Time to Talk Day

CS Lewis experience in his grief still strikes a chord.

“An odd by-product of my loss is that I’m aware of being an embarrassment to everyone I meet. At work, at the club, in the street, I see people, as they approach me, trying to make up their minds whether they’ll ‘say something about it’ or not. I hate it if they do, and if they don’t. Some funk it altogether. R. has been avoiding me for a week. I like best the well brought-up young men, almost boys, who walk up to me as if I were a dentist, turn very red, get it over, and then edge away to the bar as quickly as they decently can. Perhaps the bereaved ought to be isolated in special settlements like lepers.” ― C.S. Lewis, A Grief Observed

Today is 'Time to Talk' day. If you know someone who's struggling, message them and say hi. If you know someone who you suspect is struggling, but has never actually said so, message them too. So many people with mental illness fear what others will say if they admit to it. That's part of what the illness does to you. It's a hard thing to open up about mental illness, lets make it as easy as possible.

The Prince and the Psychiatrist: Royals ditch stiff upper lip over mental health

Prince Harry: "It is OK to suffer, but as long as you talk about it. It is not a weakness. Weakness is having a problem and not recognising it and not solving that problem."

He said the event was an opportunity to show that "unflappable" sporting personalities can suffer from mental health problems like everyone else, including members of the Royal Family.

"A lot of people think if you've got a job, if you've got financial security, if you've got a family, you've got a house, all that sort of stuff, everyone seems to think that is all you need and you are absolutely fine to deal with stuff," he said.

It's brilliant to see the new generation of royals helping to raise the profile of mental health, and tackle head on the stigma of admitting to depression and other problems.

This is a very short video, please do watch and share.

Childrens mental health - 60% of referrals get no treatment

...figures, obtained under freedom of information legislation from 15 mental health trusts, showed that 61% of children and young people referred for help from CAMHS in 2015 received no treatment. A third were not even assessed for it. Only 20% of under-18s referred to Norfolk and Suffolk NHS foundation trust ended up undergoing treatment, a sharp fall from the 46% who did so in 2013. At Leeds and York Partnership NHS foundation trust it had fallen from 42% to 26% over the same period.

full article here, on the shocking state of mental health services for under-18s. The percentage of referrals getting treatment is actually declining over time, despite government promises to invest more, and put mental health on a par with physical health. 

Just imagine for a moment, 61% of children with a broken leg not getting an x ray or a cast, or 61% of children with asthma not getting an inhaler. Some of this stuff is life threatening. How bad does it have to get?

'a state of perpetual fear'

Making even the smallest decisions can be agonising. It can affect not just the mind but also the body – I start to stumble when I walk, or become unable to walk in a straight line. I am more clumsy and accident-prone. In depression you become, in your head, two-dimensional – like a drawing rather than a living, breathing creature. You cannot conjure your actual personality, which you can remember only vaguely, in a theoretical sense. You live in, or close to, a state of perpetual fear, although you are not sure what it is you are afraid of. The writer William Styron called it a “brainstorm”, which is much more accurate than “unhappiness”

There is a heavy, leaden feeling in your chest, rather as when someone you love dearly has died; but no one has – except, perhaps, you. You feel acutely alone. It is commonly described as being like viewing the world through a sheet of plate glass; it would be more accurate to say a sheet of thick, semi-opaque ice.

Read the rest of Tim Lotts powerful account of what depression is like here. It's Depression Awareness Week - there's a good chance you'll be working with, queueing with, even living with someone with depression today. The idea is not to get everybody down, it's to bring depression into the open so it's understood, accepted, and not treated as weird. 

Childrens Mental Health treatment: Free, but 55,000 miles to the point of delivery.

You might find the following account hard to believe in the UK in 2016, but it's the real ordeal of a local family, whose teenage daughter developed mental health problems after bullying. They live in Yeovil, but just look at the places where their child ended up for 'care'....

"We've had to section her on seven occasions, the first being in September 2013 - that was at Sevenoaks in Kent, she was there for about eight weeks."

Since her first admission, she has spent periods in mental health hospitals in Southampton, Manchester, Woking, Norwich and finally Orpington in Kent.

She has had to be treated hundreds of miles away from her home because there are no inpatient beds available in Somerset.

Her parents have visited her virtually every weekend as she was battling her illness, spending £25,000 and racking up 55,000 miles of travel just to see her.

"She would get put in different hospitals - from Southampton she was moved to Manchester for a weekend, and then spent four months in Woking. Many of these mental health hospitals are privately owned, they're profit-making organisations. Often it appears they never have enough staff."

Her mother said that it was "heartbreaking" to be separated from their daughter by such huge distances. She said: "I feel as though I've missed out on two and a half years of our daughter growing up. You get a phone-call at night and she's crying her eyes out and you're like 250 miles away and you know there's nothing you can do to help her."

"We've spent £25,000 over the last three years just to see our daughter - that's food, accommodation, petrol, taking her out to places, everything. A lot of other people can't afford to do that. We were told that either the NHS or the county council would reimburse transport costs, but we've heard nothing from either. There's no continuity of care. We've never been back to the same hospital; it's always a different psychiatrist or a different doctor, and it's soul-destroying."

This is scandalous. It's enough of an ordeal to have an ill child, but how on earth is all of that supposed to help the child recover? 

