Dr Luke Evans

I thank my hon. Friend for raising that tragic case. Those are the kind of cases that this amendment seeks to deal with. We have only to look at the tragic cases of Nicola Edgington and Valdo Calocane to see how escalating risk happens, with huge consequences for the families, patients and victims. When I raised this matter in Committee, the Minister gave a very thoughtful answer. He said that: “if any risk at all to public safety is perceived, that must be documented… It is a basic expectation of the professional management of a particular patient that any risk identified to public safety and protection must be in there.” I welcome that. With amendment 40, I am simply asking, if that is indeed the Government’s position, why not make it clear in the Bill? The Minister conceded in Committee that “I take the hon. Gentleman’s point on whether or not it should be in the Bill. I will come back to him on that, because I would be rather surprised if it were not made very clear somewhere that that is a basic expectation; if it were not, that would obviously need to be looked at, but I am reasonably confident that it is.” ––[Official Report, Mental Health Public Bill Committee, 12 June 2025; c. 171.] Unfortunately, expected in practice is not the same as required in law. We know from past reviews that there is a gap in the risk assessment and that communication can be too inconsistent. Putting such a requirement in statute would not be bureaucracy; it would simply clarify that. The Minister may argue that it already exists in professional codes, in the Mental Health Act code of practice or even in risk management frameworks, but the statutory duty does not. Our amendment would put that duty squarely in the Bill. Talking of safety, I will turn to new clause 29, which would ensure that no child is placed on an adult mental health ward except in truly exceptional circumstances, and only when it is demonstrably in their best interests. The Government argue that guidance already covers that, but this guidance has no teeth; it can be ignored or inconsistently applied. Again, guidance without legal backing is too easily ignored. That was why the Joint Committee on Human Rights argued in its letter that this part of the Bill needs strengthening. The Minister also said that placing these safeguards in legislation would remove flexibility for clinicians in emergencies, but new clause 29 does allow for exceptional circumstances; it simply requires that they are justified, recorded and subject to oversight. Research from University College London found that there has been a 65% increase in the number of children and young people admitted to adult wards for mental health disorders, and this increase is sharpest among teenage girls with eating disorders. They are the most vulnerable, and they are the ones who bear the brunt of this.