Race equality groups seek big changes to the mental health act to end stereotyping and over-medication

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Sir Simon Wesseley, planning to report on reviewing the mental health act later this year

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While Theresa May is battling to hold her line on Brexit her almost unreported initiative to reform the mental health act is leading to demands for the government to introduce radical reforms for treatment and new rights for patients.

A submission from Race on the  Agenda and the Race Equality Foundation to the review  by Sir Simon Wesseley, set up by Theresa May to look into why so many black Afro Caribbean people were being detained in mental hospitals and the need for changes to the Act. It also comes against a disturbing background of deaths in police custody.

The submission has been backed by the Runnymede Trust;Patrick Vernon OBE, Chair of the Labour Party’s Race Equality Advisory Group, writer Amy Kenyon and Professor Rachel Tribe, of the School of Psychology at the University of East London among others.

NEED FOR BIG CHANGES

The Downing Street interim report  contained many warm words but not a lot of action. It stated: “Experience of people from black African and Caribbean heritage are particularly poor and they are detained more than any other group. Too often this can result in police becoming involved at time of crisis. The causes of this disparity are complex.” The  full report  and details of its members  and terms of reference is available here.

Now the submission to the inquiry proposes major changes to tackle the problem. The link to it is here. The main proposals are:

1. The Mental Health Act (the Act) should set out principles that define human rights, anti-discriminatory practice and a commitment to combat institutional racism.
2. The Act should be amended to include a clause that states explicitly that a diagnosis for a ‘mental disorder’ must take account of the patient’s social and cultural background. And the Act should allow for appeals against diagnoses via a Tribunal, with a panel that includes experts from BAME backgrounds.
3. Patients detained under the Act should be empowered to choose which carers or family members have a say in their care and can support them during an appeals process.
4. A new system of appeal whenever a new diagnosis is applied and/or continued, to a tribunal-like body, with the right of the patient concerned to have legal representation at the hearing.
5. All mental health service providers should be set targets to reduce the use of Community Treatment Orders and minimize racial inequalities in their use. This should be monitored by the Care Quality Commission  during inspections. Specific amendments in relation to supervised treatment in the community should be made to ensure this is statutory.
6. Statutory bodies should be regularly inspected by the CQC or other appropriate body to ensure that training of professionals working in mental health services addresses issues of racial bias and cultural competence.

The  submission  says: “:We were glad to see an emphasis on the urgent need to address the disproportionate number of people from black African and Caribbean backgrounds being detained under the Mental Health Act (MHA).

Equally, we were unsurprised that Black, Asian and Minority Ethnic (BAME) focus group participants highlighted a lack of cultural awareness in staff and a need for culturally appropriate care as paramount. We would express concerns about racism, stigma, stereotyping and overmedication. We hope that these findings will guide and underpin the recommendations made in the final report ”

It is to be hoped that Sir Simon and Theresa May do take action to remedy these many faults in the system. Otherwise it will be another case of political posturing  like help for the ” just about managing” which has so far amounted to warm words and little else.

There were concerns expressed at the recent conference organised by Rota at the University of East London that little would really be done to tackle this. If little happens it will only make matters worse and there is a need for strong campaign to make sure Downing Street does really listen.

Government narrowly defeat plan for new Leveson inquiry after deal with DUP

Lord-Justice-Leveson

Lord Justice Leveson ; Pic courtesy Leveson Inquiry website

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UPDATE: Government defeated the Leveson2  inquiry by nine votes 304-295 . There were five Tory rebels. The nine DUP  MPs supported the government after they were offered a new press watchdog for Northern Ireland. The one independent Northern Ireland MP, Lady Hermon voted with Labour.

Five Tories voted with Labour – they were Ken Clarke, Dominic Grieve ( former attorney general), Peter Bone, Philip Hollobone and Crispin Blunt.

One Labour MP John Grogan voted with the government to block Leveson 2.

Parliament will decide today whether a second Leveson inquiry  should go ahead and on new rules that would strengthen the role of press regulator Impress and force compulsory arbitration in libel cases.