This is not a one-off, it's happening repeatedly to adults as well as children, and school heads are now flagging up mental illness as a major concern. 

Repainting Blue Monday

On this supposedly most depressing day of the year (not if you're an England cricket fan), is there anything more we can do but wait for Turquoise Tuesday? Yes, says an upbeat psychologist: 

"Cognitive distortions are simply ways that our mind convinces us of something that isn’t really true. These inaccurate thoughts are usually used to reinforce negative thinking or emotions — telling ourselves things that sound rational and accurate, but really only serve to keep us feeling bad about ourselves."




ouch: reading this felt like hopping barefoot along a bed of nails. A useful checklist to take to your next meeting or family gathering, see how many you can spot. Though the fact that you take it as a checklist probably means you're on it.

Source: PsychCentral.

Poverty and Life Chances: Camerons Third Way?

"....There are 4 vital, social insights that I believe must anchor our plan for extending life chances.

First, when neuroscience shows us the pivotal importance of the first few years of life in determining the adults we become, we must think much more radically about improving family life and the early years.

Second, when we know the importance not just acquiring knowledge, but also developing character and resilience there can be no let-up in our mission to create an education system that is genuinely fit for the 21st century.

Third, it’s now so clear that social connections and experiences are vitally important in helping people get on.

So when we know about the power of the informal mentors, the mixing of communities, the broadened horizons, the art and culture that adolescents are exposed to, it’s time to build a more level playing field with opportunity for everyone, regardless of their background.

And fourth, when we know that so many of those in poverty have specific, treatable problems such as alcoholism, drug addiction, poor mental health we’ve got to offer the right support, including to those in crisis.

This is what I would call a life cycle approach – one that takes people from their earliest years, through schooling, adolescence and adult life.

And I believe if we take the right action in each of these 4 areas combined, with all we are doing to bring our economy back to health, we can make a significant impact on poverty and on disadvantage in our country."

Once everyone has recovered from David Bowie's death, it might be worth paying a little more attention to another David, the Prime Minister, and his speech today. The remarks above were prefaced by a brief critique of left and right 'solutions' to poverty based on economics. I wouldn't be surprised if most of the speech & strategy was written by the Centre for Social Justice (beware, slow website). 

Some of the policy announcements include:

• extension of relationship support
• financial education in schools, expanding a pilot CofE scheme designed to help children develop a positive attitude to saving and a responsible attitude to debt. 
• expanding the 'Troubled Families' programme to another 400,000 families
• a stronger focus on parenting skills in early years, incentivising the take up of parenting classes and trying to make it a normal part of becoming a parent: "I believe if we are going to extend life chances in our country, it’s time to begin talking properly about parenting and babies and reinforcing what a huge choice having a child is in the first place, as well as what a big responsibility parents face in getting these early years right." (I remember being stunned that, on a parents ante-natal course lasting several weeks, there was not a single bit of input about parenting skills, it was all about the mechanics of late pregnancy, birth, feeding etc. Ante-natal classes and health visitors have a massive opportunity to support parents and to help us learn good habits very early on. Children are too precious and vulnerable to leave this to chance.)
• a clearer focus on character development in education, alongside the acquisition of knowledge and skills
• expand the National Citizens Service to cover 60% of 16 year olds
• targetted mentoring for those most at risk of dropping out of GCSEs
• the much trailed demolition of ugly housing estates (this is fraught with risk - it will be very easy for this not to serve the people who live there, if the estate is anywhere in or around London then developer can make more money by pricing the poor out of the replacement housing built on the site. Judging by the successive waves of housing built around Yeovil, we are getting worse at building low-crime aesthetically good environments, not better, and building regulations and pressure on housing density are driving this, alongside house prices and affordability)
• mental health: continued promotion of an open culture around talking about mental illness, support for new mothers, mental health units in A&E, waiting targets for severe illness
• funding for more research and programmes to treat addiction

If it's done well, this could be one of the most important things this government does. There's evidence here of more in-depth thinking about the causes of poverty than we've seen before. What's interesting is that it goes further than Labour ever dared, in terms of the state taking on more parenting functions (developing character, mentoring). 

The proof will be action, rather than words - mental health spending has fallen under the coalition, and Camerons Conservatives have a poor record on housing policy and the vulnerable. They have a life-threatening blind spot on food banks, and the planned cuts to tax credits would have been a punch in the face to anyone earning below £30,000, though thankfully these were reversed. 

Whatever the flaws, this policy at last reckons with one of the big social facts of modern Britain, that the family unit in many places no longer does the job it once did, of transmitting value, values, skills and role models from one generation to the next. We have been avoiding the uncomfortable truths for a while,  I hope there can be a new political consensus that we need a mixed economy of social and economic policy to tackle poverty, and some of this new thinking could be vital. But it will count for very little if Cameron continues to dismantle the welfare state.

update: good piece from Tim Montgomerie on what Cameron missed out

New Yeovil Counselling Service

Counselling4Yeovil is a Christian organisation offering affordable professional counselling in Yeovil to people of any or no faith. We aim to communicate our unconditional acceptance and valuing of each person we work with and to respect each person's right to make their own decisions about how to live.

