To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 12 November (HL3373), what they intend to do to prevent discriminatory treatment of BME mental health patients, and what assessment they have made of the implications of discriminatory treatment for patients in mental health wards.
Answered on
1 December 2015
We are aware that people from black and minority ethnic (BME) groups often report poorer experiences of mental health services and there is some evidence of people from BME groups experiencing ethnic discrimination in how services are delivered by not ensuring equitable access or meeting diverse cultural needs.
The Human Rights Act 1998 and the Equality Act 2010 make it clear that people should not be discriminated against on the grounds of race or mental impairment. People with mental impairments are included within the groups of people with Protected Characteristics within the Equality Act 2010.
The Mental Health Act 1983 Code of Practice makes it clear that decisions relating to people detained under the Act should be lawful and in accordance with the requirements of the Human Rights Act 1998 and the Equality Act 2010.
The Department established the Mental Health Equalities Working Group (EWG) in 2013 to advise on equality and human rights issues, including BME issues.
The Joint Commissioning Panel published guidance in 2014, Guidance for commissioners of mental health services for people from black and minority ethnic communities, which set out 10 key messages for commissioners to improve services. A copy of the guidance is attached.
The Coalition Government published Closing the Gap: priorities for essential change in mental health in 2014, which included a specific action to tackle inequalities around access to mental health services and we continue to work to achieving that action. A copy of this document is attached.
The Department commissioned the Mental Health Providers’ Forum and the Race Equality Foundation to gather and review evidence of effective mental health services for BME groups, which was published this year. The report, Better practice in mental health for black and minority ethnic communities, found that organisations that were successful in providing mental health services that meet the needs of BME groups had developed local community-based approaches to service delivery which addressed cultural and linguistic differences and sought to actively engage hard to reach groups. A copy of this report is attached.
NHS England is also working with a number of BME groups and community leaders to raise awareness, reduce barriers and improve the uptake of Improving Access to Psychological Therapies (IAPT) to all sections of the community. We are also working with the National Health Service and commissioners to disseminate guidance and good practice of what good mental health services for BME communities look like.