Voting in the Commons on both motions is on a knife edge with  literally the decision being made on who turns up and whether very active campaigns by  mainstream media moguls or Hacked Off can convince wavering MPs.

Theresa May has staked her reputation on protecting Murdoch and Dacre from a second Leveson inquiry into malpractices by the media and scrapping the section which would have forced compulsory arbitration. At the Westminster  Correspondents Dinner she promised lobby journalists that ” very good news” was coming to help the media moguls avoid further scrutiny into their practices.

But her failure to control Parliament has put both promises at risk- hence the frenzied campaign  in the media to protect press freedom by media bosses who do not want some of the dark practices subject to forensic examination by Lord Leveson.

There are two motions today – one by former Labour leader Ed Miliband and Tory rebel Kenneth Clarke – aims to reinstate Leveson 2 after a Commons committee overturned a Lords resolution to hold the inquiry.

The second by Tom Watson, Labour deputy’s leader and long time campaigner against the Murdoch press, would implement the changes promised to force compulsory arbitration in libel cases – making court cases very expensive for the media even if they won.

The first motion stands the best chance of passing with guaranteed support from a number of Tory rebels, Labour, the Liberal Democrats, the sole Green MP, Plaid Cymru and the Scottish Nationalists. Nobody seems sure how the DUP will vote.

This alliance is however dependent on everybody turning up and solid support among all the groups.

There was signs at the weekend  that media moguls had changed  tactics and were trying to persuade some Labour MPs not to back Ed Miliband’s motion and the one strengthening Impress-and suggesting this would go down very well in the mainstream media who might look favourably on covering some of the issues  these Labour MPs might want to take up. A senior Labour source told me : ” They (the Labour MPs) are trying to curry favour with the mass media”.

Labour whips have been alerted to this but some Labour MPs are playing their cards very close to their chests and trying to hide their proposed support. You can be sure there will be very active work done by Labour this morning to try and root them out.

The other problem  that could scupper a  defeat for the government will be if not all MPs turn up. Here the SNP with 35 MPs are a key group – but not all of them turn up if they have pressing business in Scotland. A  ” no show” by just a few in this group would have a big effect on the vote.

So today’s decision will depend on the capricious nature of MPs in Parliament – and how much priority they put into defeating the government over this issue.

 

 

 

 

50’s Women:”Nobody will see their pension entitlement changed by more than 18 months” – Theresa May’s crass error

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Theresa May in Parliament Picture YouTube

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There was an extraordinary error by the Prime Minister, Theresa May, when she was challenged by Ian Blackford, the Scottish Nationalist leader, at Prime Minister’s Questions in Parliament today.

Mr Blackford used one of his two questions to raise the plight of the 3.8 million WASPI women who have been hit by the government’s  decision to raise the pension age from 60 to 65, then 66 and 67.

Mr Blackford asked: “Yesterday we celebrated the achievements of the suffragette movement, which was about democracy, equality and fairness for women.

“However, today in the United Kingdom, 3.8 million women are not receiving the pension to which they are entitled. A motion in this House last November, which received unanimous cross-party support—the vote was 288 to zero—called on the Government in London to do the right thing. Will the Prime Minister do her bit for gender equality and end the injustice faced by 1950s women.”

The Prime minister replied:

“As people are living longer, it is important that we equalise the pension age of men and women. We are doing that, and we are doing it faster. We have already acted to give more protection to the women involved. An extra £1 billion has been put in to ensure that nobody will see their pension entitlement changed by more than 18 months. That was a real response to the issue that was being addressed. If the right hon. Gentleman wants to talk about equality, he has to recognise the importance of the equality of the state pension age between men and women.”

What this showed is what 3.8 million women waiting up to SIX years for their delayed pension have yet to get the message across. Theresa May just thinks you have a little wait of 18 months. And this £1.1 billion  concession is just a future cost to the government over the next two years, no money has been paid out yet.