We developed from Yeovil Pregnancy Crisis Centre which has been counselling women in Yeovil since 2007 on issues surrounding pregnancy, miscarriage, abortion and infant death. We continue to offer a free counselling service to women and their partners dealing with these issues.

Website here.

A much needed new service, NHS mental health services are way past full stretch, and that is as true in Yeovil and South Somerset as anywhere else. There are some good ideas around - e.g. the 'Triangle of Care' - but mental health is currently an area where voluntary, community and private healthcare groups are needed to fill the holes in the safety net.

Counselling4Yeovil has a team of fully qualified counsellors, and though it has a Christian basis, it's open to people of any faith position, and aims to make counselling available to all, regardless of ability to pay.

Prayer for #WorldMentalHealthDay

The New Leader of the Opposition Is.....ITV

In the absence of a functioning political system, thank God for journalists who are prepared to do the politicians job. In the days when the Conservatives were as dysfunctional as Labour is now, the official opposition was Bremner, Bird and Fortune. This week ITV has picked up the baton:

It is why on ITV News this week we are running a series of reports on the state of mental health care in Britain. An investigation by ITV News and the charity Young Minds has revealed that in the last year alone £35m has been cut from children and adolescent services, £80m in the past four years.Worse, it is the early intervention services including those provided by local authorities in schools that have been hit hardest. So children with mental health problems are not being dealt with early enough and are ending up in wards – if they are lucky – where their problems worsen.We highlight the case of one teenager suffering from depression who tried to take her own life and who claims there were no appropriate services locally to help her. Eventually she was referred to the child and adolescent mental health service but was placed on a waiting list for months. This cannot be right. We also met a 22-year-old girl with mental health problems forced to spend a night in a police cell because there were no beds available. It is a dire state of affairs and needs urgent attention.

Read the rest of Mark Austins piece here. In the Coalition the Libdems made some good noises about mental health, but this all happened on their watch. Having said that, the health secretary was a Conservative then, and is a Conservative now. A recent survey on people's experience of mental health 'care' found that:

Just one in seven (14%) of the patients surveyed said the care they received provided the right response and helped to resolve their mental health crisis. Another 42% said it had helped a bit. But two in five (40%) said the care they had received was not right and had not helped them resolve their crisis.

We have a National Health Service for physical illness, and a badly resourced imitation for mental health. Following Jeremy Hunt with a sousaphone might be fun, but what he really needs to do is to try to get an appointment at his local mental health unit before Christmas. But maybe the good people at ITV have already set that up.

The health check we never get

Prevention is better than cure, at least that what my mother said. This doesn't apply to all aspects of the NHS. We are given cardiac checks, bone density checks, regular dental checks, all sorts of fiendish tubes are inserted into our bodies, and yet, at no time do we have a regular mental health check. As our brains control the functions of our body, would it be sensible to look after the brain first?

It's only when we are experiencing mental illness do we get noticed, and then it's luck of the draw if we actually get speedy and efficient help. Different areas offer varying services. Some are excellent, some are definitely not!

Mental illness can develop slowly or very quickly. At least an annual check up would help. If this was routine, then the stigma of mental illness would soon disappear, and just like popping to the nurse for a blood pressure check, it would be simply part of our lives.

by guest blogger Miriam

Depression: this is 'courageous', but it shouldn't be.

...I am going to talk about what I know – depression and anxiety. I find it hard to fully describe what happens in my brain because honestly, I don’t know what is normal and what is not, but I will give it a go.

Getting up in the morning is the hardest part of any day, not because I am lazy, but because waking up hurts. I am so tired every minute of every day, that there is always a need for more sleep, but, I have to get up so I do. This is the first battle I face each day....

From Katherine Welbys courageous blog for Mental Health Awareness Week.

Part of the point of Mental Health awareness week is that we no longer have to use words like 'courageous' for people speaking about what it's like to be mentally ill. After all, if someone describes what it's like to have the flu', or a broken leg, we don't call them courageous for describing it.

Update: Katherine Welby has written for the Telegraph too, worth reading. And a piece from the CofE comms people about the church and mental health, and how we can do a better job supporting people. 

Mental Health - all the party policies in one place

The Mind and Soul website, which is one of the best things on the internet. has produced a helpful summary of all the mental health proposals of the main parties. There are quotes from each main leader, a list of what's in their manifesto, and what isn't, and it all looks pretty fair and balanced.

It's been put together by Will van der Hart, who concludes thus:
However you choose to vote in the General Election, enjoy the democratic freedom that empowers you. Pray for those who are in leadership and carry the responsibility for seeing a huge improvement in the provision of mental health services within the UK. Also pray for those in other nations and our own, who through discrimination, repression and stigmatisation are denied their basic rights becuase of mental ill-health.  

Libdem Manifesto: Green Monster with Medicinal Purposes

The smaller the party, the bigger the manifesto. Labour, the Conservative, Green and UKIP all clock in at around 80 pages, but Nick Cleggs little monster, channeling a 70s wallpaper designer, is 158. The pages are a bit smaller, and a couple of them are taken up with an index (bravo!). As with Labour, and the Conservatives, here are a few things which stood out.

1. There is some genuinely radical stuff in here, which the Libdems have either been a bit coy about, or the mainstream media aren't interested in because they'd rather have arguments about maths. That's a shame, because the radical stuff is potentially the most significant.

