Mental Health Services (PE1438)
Item 2 is consideration of two new petitions. First, PE1438, by Lynsey Pattie, is on improving services for people with mental illness. Members will have received a note from the clerk, a briefing from the Scottish Parliament information centre and the petition. I welcome the witness to the meeting and invite her to make a short presentation of around five minutes. After the presentation, I will kick off with a few questions and then open it up to additional questions from my colleagues.
I thank the committee for inviting me to give evidence on my petition. Mental health is an extremely important issue that is gradually coming to public light. Given that one in four people will suffer from a mental health problem at some time in their life, it is likely that everyone will be affected by it either personally or through family and friends.
Thank you for that very interesting presentation. I also note the example of Winston Churchill, who suffered from depression.
I know that people I have talked to have difficulty finding work if they disclose their mental illness, because employers might think that they are unreliable. In my opinion, people with mental health problems are no less or more reliable than anyone else. Anything could happen to anyone at any time.
I will ask a second question before I bring in my colleagues. When I spoke to some armed forces personnel recently, they told me that there are concerns that, when personnel who have been on the front line are discharged—when they leave the Army, the Royal Navy or the Royal Air Force—and come back into the community, their experience of acute anxiety from having been on the front line may not be picked up. Have you had experience of that with your colleagues or friends?
I work as a volunteer with the Scottish Association for Mental Health, which has just started a scheme with Poppyscotland to help troops who have just come back from the front line to get back into work and to help their mental health. That is something that I will probably be involved in in the future.
I should declare that, until recently, I was convener of the cross-party group on mental health and I am currently the deputy convener of that group.
I would say that there is not enough about mental health at school. In my experience, we got taught about depression and stress during exams, but we were not taught that it was okay to have a mental illness. Fortunately, I had a teacher who had depression and he talked to our class about it, but that was just in our class—it was not in the curriculum. I think that there needs to be more about a wide variety of mental illnesses. I have the feeling that more serious psychotic illnesses are not talked about because they can be seen as scary.
Do you think that the term “mental health” is too broad and can be too easily misunderstood? In my lifetime, the vocabulary attached to a number of conditions has changed, and public perception has changed with that change in vocabulary. The term “mental health” encompasses such a huge range of conditions that it is very easy for ordinary members of the public to misunderstand or be intimidated by people who experience such issues or, for whatever reason, to be unhelpful. Is there a need to try to crystallise a new vocabulary in the public domain that would help to change public perception? I worry slightly that, as long as the term “mental health” is used and can be employed in so many different ways, it will always be misunderstood.
I think that you would need to keep the term “mental health” because what we are talking about is an illness of the mind. You can have different labels, but I do not like labelling people by, for example, calling them a depressive or a schizophrenic. That is almost as if you are defining them by their illness. Personally, I am not my illness; an illness is just part of me. I would not want someone to call me by the illness that I have. I understand why some people might have anxiety if someone said that they were mentally ill, because the term covers such a broad range of conditions. However, I think that the term “mental health” needs to be kept because what we are talking about is an illness of the mind.
I notice from the papers that, as we heard, you are a volunteer with the Scottish Association for Mental Health. You must be commended for that. I have been happy to support the see me campaign—as I am sure all my colleagues have been—which deals with the stigma of mental health issues. There is also the choose life campaign, which is a Scottish Government-funded NHS initiative to address suicide and self-harm.
Definitely. That would be great. It is starting to happen in some SAMH places in my local area, North Lanarkshire. I have not heard whether it is a success yet, because it has just started, but it is a great idea.
Thank you very much for bringing the matter to our attention.
The issue is due to nursing cuts and nurses not having enough time. A lot of paperwork comes with mental health nursing. The nurses have to do a diary every day for each patient and, if there are 25 patients in a ward, that can take a long time, which is understandable.
Is that your experience or the experience of people you have worked with through your SAMH volunteering?
It is my experience and that of people I have talked to.
Are you looking for more talking therapies in the hospital? You feel that people are being referred correctly to hospital because they have significant, severe illnesses that need to be treated urgently rather than treated over time in the community, but you are concerned most of all by what happens in the hospital. Is that correct?
Yes. What happens in hospital concerns me. People end up being in hospital a lot longer than they need to be because they are not talked to. Sometimes, people are just in to have their medication changed but end up being in for months.
The other specific criticism that you mentioned in your opening remarks was the lack of particular provision for children and adolescents and the fact that young people have to go into adult wards. Was that your experience? My understanding was that there had been a significant move towards establishing separate wards for young people.