This ignorance – caused by her only taking into account the changes in 2011 affecting the rise in the pension  age from 65 to 66 for both men and women – shows how ignorant the Prime Minister is.  Considering she is in that age group herself – but guaranteed to get a large Parliamentary and Prime Ministerial pension in her right-plus a big payout for her wealthy hubby – shows the gulf between the Metropolitan elite and the ordinary person. Mo misery for her in her old age.

But it was good news that the SNP leadership were taking women pensioners plight seriously. About time Labour and Liberal Democrats did the same.

UPDATE:  Ian Blackford said today (Thurs) : ” The Prime Minister’s reply was outrageous. She was being economical with the truth. We are all know there have been some horrible cases as a result of this policy and something will have to be done.

“I am not just sympathetic I will not let this matter go.”

Later Guy Opperham, under secretary for works and pensions, made a statement in Parliament saying  the government were  not going to do anything and would fight any legal challenge by the 3.8 million people to change its mind. He was cagey about announcing the last date when people who were never told about the change until years afterwards could complain about maladministration.

Watch him and the short debate that followed here

Guy Opperman has a majority of 9,286 over Labour in his Hexham constituency in Northumberland. There are 6000 constituents who are 50s women and have suffered from a policy he has no intention of changing. If they all switched to his nearest challenger he could lose his seat. That is up to you.

The top Tory power grab that turns their party members into mere pawns

Rob Semple and Theresa May

Rob Semple, chair of the Conservative Party Convention, and Theresa May – the ” Old Elizabethans” Pic credit: Twitter

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Update December 21: Since writing this piece I have discovered that the Conservative Home website, had already raised  objections to the power grab a few days after the convention. The link to their story is here .

 It is good news  for democrats everywhere that  some Conservatives are challenging this. For avoidance of any doubt my Conservative source and myself were unaware of this when I published the story.

While  the public and press have been absorbed in Tory battles over Brexit the top hierarchy in the Conservative Party have mounted an extraordinary power grab behind the scenes that strips their ordinary members of any meaningful say in the running of their organisation.

On November 25 the party held a convention in Birmingham attended by 100 invited people which rewrote sections of the party’s constitution. For policy nerds I attach the document sent out by Rob Semple, chairman of the Conservative Convention and deputy chairman of the Conservative Party Board. I have also written about this in Tribune magazine.

Masquerading as ” small suggestions to bring us into the 21st Century “the convention agreed to rewrite the party constitution to remove references to constituencies altogether;limit the right of local associations to choose their own candidates and scrap the annual meeting of the Conservative Convention where people could listen and vote for candidates for top posts. Instead on line voting would be used for all top posts in the party.

The changes will go for final approval next March at a meeting of the Conservative Convention and will be put to MPs at a meeting of the 1922 Committee in Westminster the same month.

The Tories are hoping that by removing the word constituency from the constitution it will encourage people to form wider associations – which has had some success in Kent where six associations in the Thanet area have combined. But it also reflects the dire state of activists in some Tory constituency associations – where a number have now fallen to fewer than 50 members and operate from a P O Box address.

 The change in selection proposed in the constitution gives power to the candidates committee of the Board of the Party – whose members are appointed rather than elected. The new wording is:“The selection of all candidates, including Parliamentary, Police Commissioners, Elected Mayors and local government candidates shall follow a process in accordance with rules and guidance published from time to time by the Committee on Candidates of the Board of the Party.”

Not surprisingly the proposals have been  vehemently attacked  by Tory members who quite naturally believe if they join a political party – they should have some say in its policies and be able to choose their own candidates.

John Strafford, chairman of  Conservative Campaign for Democracy. said: “If these proposed changes are not voted down you might as well say The Conservative Party: The End”

 “And if MPs don’t take any action to stop these proposals they will find the only activists campaigning for them at the next general election will be themselves.”

 I did contact Conservative Central Office last week  for a comment but there has been no response and there does not appear to be a press release.