2. At the same time, spot the consensus: more free childcare, more nhs funding, 0/7% on overseas aid, control immigration, devolve power both to the countries of the UK and to local governments and cities, reduce tax on the low paid, build more houses. All 3 main Westminster parties are saying the same thing in these areas. They all use the word 'plan' on their first page as well. Snore....

3. It may be that the other parties have put their detail elsewhere, or just left it out of public gaze entirely, but there is a lot of detailed thinking and policy here. This document has the only fully-fledged strategy on climate change and the environment, nearly a fully-fledged strategy on mental health (see below), and a lot more finesse in several areas than Labour or the Conservatives. Before you think I'm getting carried away, there are several things I'm completely opposed to....

4. Greenery: there are more nods from Labour towards this than the Tories, but the Libdems tackle climate change and the environment head on. It's one of their 5 'front page' priorities, along with education, balancing the budget, fair taxes and the nhs, and there are '5 Green Laws' which cover a whole raft of stuff, from conservation areas, to zero emission cars to renewable energy. 60% of energy from renewables by 2030, zero carbon economy by 2050 with zero carbon traffic, 70% recycling rate by 2020 and (I liked this) a commission to look at what resources we're using in an unsustainable way, with power to push us to cut consumption. At the same time there's the only proposals I've seen to build houses resilient to rising temperatures, and a lot more incentives towards insulation, energy efficiency etc. And every time a child is born, a tree will be planted. Not many of these will be popular, or cheap, or give a short-term gain, but the Libdems seem to be the only party who are thinking beyond the 8th of May in these areas. Well done.

5. The other one I really like, and you'd expect me to say this, is their policies on mental health - more money, better standards of care, clear waiting time targets. There's a target of getting 25% of of those suffering mental illness into appropriate counselling treatment - that seems a very low target, but perhaps its symptomatic of how poor the support currently is. Imagine of only 25% of people with a broken leg got a plaster cast.... But, for a party which has clearly done a lot of thinking, there wasn't enough on prevention. Yes there's a plan for a '5 a day' type public health campaign on mental health, more on reducing stigma etc. But a lot of mental illness is rooted in what happens when you're young: family breakdown, poor parenting, poor relationships with main carers. As with Labour, and the Tories, this seemed to be a no-go area. Nobody has the courage, or the ideas, to tackle the epidemic of fatherlessness and family breakdown, or to use the network of health visitors and new mums support to give input on parenting and relationships, as well as caring for the new baby. The Libdems are streets ahead of the rest on mental health, but there are still some streets that are no-go areas, and until we walk them, we'll always have a massive problem on our hands. To be fair, the Libdems say more than the Conservatives about promoting and expanding the Troubled Families programme, and want mediation for all separating couples, but wouldn't it be better to build stronger relationships to start with?

6. Cunning plans: everyone is offering more free childcare, the Libdems is are a bit more tailored - 20 hours per week from age 2, but if you're a working parent then it's available from 9 months in, which is when a lot of new mums go back to work part-time after having a child. Discount bus travel for students aged 16-21 is good, to get them into the habit, out of cars, and support the bus network. Getting landlords to insulate houses to an approved standard, putting RE back into the core curriculum alongside some key life skills like finance management.  Oh yes, and giving local authorities more power to cut down on betting shops and the use of addictive betting terminals in their communities.

7. A few contentious ones: minimum unit pricing on alcohol (which has been suggested for a while but nobody has done it), legalising cannabis for medicinal use, and a looser drugs law put under the Health department rather than the Home Office. Decriminalising having drugs for personal use would raise a storm of protest at other times, but there hasn't been a peep about it (yet). Perhaps the Daily Mail is too busy looking for celebrities in badly-fitting bikinis.

8. Being liberals, there's quite a bit on civil liberties, control over what data people can hold about you, freedom to be rude about people and to swim where you like, more support and promotion of equality for people with disabilities, ethnic minorities, and gay, bisexual and transgender people. The cuts to legal aid are going to be reviewed,  and different forms of punishment trialled (badoom-tish) for crime. 'A large prison population is a sign of failure to rehabilitate, not a sign of success'. So they want more tagging, curfews, weekend prison etc., and if you go to prison there's a skills and education assesment in your first week. After the confiscation of books by the Tories, this is a welcome change of direction.

9. Fair play to Clegg, he hasn't given up on proportional representation, there it is again, alongside an elected Lords, more devolution, caps on donations to parties, and a formal process for working out who is in the leaders debates (tick).

10. One which elevated my eyebrows: 'liberalise rules about the location, timing and content of wedding ceremonies'. I guess it depends how liberal, but the gay marriage reforms raised question marks over whether the government even knew how to define marriage, and this takes it a step further. At what point does marriage stop being marriage, and start being something else? There's a difference between pledging 'all that I have I share with you...till death us do part' and singing each other something by Robbie Williams.

11. Housing - again, plenty of detail and evidence of a lot of thinking. Right to Buy is there, but left up to local authorities not enforced by central government. But again, it's frustrating that a party which has done so much work misses some obvious issues. One is housing density - new estates are crammed, with every home overlooked, miniature gardens, and short on facilities. Many new homes have more space for the plasma telly than for a meal table. Joined up thinking on mental health and wellbeing would ask for a maximum housing density and a minimum standard on social space within a home. The Libdems mention loneliness as a problem - well at least give people the space to invite friends round then!