When I was in hospital, I was 17 and in an adult ward. The person closest to me in age was two years older than me but had been in hospital for a long time. I got good care—I had the same care as everyone else—but, obviously, I had different needs from the adults. I was a teenager. I was going through puberty and had different hormones as well as being ill. There need to be more wards just for children and adolescents, with specialists who can deal with the hormones of normal teenagers.
That would be quite scary, I would imagine.
Yes.
Thank you.
I should have said earlier that I welcome the petition, Lynsey. In your comments in the petition’s supplementary information, you referred to the 18-week referral time for a patient to see a consultant or specialist. Do you think that general practitioners have enough knowledge or experience of mental ill health to make such referrals? The 18-week timetable will kick in only after an individual is referred. From some of the experiences that have been related to me, I understand that sometimes general practitioners are not fully aware of the issues that individuals are trying to deal with and therefore either do not make correct assessments or, as you said, prescribe drugs rather than referring people on. Do general practitioners have enough knowledge to deal with mental health issues at surgery level?
No; I think that GPs need more knowledge of mental health issues. They mostly deal with physical issues. Sometimes, it can be hard for GPs to diagnose mental illness or even just to notice that someone is mentally ill, having a breakdown or having some sort of mental health issue. If GPs had more knowledge, a lot more people could be saved.
Thank you for bringing this to the attention of the Public Petitions Committee. I have some prior knowledge of the field, as I worked in social work for a while before coming to the Parliament. You mentioned younger children being admitted to adult wards, and it is quite scary that that still goes on. What really frightens me is that there is still a lack of community support. You mentioned nursing support within the NHS and we heard what you said about nursing staff feeling so low that they were not there to talk to you but were just there to medicate. I think that that happens in local authorities as well. It is a really difficult process for the person with the illness, but it is also a difficult process for the person’s family. It is difficult for the family to come to terms with things and be comforted, supported and guided through how they deal with their family member.
A general theme that is coming through is support in the community. In America, where therapy is fairly standard, there is almost no stigma attached to saying, “I am going for therapy.” If people do not get a job that they were after, for example, they go for therapy. I am not trivialising the issue; it is a different culture.
Yes, that is my view. If people can avoid hospital, that is the best way to go.
Anne McTaggart has helpfully suggested a way forward, which is that we should continue the petition and call on the Scottish Government and others for their views on it. The clerk has laid out a number of different groups that we could write to. Do committee members agree that we should continue the petition?
The Health and Sport Committee looked at this issue—not solely—in 2009, so I wonder whether it would be best to refer the petition to it, in the first stage, so that it could build on the evidence that it took before.
Although I respect what Chic Brodie suggested, I suggest that we have a first trawl through this issue and write to a number of organisations to seek their views before we pass it on to the Health and Sport Committee. There are issues that we may be able to draw out. The clerks have helpfully provided a list of organisations that they suggest we write to regarding the petition, and I have noted a couple of other organisations that we could write to.
We will ask the various organisations their views on the petition. Do members have any other questions that they wish to have answered by the various organisations?
John Wilson mentioned education. Would it be possible to hear from people involved in education and the curriculum for excellence?
Taking up my point on the important role that the third sector plays, I think that it might also be useful to write to the Scottish Council for Voluntary Organisations. We will write to one voluntary organisation, but the SCVO is the umbrella body for the sector and it would be useful to get its views.
I thank Lynsey Pattie for her presentation. The committee members really enjoyed your comments and you have raised our awareness of the issue. As you heard, we will continue your petition and call on care organisations for their views on it. The clerks will keep you up to date with all the stages of development. Thank you again for coming along—I know that it is a daunting task.
Betting and Loan Shops (Deprived Areas) (PE1439)
Our second new petition is PE1439, from Jonathan McColl, on betting and loan shops in deprived communities.
Before I begin, I should say that Gil Paterson was hoping to come along but I understand that he has to attend a meeting of another committee, which is discussing the budget. If that finishes early, he might appear. I also want to make it clear that although I am a member of West Dunbartonshire Council, I am not here representing it. I have lodged the petition in my own name.
That was helpful, thank you. Mr Cameron, if you want to speak at any stage, please indicate that you do.
Yes, convener—
I am sorry, that was not an invitation to make another five-minute speech. You are free to come in any time during the question-and-answer session.
In practice, that power does not work. Our planning officers tell us that there are no grounds on which we can refuse permission. That is why, when we do so anyway, decisions are overturned on appeal to the Scottish Government. I am seeking a position that is similar to that which pertains with alcohol licensing, whereby provided that you have the proper statistical evidence, you can refuse on the ground of overprovision. The current legislation does not give us enough flexibility.
If I recall correctly from my past days on licensing boards, a decision on the ground of overprovision is open to appeal as well.