And in addition the review  into the failed General Election campaign by  Sir Eric Pickles, the former MP and chairman – probably about to be made a peer by Theresa May – contains one extraordinary overlooked proposal.

It suggests the Tory Party – which wasted £4.5 million on consultants to the failed campaign this year – could hand over lock, stock and barrel – the running of the next campaign to a private company.

This frankly is an extraordinary state of affairs in British politics for the 21st century.

Two parties – Labour and the Liberal Democrats – will fight the next general election with  the largest number of members and supporters  they have had for ages- reflecting a democratic revolution.

The top Labour Party people will be elected by the membership – there is an election for the National Executive Party going on now. So will the candidates.

But the  cash rich Conservative Party will basically turn itself into an unelected commercial organisation – where investors and private companies will decide the presentation of policies for the people.

The contrast could not be much starker. Labour will go into the next general election as a mass movement with a mass membership who can influence policy and decide on who stands for Parliament, the police and the local council.

The Tories go into the election as a small clique with their members little more than cannon fodder.

A libertarian academic suggested to me that the Tories had turned politics back four centuries – to the days when the Elizabethans and the Dutch Indies companies – used private investors to  create a joint enterprise to rule parts of the globe and general populus had no say. What an achievement in 2017.

 

 

 

 

Hillsborough Families:Patronised to death by the disdain of the powerful

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A Liverpool football shirt commemorating Hillsboough. pic Credit: itv.com

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While Westminster was yesterday swirling with tales of sexual harassment by powerful ministers and MPs and the arrogance of a government that won’t tell us what will be the real effects of Brexit, a calm but hard hitting report was published on what had happened since the revelations of the Hillsborough disaster.

The scandal of the deaths of 96 Liverpool fans who went to watch a football match 27 years ago is well known and now well documented following the Hillsborough Independent Panel which  exhaustively looked at what happened.

Since there are now criminal proceedings against people following the disaster I am not going to rerun  who was to blame for these needless deaths but concentrate on what yesterday’s report was about – what should be done.

There are many reports exposing what goes wrong. There are fewer reports proposing how to remedy serious shortcomings. There are even fewer that  demand a cultural change in British society.

This is one of them. The gruesome testimony in this report of the families who lost loved ones well before their time demands nothing less than a radical change in the way the ruling elite view ordinary people.

People caught up in a tragedy are confused, distraught. angry and suffer lifelong angst   and the last thing they want are people in power who frustrate, ignore, belittle or patronise them for wanting to know what happened to their loved ones. The Hillsborough families also had to put up with  very public denigrating coverage from the Sun  which has never been forgiven in Liverpool.

This report shows a way  change can come and outlines the legislation needed to get it done. The recommendations – if implemented in the right spirit – would make a radical change in the way society coped with  the aftermath of disasters – whether it is Hillsborough or the Grenfell tower fire tragedy.

The proposals go from introducing a ” duty of candour” for police officers to tell the truth, providing proper legal aid for ordinary people attending inquests so they can really participate in the proceedings and a special charter for families who suffer bereavement in a major tragedy like Hillsborough.

It also wants to make sure authorities don’t destroy vital documents to avoid public scrutiny, better training and evaluation for coroners, a review of the  effectiveness of  the pathology services and the way death certificates are issued. Nor should public bodies use public money to their advantage to outspend ordinary people trying to get to the truth.

Two other things should be said. Theresa May, whom I may  disagree politically, should be commended for commissioning this. She could easily have walked away once the Hillsborough Panel had done its work. Liverpool football fans are not her natural constituency. She will be even more commended if she decides to implement its findings.

There is also an remarkable passage in the introduction from the  report’s author, the Right Reverend James Jones, the former bishop of Liverpool and chair of the Hillsborough Inquiry which sums up the spirit of the report and what the families have suffered. It is worth quoting in full :

“I also wanted to set on record a recurrent theme that has been present, either implicitly or explicitly, in many personal conversations that I have had with families and survivors over the past 20 years.