12. There's some thinking on faith, discrimination etc., mostly around supporting interfaith work, protecting Jews and Muslims from hate crime, but also putting RE back in a more central role at schools and giving freedom for 'religious doctrines' to be explained.

13. British Sign Language will be recognised as an official language of the UK. Excellent. Now offer it at GCSE. Outside London and premiership football, most of us are more likely to come across a deaf person than a Frenchman.

And great news for anyone from the SW who likes the Brecon Beacons - once the debts on the Severn Bridge are paid off, the tolls will be scrapped.

Overall, I was quite impressed. Much more than either of the other two parties, the policies seem to be designed with people in mind, and the stress on the environment and mental health is the kind of long-term thinking we need from our politicians, but rarely get. There are some sensible policy reviews (e.g. the constitutional convention on devolution, rather than Camerons divisive populism, legal aid),  and more of a sense that this is rooted in vision and values, rather than managerialism and presentation. It's the nearest thing to what the bishops were asking for a few weeks ago, and is mercifully free of the snide political bashing you find throughout the other manifestoes. I wonder if somewhere in a backroom there are Labour and Conservative strategists going 'why didn't we think of that?'

Because of course, that's the context. Clegg is pitching to 2 sets of people. One is us, the voter. The other is the two other main parties. The Libdems main shot at power is to be a more attractive coalition partner than either the SNP or UKIP. To do that he needs as many votes and MPs as possible, and as many policies as possible which the other parties think they can work with. Given all that's in the manifestoes, a coalition with Labour looks much the better fit: the Conservatives will spend 2 years taken up with an EU referendum and take their eye off the ball, and Labour is offering much less in terms of policy anyway, so there are plenty of gaps for the Libdems to fill. Libdems and Labour are both ok with borrowing to invest, and the Conservatives are riddled with people who simply don't get climate change and green energy, from Owen Paterson to Eric Pickles.

However, I still think that doing all this is a massive challenge if 300,000 new people are arriving in the UK every year; all the money and effort that goes into the nhs, housing and education will only enable us to stand still. Meanwhile there aren't any big ideas, from anyone, on how we integrate communities at a local level. Nobody is producing an evidence-based immigration policy (why do people come here, how many will stop coming if we do x or y) based on a sustainable level of immigration, and leaving the EU is a blunt instrument with too much collateral damage. So we still need UKIP to keep this debate on the table, but probably not UKIPs solution.

AND IT DOESN'T MENTION HARD WORKING FAMILIES ONCE! YIPPEEE! If you're as intermittently lazy as I am, at last, a party you can vote for.....

Conservative Manifesto: The Longest Coalition Document in History?

Hot on the heels of Labour, David Cameron published the Conservative manifesto yesterday. What was most immediately striking, apart from proposals to create social housing ghettoes (see below), was how much overlap the headline policies had with someone else:

 - no tax on people earning the minimum wage (UKIP)
 - raise bottom tax threshold to £12.5k (libdems)
 - extra £8bn on the nhs (Libdems, except it isn't, Clegg is promising £8bn per year, the Conservatives promise 'a minimum of £8bn over the next 5 years', which isn't the same thing)
 - freeze rail fares (Labour)
 - 30 hours free childcare for 3 and 4 year olds (Labour, though they only offer 25)
 - build more houses (everyone)
 - Right to Buy (Mrs Thatcher)

With the exception of the SNP, there are bones thrown in all directions, which either highlights political consensus, or flags up the scope for coalition discussions, depending on how you look at it.

Compared to Labour, it was a much easier document to work through, with some pretty detailed policy sections, and what looked like a comprehensive programme in a lot of areas. Here's what stood out for me:

1. Of the £30bn needed to reduce the deficit - it's 'fiscal consolidation', not cuts folks - £25bn is coming from public services, roughly half from welfare and half from other departments. There's no detail of where most of the welfare cuts will come from, apart from a reduced cap on total welfare income and scrapping Job seekers allowance for under-21s. There'll be a temporary Youth Allowance instead which stops if you don't take one of the 3m apprenticeships or a job.

2. There's a lot of specific regional and infrastructure spending, which makes me wonder why we couldn't have done some of it in the last 5 years. This is a bit of a dividing line with Labour, who despite talking about using borrowing to invest more, don't have the same commitments on infrastructure investment. Curious. However, it does allow them to name drop pretty much every region in the UK, which is politically clever.

3. A lot of devolution - more powers for all the bits of the UK, and for anywhere that chooses to have an elected mayor (and not if you don't!).

4. Tony Blairs Labour had a reputation as the champions of reannouncement, repeating declarations of new spending on several different occasions as though it wasn't the same cash over and over again. The Conservatives go one better, repeating the same announcement within the same paragraph. The pledge not to tax the minimum wage is basically the same as the pledge to raise the income tax threshold to £12,500 per year. At the moment, if you work on the minimum wage for 30 hours a week you earn £10, 452. And the threshold is 10.6k. How convenient! The Tories pledge to get the minimum wage up to £8 an hour, which will earn you £20 per year shy of the £12.5k threshold. So effectively it's the same policy, but announced in two different ways.