Increasingly, betting is done on the internet. Given that, how could we achieve what your petition seeks to achieve?
I agree that online gambling is increasing. Unfortunately, however, gambling is a reserved matter; there is nothing that the Scottish Parliament can do. In lodging the petition, I have to operate within the constraints on the Scottish Parliament. I feel that changes to the planning legislation could make a significant difference to the lives of people in our communities. Many of the people about whom we are talking do not have internet access, which means that it is not as easy for them to access online gambling. I know that my suggestion is only a small one, but I think that it would be a step in the right direction.
After hearing the R3 customer survey this morning, I think that payday loan shops are a major blight on what is happening economically.
I was not aware of that, but it certainly sounds as though a very sensible approach is being taken elsewhere. I am sure that Parliament and the Government will look at that, as there is a very serious problem. However, the petition sticks strictly to the issue of problem gambling and the links between access to payday loan shops and their proximity to many gambling premises.
You might want to check a company called Veritec Solutions, which issued the software in Australia and the States.
Welcome to the Scottish Parliament and thank you very much for your petition. In a recent parliamentary debate, on a motion in the name of John Mason, we debated exactly what you describe in your petition.
I whole-heartedly agree with that point. To contact the UK Government would also be a positive step. As you will see in the paperwork, the petition was born out of my online discussions with Councillor Rowenna Davis, who represents a ward in Peckham, London. She got involved with a group called Gambling Reform and Society Perception, which lobbies on problem gambling issues.
Perhaps Mr Cameron might also want to give us his views on the petition.
Briefly, I concur with Mr McColl. I represent 10 community councils and there is no doubt from our discussions that such premises cause great misery to members of those communities.
Mr McColl made a good point about planning controls. If a council rules against an application and the matter goes to appeal, the council is impotent. However, would a provision that was analogous to the overprovision element in alcohol licensing be useful? Obviously, that is something that the UK Government would have to deal with.
Yes. Back when we had shipyards and steelworks, the workers flowed out and went into the pubs. To a certain extent, we still have too many pubs and we have licensed shops on nearly every corner. To get rid of some of those, there ought to be control over the number of premises that are provided with a licence.
The petition is clear about what it is calling for from the Scottish Government. I understand that the Government is consulting on national planning framework 3, so this is perhaps a good time for us to refer the petition to the Government to get its views. I think that that would be a sensible way forward. Do members who have not commented on the petition wish to do so?
I have a lot of sympathy for the petition and, as a former local councillor, I can relate to a lot of the points that have been raised about it. I was particularly interested to hear how betting shops can get round the limits on fixed-odds betting machines by opening another shop next door. I am concerned about that practice, which I had not picked up on. Again, as a former councillor, I am aware of the frustrations with regard to planning applications that have been refused by planning committees being approved on appeal, particularly in cases involving payday loan shops and betting shops.
Most definitely. Does any other member wish to comment? Do either of our witnesses wish to add anything?
No. I thank the committee for taking on board my concerns and trying to find a way forward with them.
Please stay for a few seconds as we consider the next stage. My view is that we should certainly continue the petition. It has a lot of merit, particularly at a time when the Scottish Government is consulting on NPF3. I suggest that we take the actions that the clerks have laid out in paper 4, which includes contacting the Gambling Commission, the Office of Fair Trading and the Association of British Bookmakers. We can ask those bodies for their views on the petition. Do members agree with that suggestion?
I agree with Anne McTaggart that we should also write to the UK Government about the petition and get its view on it, the Gambling Act 2005 and payday loan companies. In that regard, I like Mr Cameron’s reference earlier to “loan-shark shops” in the high street. If only they were classified as loan sharks, we would not have so many of them. However, the rates that payday loan companies charge are a lot higher than those of loan sharks. As I said, we should write to the UK Government because it is mainly UK legislation that covers the issues that we have discussed—for example, the Gambling Act 2005. We should also write to the Financial Services Authority.
I do not know whether you have checked this, Mr McColl—I certainly have not—but do you think that bookmakers and payday loan companies might be under the same ownership in some cases?
I have absolutely no idea.
It might be worth checking.
When there is a verbatim report, I do not like to speculate, but I agree that it is certainly worth checking.
I agree with what you have suggested, convener. Just to prove that I am not curmudgeonly all the time, I say that the presentation on the petition was one of the best and most focused that I have heard on the Public Petitions Committee, and that it took a measured and sensible approach. I am happy with the recommendation that we continue the petition. My reticence about asking questions should not be taken as my being uninterested or unimpressed.
Praise from Jackson Carlaw is praise indeed.
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