure on mental health services will grow faster than the overall NHS budget, creating a new ringfenced local investment fund worth at least £2.3 billion a year by 2023/24.

In October 2017, the Government commissioned an independent review of the Mental Health Act 1983, in response to concerns about rising rates of detention and the disproportionate use of the Act among people from black and minority ethnic (BAME) groups. The final report was published in December 2018 (‘Modernising the Mental Health Act: Increasing choice, reducing compulsion’). The Government originally said it would publish a White Paper in early 2020, setting out their response in full, followed by a consultation period and legislation when Parliamentary time allows.

The briefing also looks at the use of force in mental health units. Current guidance, including the Code of Practice to the Mental Health Act and that published by NICE, provides direction to service providers and healthcare staff about the use of force and restrictive intervention. The Mental Health Units (Use of Force) Act 2018 was introduced, as a Private Members Bill, by Labour MP Steve Reed, following the death of a constituent, Seni Lewis, in 2010. Most of the provisions of the Act have not yet come in to force, but it will increase the oversight and management of the use of force in mental health units.

As health is a devolved matter, the Governments of Scotland, Wales and Northern Ireland are responsible for setting their own policies in this area. Links to policies of the devolved administrations are provided in section 6 of this briefing.

Links to Library briefings on more specific areas of mental health policy, such as children and young people’s mental health, suicide prevention, and perinatal and women’s mental health, are provided in section 7.

Documents to download

Related posts

  • Social prescribing is a means for GPs and other healthcare professionals to refer patients to non-clinical services in the local community. Such services can include arts or nature-based activities, physical activity classes and counselling. Evaluations of existing social prescribing schemes have reported positive impacts on people’s mental health and wellbeing and a reduction in demand on health services.

  • In 2019, there were 3.4 million procedures completed involving regulated living animals, which was the lowest annual number since 2007. This note summarises and analyses trends in data, including the growth of universities as the dominant seat of research on animals, the use of different species, and the decline of research for toxicological purposes.