Health secretary Wes Streeting has delivered a statement to the House of Commons in which he confirmed that funding for mental health has fallen as a proportion of NHS spending in England.
While there has been a real terms increase of £140m, this amounts a 3.2% reduction in share of spending from last year. Streeting’s statement makes this seem smaller by expressing it as a drop from 8.68% to 8.40% of the total.
This spending reduction comes despite confirmation that one in five people aged 16-64 (22.6%) in England now have a common mental health condition, a 20% increase since 2014. This rises to one in four among young people.
Mental health problems are the leading health condition among young people out of work.
Mark Rowland, chief executive at the Mental Health Foundation, said:
Poor mental health is at record highs, including millions of children and young people on waiting lists for treatment or out of work with mental health problems without adequate support to return to the workforce.
This is a human and economic catastrophe, costing the UK at least £118bn a year. In the midst of a national mental health crisis, a cut to the share of spend for mental health raises real concerns about the government’s commitment to mental health.
We support essential NHS reforms to focus on early intervention and prevention (such as Mental Health in School Teams) as well as a focus on Neighbourhood health centres. However, a reduction in spend relative to other areas of health spend undermines this effort. We wouldn’t accept rising cancer rates and falling share of spend and we shouldn’t for mental health.
Without an effective, co-ordinated ‘invest to save approach’, the mental health crisis will only get worse. It will continue to cost the UK billions of pounds, and millions of people will continue to suffer the consequences of preventable mental health problems.
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The problems people face at the hands of a society organised into a political arrangement of power hierarchies and income/wealth inequalities which leaves most people struggling and powerless to change their circumstances will not be solved by more counsellors and psychotherapists. The medicalisation/psychologisation of social organisation problems (largely into one of individual pathology – faulty thinking and or biology) is one more part of the neoliberal capitalist turn. The solution to the problem is a different society – egalitarian, caring, cooperative. To call what people are experiencing problems with their “mental health” is to misconstrue cause and effect – the problem is intolerable living conditions, the effect is overwhelming distress that manifests in many ways – fear, misery, madness, obsession, overactivity, passivity, confusion, agitation, distraction, exhaustion and so on – the stock.in trade of “symptoms” arranged into fantasy psychiatric “diagnosis”. People’s problems are very real, but diagnosis occludes and mystifies the underlying cause and gives them an ultimately meaningless label ,(i.e. some DSM name or other). Once someone has a label, the political dimension of their distress is neutralised. If the NHS spent 10 times what is currently spent, things would improve, in part because the economy would benefit from the extra money circulating, in part because people would have more supportive conversations, and that there would be more counsellors involved in meaningful supportive contact. But not because any mental health problem was being treated. And not because more tablets would be prescribed. This crisis will only be solved by a radicalky different social structure, one which is non-hierarchical, without centralised power, where all are involved in decision-making, and coercion doesn’t operate. Electoral politics, and rule by a cabinet of corrupt “elites” is a key part of the problem. For instance, Wes Streeting – one person – gets to devide the health priorities that affect all. That is utterly absurd (and contains the seed of fascism, right there).
It’s more grapping a rope more jumping of tall bridges and more killing themselves but it doesn’t matter to government has it’s hidden figures they manipulate to suite more monies saved hold on we have another payrise they’ll say with the monies saved