“It is one that they have often been reluctant to raise not least because of public and political indifference to the subject and perhaps out of fear that it would add
to the lack of empathy that they experienced. The disaster, the aftermath, and the struggle to be heard for over quarter of a century have had an adverse effect on the mental and physical well being of both families and survivors.

“Depression, marital breakdown, family division, mental illness, unemployment, premature death and even suicide have featured in the Hillsborough narrative. Hopefully society’s increasing awareness of the issues of mental health will lead to a more sympathetic understanding of what they have endured.

“People talk too loosely about closure. They fail to realise that there can be no closure to love, nor should there be for someone you have loved and lost. Furthermore, grief is a journey without a destination. The bereaved travel through a landscape of memories and thoughts of what might have been. It is a journey marked by milestones, some you seek, some you stumble on. For the families and survivors of Hillsborough these milestones have included the search for truth, accountability and justice. But even these are not the end of the road.They are still travelling. And this report is another step along the way.”

You can read the report for yourselves here .

 

 

 

 

 

Time for MPs to take back control of Parliament

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John Bercow, the Speaker Image credit: bbc

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There has been much debate about populist slogans from Brexiteers about Britain needing to take back control of the country from so called Brussels bureaucrats when we leave the European Union in 2019.

The very same MPs are remarkably silent about a decision taken seven years ago by the UK Parliament to set up an independent committee to  take  back control of how the government can present its legislation to Parliament.

Put it very simply we are supposed to live in a Parliamentary democracy but in fact MPs allow the government to monopolise and control Parliament  through the Whips system without so much as a whisper of discontent.

The fact that nothing has been done was highlighted ( though you won’t have read in mainstream media) by John Bercow, the Speaker, in an address given in Parliament to the Hansard Society this week. You can read the full speech here.

In 2010 a committee chaired by Tony Wright, a Labour Mp who did a very good job scrutinising Whitehall on the public administration committee, proposed a series of reforms to  allow MPs to take back control of the running of Parliament from the government. One reform giving backbenchers a greater role in debates got through. Another reform giving Mps much more control over government business was also approved – but guess what the government did nothing about it.

As John Bercow said in this extract from his speech:

” It is missing in action, confined to something akin to parliamentary purgatory. Nailed to its perch.”

He goes on in this longer extract:

” As a matter of basic democratic principle this will not do. The House decided to back the concept of a House Business Committee along the lines of the Wright Committee recommendations. One of three courses of action should follow. The House should have its decision implemented. Alternatively, it should be consulted on some other design for a House Business Committee. Or the House should determine in a vote that it has changed its mind on the issue. It should not be side lined in this fashion. It is quite wrong for there to be a vacuum. This is as inappropriate as, for example, legislating to hold a referendum on a major question of the day and then simply ignoring the outcome. The longer that this state of affairs persists the more profoundly unsatisfactory I believe it to be.

“The Wright formula, to remind enthusiasts in the room for such detail, was very balanced. It did not seek to defenestrate the Whips Offices. It recognised that the Government of the day had a right to have its business tabled. Elections would be rendered impotent affairs if this were not the case. Ministers are, therefore, in my view entitled to a majority but not a monopoly on a House Business Committee. The legitimate issue for the House as a whole is the balance of allocation of time across the various measures that constitute a legislative programme. The Wright Committee also underlined the importance of the Official Opposition – and other opposition parties – being given more say on scheduling their business, and envisaged, I am reliably informed, the House Business Committee as the forum for such discussions. I dare venture that some of the recent tensions over scheduling Opposition Days or more accurately not scheduling Opposition days, might have been avoided if there had been a House Business Committee to hand.

“Any such Committee should be chaired by an independent figure. Wright suggested the Senior Deputy Speaker. It should have a backbench component as well as representation from the smaller parties. It would also be desirable to link the chamber to the select committees perhaps via the presence of the Chair of the Liaison Committee. Finally, if not instantly but over time, it should include the direct election of the backbench members in the spirit of the various other reforms which Wright offered to the House more than eight years ago and which the House chose to adopt.”