5. The married couples allowance stays, and rises marginally, and this is what qualifies as supporting relationships. There's passing mention of the 'troubled families' programme, but no indication of whether it will be renewed, expanded or scaled back. No mention of epidemic rates of relationship breakdown, fatherless families, and the effect all this has on the mental and emotional health of the adults and children involved. There is almost a conspiracy of silence around the family and how to support and invest in it.

6. On education, it looks like things will get a bit quieter - more of the same, rather than revolution. Worryingly for students, there is no mention of the level of the tuition fee cap, so it's left open for this to be increased. Watch this space. There'll also be loans for postgraduate degrees. The education budget is 'protected' - which means that if the number of pupils rises, so will the amount of money. It's not protected against inflation. So there will be a real terms cut in money going into schools under the Conservatives if inflation ever rises above 0%. So the word 'protected' actually means 'cut'. Again and again I was frustrated at the slippery way things were presented in this document, which then made it harder to give credit where it was due. Interesting that they keep the two flagship Libdem policies, free school meals for infants and the pupil premium.

7. The NHS - I really struggled to get my head round how politicians think about this. There's no point recruiting extra doctors and nurses if they're leaving as quickly as they arrive. 5000 nurses are leaving the NHS each year, mid-career. But responding to that entails accepting there's a problem, and like every other section, the bit on the NHS starts with a section on how poorly Labour did and how well the Conservatives have done. Sorry, but there needs to be more reality here. The section on mental health, apart from supporting mums during and after pregnancy (good) had very little. No specific targets, money, or policies. Not good enough.

8. The Big Society is back! All quiet for 3 years, whilst most of us got on with staffing food banks, there's now the new initiative to encourage volunteering (you'll need those extra 3 days a year if you're a governor of an academy, it's a couple of leagues up from being governor of a normal school, and that was demanding enough). I wonder what the Italian paymaster of Westlands, whose workers here in Yeovil will all be entitled to 3 days a year off, will think of that! It's an odd policy, but I think I like it. What I didn't like was the manifesto taking credit for £8bn a year going into heritage art and sport. It claimed this was 'public and lottery funding', but since the lottery puts in £1.6bn a year, that doesn't leave much for the government! In fact, it gets a tax from the lottery, so it makes a profit. Better controls on online pornography are welcome, but I'd have liked to see something on gambling and payday loans.

9. Not many people have picked up on the plan to cut the number of MPs to 600 and revise parliamentary boundaries. That could be quite significant in the long run.

10. Sorry but the Right To Buy plans are like the AV referendum (remember that?) a potentially ok plan scuppered by dreadful delivery. The AV option put to the vote was probably the worst form of proportional representation, and there are a lot of things wrong with the RtB format. Forcing the most expensive properties to be sold off? Well lets have a think. They'll either be the biggest ones (which Housing Associations have previously pulled down to build more, smaller units), or those in the nicest neighbourhoods. Smaller dwellings, and poorer neighbourhoods, will remain social housing. The long term effect is obvious: nicer areas will become almost 100% owner-occupied, and social housing will become more concentrated in areas of lower value. Around here, house prices in Sherborne were recently shown to be £100k higher on average than those in Yeovil. So if you applied the policy locally, all the social housing tenants would end up in Yeovil.

There's also an inevitable time-lag. It takes 10-20 years round here to find and buy land, get planning permission, and build new houses. Without being able to take out big loans, the housing associations won't have the money to buy land and build houses until the RtB units are sold, you can't replace them like tins on a shelf. So RtB will build in an extra shortage on top of the 1.4m that currently exists, around the time it takes to build the replacement properties.

11. Goodbye wind turbines. Subsidies for onshore wind will be scrapped, and they will 'change the law so that local people have the final say on windfarm applications'. Giving local people 'the final say' is a nimbys charter, nobody is campaigning for wind farms to be built on their skyline. What will Eric Pickles do with his time now that he hasn't got all those wind farms to veto? Words about 'cost effective' green technology suggest that economics, rather than carbon emissions, will be the deciding factor for any Tory greenery.

12. I'm worried about propsals to ban 'extremists' from working with children. We all know they mean ISIS sympathisers and the like,  but the way the cultural wind is blowing, anyone like me who takes the 'traditional' line on marriage is seen as a phobe and an extremist. Will there be unintended consequences?

13. The manifesto alludes to 'space for resentment to fester' over Scottish MPs voting on English laws. As I recall, this wasn't that much of an issue until Cameron stoked it up after the referendum last year. Standard marketing practice, create a demand ex nihilo then produce a product that meets the manufactured need. Shabby.

14. I was glad to see the case being made for keeping overseas aid at 0.7% of GDP, with some stats on lives saved, children immunised, access to clean water etc. This needs to keep being said. Well done.

There is a lot more to get your teeth into here than the Labour manifesto, but aside from the economy and infrastructure, where there seems to be a fair bit of thinking, other areas of policy get a token nod. There's nowhere near enough on climate change, family support, and mental health. The loud silences in some areas (food banks, details of welfare cuts) the slippery presentation in others (tax on minimum wage, EVEL, school and NHS funding) and the awful ideas around Right to Buy, don't inspire me with confidence. There's a programme of action, but true to Cameron there isn't much of an underlying philosophy.