Now you might say -particularly after this long extract –  why should I be bothered about this arcane Parliamentary stuff? You should for two reasons.

First though she won the most votes Theresa May did not win enough Parliamentary seats to have a majority in Parliament but is ruling – because of the deal with the Democratic Unionist Party – as though she does using every statutory wheeze to try and stay in power for five years.

This measure will put Parliament as a whole in control as it will give greater bargaining power to Jeremy Corbyn, Vince Cable, the Scots Nats and the solitary Green MP – to influence how the government timetables its legislation and how Opposition Mps and backbenchers can get issues debated.

Second whatever your views on Brexit the government is planning to try and by-pass Parliament by using the Brexit bill to take power to change all sorts of laws and regulations by   ministerial diktat – the ” so called Henry VIII clauses ” – named  after the monarch who dissolved Britain’s monasteries – with little chance of debate.

These could be used to  change rights for the disabled, curb worker’s rights to holidays , drop environment protections , cut benefit entitlement and amend health and safety protection, – like for example reducing safeguards on working with asbestos ( this has actually been suggested by one Tory).

This will affect you in your daily life and Parliament needs to defend itself by making sure that ministers can’t  avoid being challenged by manipulating the Parliamentary timetable.

So what we need are some bolshie backbenchers of all parties to put up a motion to set up this committee. From what was said  week they would get a fair wind from the Speaker.

 

 

 

 

 

Theresa May’s wasted £11.2 billion of taxpayers money on initiatives Tory youth doesn’t want

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The Tory conference was supposed to be the point when Theresa May announced a raft of policies to challenge Jeremy Corbyn’s wooing of the youth vote.

If she had  left the main platform of the conference and slipped into a packed Adam Smith Institute fringe meeting at the Manchester conference she would have been sorely disappointed.

The meeting chaired by a young Times journalist ,Grant Tucker, was meant to be a discussion on what  the millennial generation want and how they can get young voters away from Jeremy Corbyn.

Predictably it was hostile to any Corbyn programme of  rent control and nationalisation but what was extraordinary was the hostility to the May announcements earlier in the week.

The meeting was  heavily dominated by the housing crisis facing the young Tories – almost to a man and woman – all privately renting and paying up to 50 per cent of their monthly post tax income for small rooms in shared flats.

The £10 billion put aside to massively expand the Help to Buy programme was universally condemned from both the platform, by Madsen Pirie from the Adam Smith Institute, and by the audience as exactly the wrong thing to do.

Madsen Pirie

Madsen Pirie Pic credit: wikipedia

They saw it as putting up house prices even more beyond reach and doing nothing to aid the supply of affordable homes. Nor did they want a big council house building programme.

What they wanted was a liberalisation of the planning laws and a mass release of land to allow not a few thousands but a million, yes a million, homes built  in three years to totally change the affordability of housing and bringing back mass home ownership.

Nor were they impressed with a £1.2 billion spent freezing student loans at £9250 and raising the pay back level to £25,000. What they wanted was instead the abolition of the new 6.1 per cent interest rate on loans, pointing out that this could add £5000 to payments soon after students graduated.

So how has May got this so very,very wrong. The answer was plain to see. The Tory leadership is not listening to them. What came over to me was that thus young strand of the Tory’s future had no influence on what their leaders did and were very frustrated and even angry about it.

Unlike at Labour where it is clear that young people – as members of the party had an input – these young people seemed to be treated as election fodder to get the mainly elderly Tory vote out.

There was other thing I noticed at this gathering.There was not a black or brown face to be seen, they were universally white, again unlike Labour. Yet they were not all from the Tory shires, some were from multiracial Bristol, and another from Camberwell and Peckham. Given what diverse place this is, I was surprised there was no ethnic minority representation. I had seen a more diverse audience at an earlier fringe organised by Westminster council.

What this augurs for the future of the Tory Party is not good for them. Their membership is already elderly and falling. If they don’t take any notice of their young membership they are doomed to oblivion – just as Tory campaigner John Strafford said earlier this week.