Despite the levels of detail in some areas, it just doesn't leave me with a sense of a party which has really got to grips with all the issues we face. It's not just about the economy. The Bishops call for an 'attractive vision' of a society has fallen on deaf ears. The most eye-catching policies are of the 'retail politics' variety - vote for us and we'll give you this. There isn't much here, aside from the aid target and the volunteering scheme, that calls on us to put others first, to think of 'us' rather than 'I'.

Labour Manifesto - Working Hard for The Kingdom of Ed

I wonder if its ever struck politicians that if 'hard working families' are as hard working as they're cracked up to be, most won't have the time or the energy to read an 86 page manifesto, even if a lot of it is pictures. They/we are too busy working hard, getting on, doing the right thing, or whatever it is the Stakhanovs do most of the time.

Maybe Labour knew they wouldn't get beyond page 1, so they stuck this on the cover:

Britain only succeeds when working people succeed. this is a plan to reward hard work, share prosperity and build a better Britain

Odd that they pitch the manifesto to a minority of the British population, given that over half of us aren't working, being too young, too old, too ill, or too busy volunteering (of which more later)

It's a clear pitch to be the Labour party, the party of working people, but with a lot less socialism and toff-bashing than in the good old days. There's a brief swipe at the Conservatives, and no mention of the LibDems (keeping the door open for the coalition negotiations which are bound to begin on 8th May).

There's plenty of commentary elsewhere, but a few things really stuck out to me:

1. There are pledges to increase the number of GPs, nurses and midwives. Unless there's a big change to GP training in the pipeline, it takes longer than a single parliament to train a new GP. So, where do they come from? Will Labour be trying to get health professionals who have quit the NHS to return, or (as under Blair) will they be recruiting overseas? There is a massive moral question mark over this, we have one of the best health services in the world, most other countries need their doctors and nurses more than we do. The Labour manifesto makes much of the UK re-engaging with the world, promoting the Millenium Development Goals (good) but if we poach doctors from developing countries then white man speak with forked tongue. 

2. Kids, wave goodbye to your parents. You'll see them again in 18 years. Labour wants an education system that starts with 25 hours free childcare at age 3 (provided by your renewed Sure Start centre), extends to 50 hours by the time you are 4 (yes, 50 hours. schools will have to provide access to 'wraparound' childcare from 8am - 6pm), and continues until you are 21. Out of work benefits won't begin until you turn 21, prior to that it's a Youth Allowance dependent on whether you're in training. Some of this will be welcome news to parents who need more flexibility so that they can work to bring in the pennies, some of this will simply mean families spending less time together. It's bizarre that in a document which declares Labour believes a decent society grows out of family life and relationships the main policy direction is one which will mean families seeing less of each other. Does Ed Miliband not get on with the rest of his family? 

3. The wraparound school clubs are all going to be provided by volunteers. Really? How? It's a nice aspiration, but there's no suggestion of how it could be achieved. Worse, if it is achieved, where do those volunteers come from? There's no national strategy for encouraging volunteering, so they will have to come from the existing volunteer pool. That's the folk who look after the elderly, run playgroups, staff foodbanks, pop in on neighbours etc. Good luck on either score. We can't even find the handful of adults needed locally to keep a single council youth club up and running for one evening a week.

4. Also on family policy, there are warm words about 'strengthing the institutions that help individuals, families and communities to thrive' but nothing about strengthening families themselves. Sure Start will be resurrected, but mainly as a national childcare agency. 'Early years intervention' is fine, but there's no suggestion of tackling the reasons why this might be needed. Family breakdown remains the elephant in the room, responsible for vast levels of misery, mental illness, educational failure, substance abuse etc. Labour wants a constitutional convention to look at how the UK can hold together, but when did it (or any other party) ever give serious thought about how to hold families together?  

5. One oddity: Labour want to abolish Police and Crime Commissioners, but set up an equivalent version in education, a local Director of School Standards who monitors performance, intervenes in underperforming schools and can commission new schools. Local authorities will continue to be players in the school system, so I'm not quite sure where that leaves LEAs. The roles of PCC and DSS are slightly different, but it seemed odd to be scrapping one and inventing the other!

6. 200k new houses a year won't go very far if 300k people are being added to the population each year. There are no targets for sensible immigration, just a few policies around benefits and controls. This is a real problem. Yes we need immigrants, but there is surely an optimum rate at which people can be assimilated, and infrastructure be put in place? We are adding a new county's worth of people every 3 years to the UK, but short of a specific cap, I haven't yet seen a policy that amounts to more than hoping the problem will go away if we look tough. That hasn't worked yet.

7. Foreign policy: Labour propose a 'global envoy for religious freedom'. Good. Gordon Browns next job perhaps? It would be good to see a specific role though: they also propose an envoy for LGBT rights whose goal will be to secure the decriminalisation of homosexuality worldwide. I'd be thrilled if the goal for the religious freedom envoy was to secure the decriminalisation of conversion to Christianity.

8. Labour seem to be taking climate change more seriously - there's a welcome goal of a zero-carbon electricity supply by 2030, and interest free loans for energy improvements will reboot the domestic solar energy market. Right noises, but I don't see enough on, for example, public transport (most of the policies are devolved to local level) to see a thorough response. There's a welcome commitment to keep the 0.7% aid target and refocus it on the poorest countries.

9. Mental health: will be 'given the same priority as physical health'. I wonder what that means in practice? The document says there'll be the same right to psychological therapies as to drugs. If true, that means free, lifelong access, rather than 8 weeks after a 5 month wait, as is the current (approximate) situation. Do they really mean that? Access to drugs doesn't stop after a set number of weeks, so if that's what's really being promised for talking therapies, then that's a very hefty commitment. And please, not just CBT, it doesn't fix everything. And if you do offer CBT, please lets have proper professional counsellors, not a nurse who's done a short course. Labour wants more access to counselling at schools (good) and there's a suggestion of putting mindfulness on the national curriculum. There's no extra money committed here, only a promise that a higher % of the mental health budget will be spent on children. That, of course, means a lower percentage on adults, so without a significant rise in the overall budget, there's the prospect of a cut to adult mental health funding. Surely not?

Overall Labour are trying not to frighten the horses, but I'm not sure whether the horses will be very inspired either. I guess a proper rationale for the policies (e.g. the 50 hour school week), or proper details of how they'll work (adult mental health) would have needed a longer document. Labour seem more aware of the vulnerable - disabled, users of food banks, low wages - than the current government, but I don't see much of a great vision here. It's a bit more of an engineers budget, how do we make this system work better, and produce more of what we want (houses, good healthcare, clean energy at affordable prices). I can't see it setting many pulses racing, and as the first page states, its a 'plan...for a better Britain'. The P-word again. The 2015 election is the Battle of the Plans.

Mental health manifesto

Keeping his word, Nick Clegg has put mental health at the top of the agenda for the LibDems election campaign. Today they published a short manifesto on mental health, the first (as far as I know) manifesto document from any of the parties so far.

It's tempting to look askew at the promises made today, given the poor record of the Coalition in mental health funding and practice. But I hope they keep banging on about it. Instead of the usual bidding wars about immigration, cuts and borrowing, it would be great if the parties got into a bidding war about who would secure the best provision for mental illness.

If there are any Libdems reading this, one thing Manifesto for the Mind missed: the NHS needs to stop using the same discharge model that it applies to people with physical aches and breaks. A broken leg heals, a broken mind can recover but remains susceptible. Mental illness is more like cancer, it is a chronic condition more than it is an acute one, discharging patients and then re-assessing them from scratch each time they re-enter the system is bad for the patient and a waste of resources for the system. Mental illness needs to be treated properly, not on models borrowed from clinical practice elsewhere.

Now all we need is a proper debate about family breakdown, which is both a significant cause of mental illness, and a serious problem in its own right. Dave? Ed? Nigel?

New Mental Health Resource for Churches

Going live today is the new Mental Health Access Pack, a resource website for churches on mental health and illness, which looks very good and I hope gets widely used. 

Main sections are:
 - common conditions
 - caring for people
 - practical tips
 - what the Bible says

with a range of pages under each one - e.g. mental health and learning difficulties, types of counselling, pastoral policy. There are sections that are worth printing out in full and discussing with church leadership, small groups etc. to a) develop best practice and b) get the church talking about mental health, so that people know it's ok to do so

"Churches have a responsibility to welcome everyone who comes to them in Christ’s name, but the reality is that they don’t always know how best to support people who are struggling with mental health issues. The Mental Health Access Pack will help equip churches to make God’s love more visible in the welcome they offer to every person." (Justin Welby)

As well as addressing our day to day practices, I hope the church makes a concerted effort to get mental health onto the election agenda, as the Libdems are trying to do. 

PS bear with me, I've tried to add a new 'Mental Health Links' to the sidebar and things have all gone a bit pear-shaped. 

Mental Health - an election issue?

It should be, and on 'Blue Monday', a couple of the party leaders are highlighting it:

Nick Clegg is backing a pilot scheme in the NHS, based on results in the US, to reduce the number of suicides by providing better response and support.

Ed Miliband is focusing on child mental health, having had his own taskforce looking into this over the last 2-3 years, with a report launched today. I notice that the report on this says this will be funded by 'increasing the proportion' of mental health spending which goes on children. I.e. reducing the proportion spent on adults. The whole mental health budget needs to rise.

This is good, there may not be many votes in depression, but we don't want politicians who are hunting votes, we want politicians who identify the major issues our country faces which governments can address, and this is one of them.

Mental health - what's changed in 10 years?

I ask… What has any government really done to improve mental health care?
Charities and some very well known people are very vocal about conditions and campaigning for better services and provisions. But what of those that are asking for our vote? Having been in the system for close to 10 years, I have seen many changes…

• Loss of beds on inpatient wards
• Less support services in the community
• Services tailored more to addiction than mental health
• Massive increase in those suffering milder forms of mental illness, that have gone on to develop significant problems, due to lack of attention from relevant medical professionals
• Children being sent hundreds of miles from their families, just to receive the care required
• Mental health crimes increasing
• Police being used as ‘baby sitters’ for those that are deemed too ill to be in society at that time.
• Anti depressants being handed out more freely, with no follow up counselling or support

I have not seen any real significant increase in companies changing their view on employing those with mental health problems. Nor have I seen any huge Government plans to ease or aid the situation. However, I have seen a change in our communities....

read the rest here. Good, honest and challenging post from a local blogger and community organiser in Yeovil.